FELLOWSHIP STUDY GUIDE 2015 Fall Final Exam

In order to help you prepare for your final exam, we have created this study guide so that you can focus on those areas that we consider most important. Please make sure that you review relevant areas of content. Examples in parenthesis should not be considered exhaustive.

FELLOWSHIP STUDY GUIDE 2015 Final Exam

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Review: U2: Nutrition Foundations: Understanding Fats; Diet & Meal Patterns; Clinical Applications: Carbohydrates

U2: The Anti-Inflammatory Diet: Introduction; AI Diet as an Eating Pattern U11: Introduction to Integrative Neurology: Psycho-neuroimmunology; Food Chemicals in the Brain

Review: U2: Nutrition Foundations: Understanding Carbohydrates U7: Nutrition & Cardiovascular Health: Introduction U7: Integrative Cardiology: Dyslipidemia

U7: Integrative Diabetes Care: Treatment U8: Integrative Gastroenterology: IBS

Nutrition Mediterranean Diet

Understand key components of Mediterranean diet Be familiar with the evidence for health benefits of Mediterranean diet

DASH Diet

Understand key components of DASH diet Be familiar with the evidence for health benefits of DASH diet

Anti-inflammatory Diet

Understand key components of AI diet (plant based, low glycemic load/avoid most processed foods, limit saturated fats) Be familiar with the evidence for health benefits of AI diet

Understand the role of inflammation in chronic disease and the relationship between carbohydrates and inflammation

Be familiar with glycemic index/load and relationship to inflammation, CRP and insulin resistance, and neurological conditions (autism, Tourette syndrome, epilepsy)

Fiber

Understand differences between soluble and insoluble fiber Understand health benefits of dietary fiber (blood glucose, heart disease, constipation, diarrhea, and IBS) Recommended amount of dietary fiber in diet (generally 14 grams per 1000 calories)

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Nutrition Foundations: Understanding Fats U2: Nutrition Foundations: Diet & Meal Patterns U2: Micronutrients & Supplements: Omega-3 Fatty Acids U3: Intro to Integrative Mental Health: Depression U7: Nutrition & Cardiovascular Health: Introduction U7: Nutrition & Cardiovascular Health: Nutritional Approaches U7: Integrative Cardiology: Dyslipidemia U10: Introduction to Integrative Oncology

Review: U2: Nutrition Foundations: Potential Superfoods

Review: U2: Nutrition Foundations: Phytochemicals U2: Nutrition Foundations: Clinical Applications: Proteins U4: Integrative Rheumatology: Integrative Care for Osteoarthritis U9: Integrative Women’s Health: Menopause U9: Integrative Women’s Health: Osteoporosis U10: Breast Cancer: Prevention

Understand the role of fat in prevention and cause of a range of diseases: Health benefits of monounsaturated and polyunsaturated fats (impact on cholesterol, heart

disease, insulin) Omega 3 fatty acids in mental health (adjuvant treatment in bipolar disorder) Omega 3 fatty acids in cardiovascular health (reduce mortality, sudden cardiac death) Omega 3 fatty acids in cancer (may reduce risk of colon and prostate) Omega 3 fatty acids for rheumatoid arthritis Omega 3 fatty acids for pregnancy Ratio of omega 6 to omega 3 fatty acids in typical American diet (optimal ratio not known – but

likely somewhere around 4-6:1) Understand dose ranges commonly recommended for EPA/DHA for the above conditions Understand key differences between alpha linolenic acid found in plants and EPA/DHA in fish Be familiar with key benefits and uses for flaxseed

Cruciferous vegetables

Understand potential health benefits of indole-3-carbinol/DIM and proposed mechanism of action (Breast Cancer) Dose of indole-3-carbinol (400 mg) and recommended servings of cruciferous vegetables Be able to identify cruciferous vegetables

Soy/Isoflavones

Understand metabolism of soy to metabolites (daidzin, daidzein, equol) Describe what is meant by the term phytoestrogen Describe potential relationship between soy and health (heart disease, prostate cancer, osteoarthritis and women's health) Understand current dietary recommendations for soy consumption

FELLOWSHIP STUDY GUIDE 2015 Final Exam

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Review: U2: Nutrition Foundations: Potential "Super" foods U10: Prostate Cancer: Prevention

Review: U2: Micronutrients & Supplements U2: Nutrition Foundations U10: Prostate Cancer: Prevention U10: Breast Cancer: Prevention U10: Introduction to Integrative Oncology

Review: U7: Integrative Diabetes Care: Treatment

Review: U2: Micronutrients & Supplements: Melatonin U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U10: Introduction to Integrative Oncology: Introduction

Lycopene Describe dietary sources of lycopene Understand differences in bioavailability for cooked and raw tomatoes Be familiar with possible relationship between lycopene and cancer

Nutrition and Cancer Be able to discuss the key non-dietary risk factors for cancer (e.g., lack of physical activity, obesity, tobacco use, and UV exposure) Be familiar with risks/benefits of macronutrients in cancer prevention (e.g., fats, proteins, fiber) Describe the evidence of risk/benefit of dietary components on breast cancer (e.g., cruciferous vegetables, soy, alcohol, fiber, omega-3 fatty acids) Describe the evidence of risk/benefit of dietary components on colon cancer (.e.g., fats, fiber, calcium, vitamin D, red/processed meat, alcohol) Describe the evidence of risk/benefit of dietary components on prostate cancer (e.g., lycopene, green tea, dairy/calcium, flax, soy, turmeric, pomegranate)

