{"id":18187,"date":"2022-02-21T12:57:31","date_gmt":"2022-02-21T12:57:31","guid":{"rendered":"http:\/\/functionalnutritionlab.com\/blog\/?p=12"},"modified":"2023-11-07T13:02:57","modified_gmt":"2023-11-07T13:02:57","slug":"clinical-cause-effect-dont-miss-it-in-your-practice","status":"publish","type":"post","link":"https:\/\/www.fxnutrition.com\/blog\/clinical-cause-effect-dont-miss-it-in-your-practice","title":{"rendered":"Clinical Cause &#038; Effect \u2013 Putting your Functional Nutrition Certification into Practice"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In your practice, you\u2019ll likely encounter clients who are taking prescription medications. We see it all the time in the <\/span><a href=\"http:\/\/www.fxnutrition.com\/the-clinic\"><span style=\"font-weight: 400;\">Functional Nutrition Alliance Clinic<\/span><\/a><span style=\"font-weight: 400;\">. And while it\u2019s not within our scope of practice to advise people on pharmaceuticals as Functional Nutritionists or Functional Nutrition Counselors, it<\/span><i><span style=\"font-weight: 400;\"> is<\/span><\/i><span style=\"font-weight: 400;\"> within our scope to help clients understand cause and effect.<\/span><\/p>\n<h2><strong>A lesson from Full Body Systems, the leading Functional Nutrition certification and training course<\/strong><\/h2>\n<p><strong>Nothing that goes into the body goes without consequences \u2013 good, bad or both.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">We talk extensively about the consequences of both functional and impaired digestion in <\/span><span style=\"font-weight: 400;\">our<\/span><a href=\"https:\/\/www.fxnutrition.com\/programs\/full-body-systems\/\"><span style=\"font-weight: 400;\"> Functional Nutrition certification and training program, <\/span><span style=\"font-weight: 400;\">Full Body Systems<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Full Body Systems, we train practitioners to ask, \u201cwhat\u2019s going on in there?\u201d We teach them to look for the physiological connections between different symptoms (even those seemingly unrelated to one another.) An example of how this <\/span><a href=\"https:\/\/www.fxnutrition.com\/articles\/systems-thinking-a-cornerstone-of-functional-medicine-training\/\"><span style=\"font-weight: 400;\">systems biology<\/span><\/a><span style=\"font-weight: 400;\"> comes into play is with the gut-brain or gut-immune connection. Understanding these connections reminds us to view conditions like depression, psoriasis, joint pain, fatigue, Hashimoto\u2019s and more as linked to possible imbalances in the gut.)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Year after year, I see that one of the biggest revelations for students pursuing their Functional Nutrition Certification is the discovery of the importance of the role of the stomach in both digestion and overall health. The chemistry of the stomach\u2019s secretions, it\u2019s mucous lining, and the wicked strong muscles within the stomach all have important jobs in relation to processing the food we eat. There\u2019s powerful stuff happening in there!<\/span><\/p>\n<h2><strong>So what\u2019s the cause and effect of taking a drug that affects the stomach?<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Prilosec is a PPI (proton pump inhibitor). Omeprazole is its generic name. It\u2019s used to decrease the production of stomach acid to help prevent heartburn or GERD (gastroesophageal reflux disease). Prilosec isn\u2019t the only one.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are a good number of PPIs including Prevacid, Nexium and at least 40 other brand name pharmaceuticals that are among the top 10 highest-selling class of drugs in the U.S. In fact, by 2017, Nexium was the best selling pharmaceutical drug in all history. It\u2019s estimated that between 18 and 28% of North Americans use a PPI. You can see that it\u2019s highly likely that you\u2019ll encounter a client or patient on a PPI in your practice. But by taking a PPI we miss the opportunity to uncover \u201cwhat\u2019s going on in there.\u201d Plus, we obstruct some key physiological functions that will impact digestion and so much more.<\/span><\/p>\n<p><strong>What\u2019s the cause?<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Why is there heartburn or GERD?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is there really too much stomach acid being produced?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Why does the body produce stomach acid anyway?