Provider Information: Metainflammation Program
All of the patients who present to our clinics have significant issues associated with pain, which is one of the hallmarks of metabolic inflammation, or metainflammation. The vast majority of patients who present to our clinics are also overweight, and when we evaluate their biochemical markers, they have prediabetes or metabolic inflammation. Pre-diabetes is known to precede type 2 diabetes. Changes in immune cell concentration and function cause an increased migration of inflammatory cells to already inflamed tissue. There is also an upregulation of cytokines. This immune activation begins during the pre-diabetic state.
The Metainflammation Program focus is reversal of metabolic syndrome through a combination of time-restricted feeding, dietary modification, and medication management using a neurobehavioral approach. Specifically, we recommend a diet low in added sugars and refined carbohydrates, moderate in protein, and high in natural, healthy fats. We recommend above all else to eat real, unprocessed foods and to avoid snacking. Additionally, we recommend that patients explore the option of adding intermittent fasting in order to achieve their weight loss and health goals.
While it may sound intimidating, fasting is merely the absence of eating. In some cases, we recommend limiting the eating window to 8 hours per day, which is equivalent to a 16-hour fast. In other cases, we may recommend eating only a single meal per day, which is equivalent to a 24-hour fast. Therapeutic fasting has been used for centuries without difficulty and may prove highly beneficial in the treatment of metabolic syndrome, obesity and type 2 diabetes.
This program is a partnership with you, as the patient’s physician. We provide advice regarding medications, blood work, and recommended screening tests. We provide patients with dietary advice but expect that they will continue to see their regular physician for all medical advice and expertise. Once we achieve control of the metainflammation, we will continue to monitor and maintain the progress, but fully expect that the patient will return to the care of their primary medical provider. During time-restricted feeding, certain medications may need to be adjusted in order to prevent side effects. Most prominently, these are diabetic medications including insulin, metformin, and the sulphonylureas. Medications that need to be taken with food may also need to be adjusted during the fasting period. We offer advice to the patient but expect patients to seek their primary care physician’s guidance as well.
We believe that metabolic syndrome is a neurobehavioral dietary disease and demands a neurobehavioral dietary treatment. We provide personalized dietary guidance in partnership with the patient’s physician to maximize a successful outcome. During the Metainflammation Program, patients are taught the importance of how the body processes the foods they ingest, meal timing, and historical techniques used to reverse insulin resistance. By making lifestyle modifications, patients lose weight as well as reverse their type 2 diabetes and their metainflammation. The end result is less biomechanical force and less inflammatory load, which allows improved health, mobility, and reduced medication dependence.
More information can be found on our website www.reversediabetes.md . My personal cell phone number is (314) 852-5500; I am available to discuss any issues or concerns. My personal email is email@example.com. We relish the challenging patient and hope that you will partner with us in restoring the health of our community. Office (314) 481-5000 Fax (314) 481-3037