My guest on today's show, Dr. Patrick Hanaway is one of the world's top authorities in the realm of functional medicine.

He is a board-certified family physician with a medical degree from Washington University and residency training at the University of New Mexico.

He is a past President of the American Board of Integrative Holistic Medicine and co-founded Family to Family: Your Home for Whole Family Health with his wife in Asheville, NC.

As an initiated Marakame (Shaman) by the Huichol people in the Sierra Madres of central Mexico, he incorporates these healing approaches in his clinical practice.

From 2002-2012, he was the Chief Medical Officer at Genova Diagnostics, followed by the Director of Medical Education for the Institute for Functional Medicine as well as the Medical Director at the Cleveland Clinic Center for Functional Medicine.

He just last week published a keystone JAMA article on the improved outcomes of patient care with an integrative functional medicine approach, and in 2017, he won the Linus Pauling Award. Teaching around the world on ‘Good Medicine,’ he brings his full presence to teaching clinicians about healing, with an emphasis on therapeutic relationships, connection, community, and wholeness. During our discussion, you'll discover: -Dr. Hanaway's background in functional medicine...6:40 
Disillusioned with medical practice in early 1980's
Books by Jeffrey Bland
Focus on root cause of disease and why disease occurs
Other ancestral means of treating disease (Ayurveda, Chinese, Tibetan, etc.)
Understand the synthesis between various methods of healing/treating disease; incorporate outside means as necessary
Understand the story, gather information on the patient; emotional shifts are key -Why Dr. Hanaway is a shaman and how it synchronizes with his practice...11:30 
Huichol people in the Sierra Madre region never indoctrinated with the practices of the church
Living tradition thousands of years old
Had series of dreams after connecting with Huichol; went to sacred spot to make offerings
Began working with Huichol people intermittently; initiated as a healer 8 years into the practice
"The way of listening" and perceiving emotional/spiritual issues is used for understanding the big picture of a patient's condition -What makes functional medicine unique...14:45 
Functional medicine is an "operating system"
Listen to the person's story: precursors, genetics, heritage, emotional triggers, etc.
Focus on diet and lifestyle
Initial visit is 2 hrs. to gather info
Insurance pays for quantity, not quality; not always conducive to functional medicine
-JAMA Network Article on Functional Health -Tools and resources Dr. Hanaway often uses in his practice...22:40 
Understand a patient's nutrition: B vitamins, antioxidants
GiEffects 3 Day Stool Panel by Genova Diagnostics
Onegevity (Use discount code: BEN20 to receive $20 off your own test.)
Metagenomics -Which test is best to get the most accurate results...34:15 
The jury is still out as to which is the best test
It's not possible to get comprehensive results with just one test.
Onegevity is the best on the market, according to Dr. Hanaway -What a test result will reveal, and what steps to take from a functional medicine standpoint to address it...39:00 
Microbiome and inflammation score is high: fish oils, turmeric
Comprehensive analysis; how does the problematic area fit in with the rest of the body
Psychobiotics
Psychobiotics and the Manipulation of Bacteria–Gut–Brain Signals -Why Dr. Hanaway doesn't begin a diagnosis with the brain...44:15 
Relationship between permeability in the gut and brain permeability
TBI changes intestinal permeability - increased risk of infection
Address gut permeability first and foremost
Gut blood barrier and blood brain barrier can be addressed simultaneously
Look at prebiotics and foods rather than probiotics (which are tourists)
Diet changes the gut microbiome within only 1-2 days
Fecal microbial transplant is a powerful tool, when used with caution -Foods that Dr. Hanaway finds to be the most efficacious in his practice...51:30 
Focus on fermented foods (work within people's tastes)
Acacia root
Bioflavinoids
Allow beneficial bacteria to grow in the gut
Pomegranate peel extract (produces urolithin A in the gut)
Urolithin A Is a Dietary Microbiota-Derived Human Aryl Hydrocarbon Receptor Antagonist (PubMed) -Tests other than Onegevity Dr. Hanaway finds particularly informative...57:15 
Nutreval Test
23andMe
Intellix DNA
Look for tools that are validated, not those that are created just to sell a product
Heavy metal tests
MyHeritage DNA Panel
FoundMyFitness genetic tools
Health Nucleus genome sequencing
DUTCH Test -Hot topics currently being discussed in the functional medicine community...1:02:30 
Autoimmune disease and cognitive impairment are hot button issues (Dale Bredesen)
Focus on the community of the microbiome, not the individual microbes in the gut -And much more... Resources from this episode: 

-The Jordan Harbinger Show

- Click here to visit OnegevityHealth.com for the testing we discuss in this episode. Use discount code: BEN20 to receive $20 off your own test.