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is stomach acid a bad thing that should be squelched?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These are the questions I encourage you to ask behind the scenes. Do you need to know the pathophysiology of every drug? No way! (Unless pharmacology is your scope of practice or your passion.) But when your client\u2019s outcomes (and therefore your success), is being compromised by something other than their morning grande latte and Krispy Kreme doughnut, or their 2am bedtime, you might want to take note.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Let\u2019s look at the simple pathophysiology of a PPI.<\/span><\/p>\n<h2><strong>The pathophysiology of a proton pump inhibitor<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Proton pump inhibitors suppress gastric acid secretion by inhibiting the hydrogen potassium ATP-ase enzyme system at the secretory surface of the gastric parietal cells.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s the breakdown\u2026<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastric acid is a digestive fluid naturally formed in the stomach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastric acid is composed of hydrochloric acid (HCl), potassium chloride and sodium chloride<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastric acid is critical for the proper digestion of proteins; it stimulates digestive enzymes which break down the long chains of proteins into their building blocks, amino acids<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">secretion is a key function of digestion where different fluids are introduced at different phases to induce the chemical processing of the food we eat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hydrogen potassium ATP-ase is an enzyme that initiates the action of the protein that acts as a proton pump (to release gastric acid)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">parietal cells are the cells within the stomach\u2019s tissue lining<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Cut-to-the-chase: There are constituents within the sheath of your stomach that are meant to help you break down your food. What are the consequences of inhibiting an essential digestive function?<\/span><\/p>\n<p><strong>What\u2019s the effect?<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">risk of B12 deficiency (B12 utilization requires a healthy and not compromised stomach lining)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">iron deficiency (ditto regarding the stomach, check those ferritin levels!)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">additional nutrient depletion including folate, calcium and zinc, with longer term use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">increased potential for food allergy or sensitivity (the poor body has to process food that hasn\u2019t been fully broken down)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">fatigue &amp; low energy<\/span><\/li>\n<\/ul>\n<h3><strong>Your Functional Nutrition certification and cause &amp; effect in practice<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Now, like I said, for those practitioners with a Functional Nutrition certification alone, it\u2019s not our job to take our clients off their meds. Yet it <\/span><i><span style=\"font-weight: 400;\">is<\/span><\/i><span style=\"font-weight: 400;\"> our job to help them understand how to welcome and initiate better health. That\u2019s why they seek our help!\u00a0<\/span><\/p>\n<p><span style=\"font-size: inherit;\"><span style=\"font-weight: 400;\">Connecting the dots with client education around clinical cause and effect can be transformational and is in our hands.\u00a0 Learn how our 10-month Functional Nutrition certification and training program can help <\/span><i><span style=\"font-weight: 400;\">you<\/span><\/i><span style=\"font-weight: 400;\"> incorporate the principles of cause and effect into your practice today.