At 6 months, functional medicine patients exhibited significantly larger improvements in PROMIS GPH T-score points than were seen in patients treated at a family health center (mean change, functional medicine center: 1.59 vs family health center: 0.33, P =. Of the 7252 patients (functional medicine center: 1595 family health center: 5657), 4780 (65.9%) were women mean (SD) age was 54.1 (16.0) years. Higher scores indicate a better health-related quality of life. The PROMIS GPH and GMH scores were transformed to a T-score from 0 to 100 with a mean of 50. Secondary outcomes included PROMIS Global Mental Health (GMH) at 6 months and PROMIS GPH and GMH at 12 months. The primary outcome was change in PROMIS Global Physical Health (GPH) at 6 months. The study included patients who visited the Cleveland Clinic Center for Functional Medicine or a Cleveland Clinic family health center between April 1, 2015, and March 1, 2017. Sensitivity analyses assessed improvement limited to patients seen at both 6 and 12 months. To assess the association between functional medicine and patient-reported HRQoL using Patient-Reported Outcome Measurement Information System (PROMIS) global health measures.Ī retrospective cohort study was performed to compare 7252 patients aged 18 years or older treated in a functional medicine setting with propensity score (PS)–matched patients in a primary care setting. The association between this model of care and patient’s health-related quality of life (HRQoL) is unknown. The functional medicine model of care provides a unique operating system to reverse illness, promote health, and optimize function. The incidence of chronic disease is increasing along with health care–related costs. According to our observations it also results in better satisfaction after meals, decreases cravings for sweets and generate weight-loss in patients where it is needed. Methane values were generally low both before and after the dietary treatment, but there was a significant decrease in patients 3 and 5.Ĭonclusions: The carbohydrate, zero fibre, carnivore diet shows great potential for being a readily available, cost-effective, and equally effective alternative treatment for SIBO. Results: five patients that followed the carnivore diet for four weeks or longer tested negative for SIBO, and the one patient that only endured the diet for two weeks had a near complete eradication of her hydrogen elevation. A lactulose breath test was performed immediately before and after the dietary change as well as extensive medical testing. Methods: six patients from our functional medicine clinic followed a strict zero carb, zero fiber, carnivore diet for 2-6 weeks. A zero carbohydrate, carnivore diet, consisting of animal fats and protein, could essentially eliminate these carbohydrate favouring bacteria through starvation while still providing plenty of both calories and nutrients.
The rationale for this dietary approach was based on the idea that opportunistic, carbohydrate favouring bacteria and methanogens proliferate in the small intestines if the natural barriers in the digestive tract have been weakened due to stress, illness, medication, etc. The patients chose between different therapeutic options and willingly consented to a nutritional intervention, based on a zero carbohydrate, zero fibre, carnivore diet, extended over two to six weeks of time. This retrospective case report introduces six patients with positive lactulose hydrogen SIBO breath tests. Nevertheless, SIBO can cause severe malabsorption, serious malnutrition, immune reactions, and deficiency syndromes. Clinical symptoms might be non-specific (dyspepsia, bloating or abdominal discomfort).
Background: Small intestinal bacterial overgrowth (SIBO) is a clinical condition characterized by an excessive bacterial growth in the small intestine.
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