- JAMA Network Article on Functional Health

- How To Get 6 Gigabytes Of Data From Your Gut: The Fascinating Future Of Stool, Blood, Saliva & Urine Testing (From The Comfort Of Your Own Home).

- Psychobiotics and the Manipulation of Bacteria–Gut–Brain Signals

- A Review of Traumatic Brain Injury and the Gut Microbiome: Insights into Novel Mechanisms of Secondary Brain Injury and Promising Targets for Neuroprotection

- My article about Dr. William Davis's coconut yogurt recipe

- Beneficial Effects of Pomegranate Peel Extract and Probiotics on Pre-adipocyte Differentiation

- Urolithin A Is a Dietary Microbiota-Derived Human Aryl Hydrocarbon Receptor Antagonist

- Nutreval Test

- GiEffects 3 Day Stool Panel

- DUTCH Test

- MyHeritage DNA Panel

- FoundMyFitness genetic tools

- BiscuitHead Biscuits & Gravy In Asheville

- Kettle & Fire Bone Broth

- Thomas Cowan's Vegetable Powders

- Gutbio by Onegevity Health

- Pomegranate peel extract Episode sponsors: 

-Kion Flex: The ultimate recovery formula, Kion Flex is a bioavailable blend to support joint comfort, mobility and flexibility, and bone health. Ben Greenfield Fitness listeners, receive a 10% discount off your entire order at Kion when you use discount code: BGF10.

-JOOVV: After using the Joovv for close to 2 years, it's the only light therapy device I'd ever recommend. Give it a try: you won't be disappointed. Order using my link and receive a month's supply of Kion Berry Aminos absolutely free.

-Thrive Market: Organic brands you love, for less. Your favorite organic food and products. Fast and free shipping to your doorstep. Receive 25% off your order when you use my link!

-MVMT Watches: Clean design, minimal and high quality products. MVMT watches start at just $95 and have sold nearly 2 million watches in over 160 countries. Get 15% off your order PLUS free shipping and free returns when you order through my link. Do you have questions, thoughts or feedback for Dr. Hanaway or me? Leave your comments below and one of us will reply!