<\/span> <\/span><\/p>\n<hr \/>\n<h4><b>Read more from the Functional Nutrition Alliance<\/b><\/h4>\n<p><a href=\"https:\/\/www.fxnutrition.com\/articles\/the-biggest-mistakes-to-practicing-functionally\/\"><span style=\"font-weight: 400;\">The biggest mistakes to practicing functionally<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.fxnutrition.com\/articles\/functional-nutrition-matrix\/\"><span style=\"font-weight: 400;\">F<\/span><span style=\"font-weight: 400;\">unctional Nutrition Matrix<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.fxnutrition.com\/articles\/whats-functional-and-whats-not\/\"><span style=\"font-weight: 400;\">What\u2019s Functional and what\u2019s not Part 1<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.fxnutrition.com\/articles\/part-2-whats-functional-and-whats-not\/\"><span style=\"font-weight: 400;\">What\u2019s Functional and what\u2019s not Part 2<\/span><\/a><\/p>\n<p><a href=\"http:\/\/holisticnutritionlab.com\/blog\/part-3-whats-functional-and-whats-not\/\"><span style=\"font-weight: 400;\">What\u2019s Functional and what\u2019s not Part 3<\/span><\/a><\/p>\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p style=\"font-size:10px\">References:&nbsp;<\/p>\n\n\n\n<p style=\"font-size:10px\">Ahmed A, Clarke JO. Proton Pump Inhibitors (PPI) [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557385\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557385\/<\/a><\/p>\n\n\n\n<p style=\"font-size:10px\">Shin JM, Sachs G. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2855237\/\">Pharmacology of proton pump inhibitors<\/a>. Curr Gastroenterol Rep. 2008;10(6):528-534. doi:10.1007\/s11894-008-0098-4<\/p>\n\n\n\n<p style=\"font-size:10px\">Ankar A, Kumar A. Vitamin B12 Deficiency. [Updated 2022 Oct 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441923\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441923<\/a>\/<\/p>\n\n\n\n<p style=\"font-size:10px\">Annibale B, Capurso G, Delle Fave G. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12801042\/\">The stomach and iron deficiency anaemia: a forgotten link. <\/a>Dig Liver Dis. 2003;35(4):288-295. doi:10.1016\/s1590-8658(03)00067-7<\/p>\n\n\n\n<p style=\"font-size:10px\">Heidelbaugh JJ. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4110863\/\">Proton pump inhibitors and risk of vitamin and mineral deficiency: evidence and clinical implications.<\/a> Ther Adv Drug Saf. 2013;4(3):125-133. doi:10.1177\/2042098613482484<\/p>\n\n\n\n<p style=\"font-size:10px\">Robinson LB, Camargo CA Jr. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6332498\/\">Acid suppressant medications and the risk of allergic diseases.<\/a> Expert Rev Clin Immunol. 2018;14(9):771-780. doi:10.1080\/1744666X.2018.1512405Vinke P, Wesselink E, van Orten-Luiten W, van Norren K. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6981685\/\">The Use of Proton Pump Inhibitors May Increase Symptoms of Muscle Function Loss in Patients with Chronic Illnesses<\/a>. Int J Mol Sci. 2020;21(1):323. Published 2020 Jan 3. doi:10.3390\/ijms21010323<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In your practice, you\u2019ll likely encounter clients who are taking prescription medications. We see it all the time in the Functional Nutrition Alliance Clinic. And while it\u2019s not within our scope of practice to advise people on pharmaceuticals as Functional Nutritionists or Functional Nutrition Counselors, it is within our scope to help clients understand cause [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":22440,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[123],"tags":[166,165],"class_list":["post-18187","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-body-systems","tag-clinical-quickies","tag-digestion"],"_yoast_wpseo_sitemap-include":null,"_yoast_wpseo_canonical":null,"_yoast_wpseo_redirect":null,"_yoast_wpseo_opengraph-description":null,"_yoast_wpseo_opengraph-title":null,"_yoast_wpseo_focuskeywords":"[{\"keyword\":\"effects of prescription drugs\",\"score\":\"bad\"}]","_yoast_wpseo_meta-robots-noindex":null,"_yoast_wpseo_meta-robots-nofollow":null,"_yoast_wpseo_title":"Clinical Cause and Effect: Proton Pump Inhibitors","_yoast_wpseo_metadesc":"Understand the clinical cause and effect of drugs like PPIs on the gut and how our Functional Nutrition Certification program can prepare you to apply the principles of clinical cause and effect to your practice.","_yoast_wpseo_focuskw":"proton pump inhibitors","yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.6 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Clinical Cause and Effect: Proton Pump Inhibitors<\/title>\n<meta name=\"description\" content=\"Understand the clinical cause and effect of drugs like PPIs on the gut and how our Functional Nutrition Certification program can prepare you to apply the principles of clinical cause and effect to your practice.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fxnutrition.com\/blog\/clinical-cause-effect-dont-miss-it-in-your-practice\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical Cause &amp; 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