My guest on today's show, <a href="http://www.familytofamily.org/about-us/meet-our-team/dr-patrick-hanaway-md/" target="_blank" rel="noopener noreferrer">Dr. Patrick Hanaway</a> is one of the world's top authorities in the realm of functional medicine. He is a board-certified family physician with a medical degree from Washington University and residency training at the University of New Mexico. He is a past President of the American Board of Integrative Holistic Medicine and co-founded Family to Family: Your Home for Whole Family Health with his wife in Asheville, NC. As an initiated Marakame (Shaman) by the Huichol people in the Sierra Madres of central Mexico, he incorporates these healing approaches in his clinical practice. From 2002-2012, he was the Chief Medical Officer at Genova Diagnostics, followed by the Director of Medical Education for the Institute for Functional Medicine as well as the Medical Director at the Cleveland Clinic Center for Functional Medicine. He just last week published a keystone <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520" target="_blank" rel="noopener noreferrer">JAMA article</a> on the improved outcomes of patient care with an integrative functional medicine approach, and in 2017, he won the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438096/" target="_blank" rel="noopener noreferrer">Linus Pauling Award</a>. Teaching around the world on ‘Good Medicine,’ he brings his full presence to teaching clinicians about healing, with an emphasis on therapeutic relationships, connection, community, and wholeness. During our discussion, you'll discover: -Dr. Hanaway's background in functional medicine...6:40 <ul> <li>Disillusioned with medical practice in early 1980's</li> <li><a href="https://www.amazon.com/gp/search/ref=as_li_qf_sp_sr_tl?ie=UTF8&tag=bengree-20&keywords=Jeffrey%20bland&index=aps&camp=1789&creative=9325&linkCode=ur2&linkId=34733efb5e7fd1363d6ba43427ffc28e" target="_blank" rel="noopener noreferrer">Books by Jeffrey Bland</a></li> <li>Focus on root cause of disease and why disease occurs</li> <li>Other ancestral means of treating disease (Ayurveda, Chinese, Tibetan, etc.)</li> <li>Understand the synthesis between various methods of healing/treating disease; incorporate outside means as necessary</li> <li>Understand the story, gather information on the patient; emotional shifts are key</li> </ul> -Why Dr. Hanaway is a shaman and how it synchronizes with his practice...11:30 <ul> <li><a href="https://www.britannica.com/topic/Huichol" target="_blank" rel="noopener noreferrer">Huichol people in the Sierra Madre region</a> never indoctrinated with the practices of the church</li> <li>Living tradition thousands of years old</li> <li>Had series of dreams after connecting with Huichol; went to sacred spot to make offerings</li> <li>Began working with Huichol people intermittently; initiated as a healer 8 years into the practice</li> <li>"The way of listening" and perceiving emotional/spiritual issues is used for understanding the big picture of a patient's condition</li> </ul> -What makes functional medicine unique...14:45 <ul> <li>Functional medicine is an "operating system"</li> <li>Listen to the person's story: precursors, genetics, heritage, emotional triggers, etc.</li> <li>Focus on diet and lifestyle</li> <li>Initial visit is 2 hrs. to gather info</li> <li>Insurance pays for quantity, not quality; not always conducive to functional medicine</li> <li>-<a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520?resultClick=1" target="_blank" rel="noopener noreferrer">JAMA Network Article on Functional Health</a></li> </ul> -Tools and resources Dr. Hanaway often uses in his practice...22:40 <ul> <li>Understand a patient's nutrition: B vitamins, antioxidants</li> <li><a href="https://bengreenfieldfitness.com/ben-recommends/lab-tests/complete-gut-test-gi-effect-comprehensive-profile/" target="_blank" rel="noopener noreferrer">GiEffects 3 Day Stool Panel</a> by Genova Diagnostics</li> <li><a href="http://onegevityhealth.com/" target="_blank" rel="noopener noreferrer">Onegevity</a> (Use discount code: BEN20 to receive $20 off your own test.)</li> <li>Metagenomics</li> </ul> -Which test is best to get the most accurate results...34:15 <ul> <li>The jury is still out as to which is the best test</li> <li>It's not possible to get comprehensive results with just one test.</li> <li>Onegevity is the best on the market, according to Dr. Hanaway</li> </ul> -What a test result will reveal, and what steps to take from a functional medicine standpoint to address it...39:00 <ul> <li>Microbiome and inflammation score is high: fish oils, turmeric</li> <li>Comprehensive analysis; how does the problematic area fit in with the rest of the body</li> <li>Psychobiotics</li> <li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102282/" target="_blank" rel="noopener noreferrer">Psychobiotics and the Manipulation of Bacteria–Gut–Brain Signals</a></li> </ul> -Why Dr. Hanaway doesn't begin a diagnosis with the brain...44:15 <ul> <li>Relationship between permeability in the gut and brain permeability</li> <li>TBI changes intestinal permeability - increased risk of infection</li> <li>Address gut permeability first and foremost</li> <li>Gut blood barrier and blood brain barrier can be addressed simultaneously</li> <li>Look at prebiotics and foods rather than probiotics (which are tourists)</li> <li>Diet changes the gut microbiome within only 1-2 days</li> <li>Fecal microbial transplant is a powerful tool, when used with caution</li> </ul> -Foods that Dr. Hanaway finds to be the most efficacious in his practice...51:30 <ul> <li>Focus on fermented foods (work within people's tastes)</li> <li>Acacia root</li> <li>Bioflavinoids</li> <li>Allow beneficial bacteria to grow in the gut</li> <li><a href="https://amzn.to/2KmU02b" target="_blank" rel="noopener">Pomegranate peel extract</a> (produces urolithin A in the gut)</li> <li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315438/" target="_blank" rel="noopener">Urolithin A Is a Dietary Microbiota-Derived Human Aryl Hydrocarbon Receptor Antagonist</a> (PubMed)</li> </ul> -Tests other than Onegevity Dr. Hanaway finds particularly informative...57:15 <ul> <li><a href="https://www.gdx.net/product/nutreval-fmv-nutritional-test-blood-urine" target="_blank" rel="noopener noreferrer">Nutreval Test</a></li> <li>23andMe</li> <li>Intellix DNA</li> <li>Look for tools that are validated, not those that are created just to sell a product</li> <li>Heavy metal tests</li> <li><a href="https://www.myheritage.com/dna" target="_blank" rel="noopener noreferrer">MyHeritage DNA Panel</a></li> <li><a href="https://www.foundmyfitness.com/genetics" target="_blank" rel="noopener noreferrer">FoundMyFitness genetic tools</a></li> <li>Health Nucleus genome sequencing</li> <li><a href="https://bengreenfieldfitness.com/ben-recommends/lab-tests/dutch-urine-steroid-hormone-profile-most-complete-hormone-test-available/" target="_blank" rel="noopener noreferrer">DUTCH Test</a></li> </ul> -Hot topics currently being discussed in the functional medicine community...1:02:30 <ul> <li>Autoimmune disease and cognitive impairment are hot button issues (Dale Bredesen)</li> <li>Focus on the community of the microbiome, not the individual microbes in the gut</li> </ul> -And much more... Resources from this episode: -<a href="https://www.jordanharbinger.com/podcast/">The Jordan Harbinger Show</a> - <a href="http://onegevityhealth.com/" rel="noopener noreferrer">Click here to visit OnegevityHealth.com for the testing we discuss in this episode.</a> Use discount code: BEN20 to receive $20 off your own test. - <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2753520?resultClick=1" target="_blank" rel="noopener noreferrer">JAMA Network Article on Functional Health</a> - <a href="https://bengreenfieldfitness.com/podcast/self-quantification-podcasts/onegevity/" target="_blank" rel="noopener noreferrer">How To Get 6 Gigabytes Of Data From Your Gut: The Fascinating Future Of Stool, Blood, Saliva & Urine Testing (From The Comfort Of Your Own Home).</a> - <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102282/" target="_blank" rel="noopener noreferrer">Psychobiotics and the Manipulation of Bacteria–Gut–Brain Signals</a> - <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025245/" target="_blank" rel="noopener noreferrer">A Review of Traumatic Brain Injury and the Gut Microbiome: Insights into Novel Mechanisms of Secondary Brain Injury and Promising Targets for Neuroprotection</a> - <a href="https://bengreenfieldfitness.com/article/weekly-roundup-articles/the-weekly-roundup-your-go-to-guide-for-everything-you-may-have-missed-this-week-more-3-09-3-15/" target="_blank" rel="noopener noreferrer">My article about Dr. William Davis's coconut yogurt recipe</a> - <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456667/" target="_blank" rel="noopener noreferrer">Beneficial Effects of Pomegranate Peel Extract and Probiotics on Pre-adipocyte Differentiation</a> - <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315438/" target="_blank" rel="noopener">Urolithin A Is a Dietary Microbiota-Derived Human Aryl Hydrocarbon Receptor Antagonist</a> - <a href="https://www.gdx.net/product/nutreval-fmv-nutritional-test-blood-urine" target="_blank" rel="noopener noreferrer">Nutreval Test</a> - <a href="https://bengreenfieldfitness.com/ben-recommends/lab-tests/complete-gut-test-gi-effect-comprehensive-profile/" target="_blank" rel="noopener noreferrer">GiEffects 3 Day Stool Panel</a> - <a href="https://bengreenfieldfitness.com/ben-recommends/lab-tests/dutch-urine-steroid-hormone-profile-most-complete-hormone-test-available/" target="_blank" rel="noopener noreferrer">DUTCH Test</a> - <a href="https://www.myheritage.com/dna" target="_blank" rel="noopener noreferrer">MyHeritage DNA Panel</a> - <a href="https://www.foundmyfitness.com/genetics" target="_blank" rel="noopener noreferrer">FoundMyFitness genetic tools</a> - <a href="http://www.biscuitheads.com/menu-asheville" target="_blank" rel="noopener noreferrer">BiscuitHead Biscuits & Gravy In Asheville</a> - <a href="https://bengreenfieldfitness.com/ben-recommends/food/organic-beef-bone-broth-and-chicken-bone-broth/" target="_blank" rel="noopener noreferrer">Kettle & Fire Bone Broth</a> - <a href="https://bengreenfieldfitness.com/cowan" target="_blank" rel="noopener noreferrer">Thomas Cowan's Vegetable Powders</a> - <a href="https://bengreenfieldfitness.com/gutbio" target="_blank" rel="noopener noreferrer">Gutbio by Onegevity Health</a> - <a href="https://amzn.to/2KmU02b" target="_blank" rel="noopener">Pomegranate peel extract</a> Episode sponsors: -<a href="https://getkion.com/">Kion Flex</a>: The ultimate recovery formula, Kion Flex is a bioavailable blend to support joint comfort, mobility and flexibility, and bone health. Ben Greenfield Fitness listeners, receive a 10% discount off your entire order at <a href="https://getkion.com/">Kion</a> when you use discount code: BGF10. -<a href="http://joovv.com/ben">JOOVV</a>: After using the Joovv for close to 2 years, it's the only light therapy device I'd ever recommend. Give it a try: you won't be disappointed. Order using <a href="http://joovv.com/ben">my link</a> and receive a month's supply of Kion Berry Aminos absolutely free. -<a href="http://thrivemarket.com/ben">Thrive Market</a>: Organic brands you love, for less. Your favorite organic food and products. Fast and free shipping to your doorstep. Receive 25% off your order when you use <a href="http://thrivemarket.com/ben">my link</a>! -<a href="http://mvmt.com/ben">MVMT Watches</a>: Clean design, minimal and high quality products. MVMT watches start at just $95 and have sold nearly 2 million watches in over 160 countries. Get 15% off your order PLUS free shipping and free returns when you order through <a href="http://mvmt.com/ben">my link</a>. Do you have questions, thoughts or feedback for Dr. Hanaway or me? Leave your comments below and one of us will reply!

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My guest on today's show,  is one of the world's top authorities in the realm of functional medicine. He is a board-certified family physician with a medical degree from Washington University and residency training at the University of New Mexico. He...

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