Micronutrients & Dietary Supplements Alpha linolenic acid

Be familiar with its use in treatment of neuropathy, particularly diabetic neuropathy Dose range (600-1800 mg/d) and routes of administration (more evidence for IV administration)

Antioxidants

Be familiar with key antioxidants and role in human health (selenium, lycopene, melatonin)

FELLOWSHIP STUDY GUIDE 2015 Final Exam

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Review: U2: Micronutrients & Supplements: Calcium U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U7: Nutrition & Cardiovascular Health: Nutritional Approaches U8: Integrative Gastroenterology: GERD U9: Integrative Women's Health: Pregnancy, Osteoporosis, PMS/PMDD U10: Introduction to Integrative Oncology: Introduction to Integrative Oncology

Review:U7: Integrative Diabetes Care: Treatment

Review: U7: Integrative Diabetes Care: Treatment

Review: U2: Micronutrients & Supplements: Copper

Beta Sitosterol Be familiar with its use in Benign Prostatic Hyperplasia and LDL levels

Calcium

Understand key forms of calcium and pros/cons (citrate, carbonate) Describe dietary sources of calcium Consequences of calcium deficiency and excess (kidney stones, CV, prostate) Role of calcium in health (bones, PMS, cancer, cardiovascular disease) Role in treatment of osteopenia

Chromium

Be familiar with its use in diabetes Dose range and preferred form (picolinate) (effective doses likely 600-1000 mcg per day)

Copper

Role of copper in health

Folate

Be familiar with folate and health (pregnancy, mental health, neurologic disease, cancer) Consequences of folate deficiency Be familiar with potential interaction of folic acid and medication (anti-depressants, methotrexate, phenytoin) Dose ranges for folic acid, food sources of folate

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Micronutrients & Supplements: Magnesium U2: Nutrition Foundations: Phytochemicals U7: Integrative Cardiology: Hypertension U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Diabetes Care: Treatment U9: Integrative Women’s Health: PMS/PMDD U11: Intro to Integrative Neurology: Key Supplements

Review: U2: Micronutrients & Supplements: Folate U3: Intro to Integrative Mental Health: Depression U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U7: Integrative Cardiology: Coronary Heart Disease U8: Integrative Gastroenterology: Inflammatory Bowel Disease (IBD); GERD; Celiac Disease; Chronic Liver Disease U9: Integrative Women’s Health: Pregnancy U11: Introduction to Integrative Neurology: Key Supplements

Review: U2: Micronutrients & Supplements: Glucosamine & Chondroitin U4: Integrative Rheumatology: Integrative Care for Osteoarthritis

Review: U2: Micronutrients & Supplements: Vitamin EU3: Introduction to Integrative Mental Health: Depression

Glucosamine & Chondroitin

Be familiar with sources for glucosamine and chondroitin used in supplements

Be familiar with scientific studies of glucosamine and chondroitin in osteoarthritis and back pain

Be familiar with possible adverse effects, or lack of, with supplement use

Dose range (typically 1500 mg/d glucosamine and 1200 mg/d chondroitin) Manganese

Role of manganese in health Magnesium

Dietary sources for magnesium Signs of magnesium deficiency Role of magnesium in health (diabetes, cardiovascular disease, menstrual cramps, migraines, epilepsy) and potential adverse side effects Cautions with magnesium supplementation (renal disease, diarrhea)

FELLOWSHIP STUDY GUIDE 2015 Final Exam

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Review: U2: Micronutrients & Supplements: Melatonin U10: Intro to Integrative Oncology: Integrative Oncology

Review: U2: Micronutrients & Supplements: Probiotics U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U8: Integrative Respiratory Health: Acute Conditions U8: Integrative Gastroenterology: IBD; IBS; Chronic Liver Disease U8: Integrative Dermatology: Atopic Dermatitis: An Integrative Approach U11: Introduction to Integrative Neurology: Key Supplements

Review: U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Cardiology: Dyslipidemia

Review: U2: Micronutrients & Supplements: SAMe U3: Intro to Integrative Mental Health: Depression U4: Integrative Rheumatology: Osteoarthritis

Melatonin Be familiar with the use of melatonin in sleep disorders Be familiar with its role as an antioxidant and as an adjuvant treatment in solid tumors Be able to discuss different dosing options (0.3 mg physiologic dose, 3-5 mg typically used as pharmacologic dose, doses of 20-60 mg sometimes used in cancer treatments)

Probiotics

Understand key benefits of probiotics and prebiotics Understand key health benefits associated with specific strains Food sources of probiotics and prebiotics

Red yeast rice

Use in cholesterol management and evidence of benefit

Quality control issues with the product (e.g., presence of citrinin, lack of standardization for monokolin, etc.) and potential risk of adverse effects (more rare but similar to statins)

SAMe

Be familiar with evidence for use in depression and osteoarthritis Describe contraindications and adverse effects (bipolar, GI side effects, insomnia) Dose range (therapeutic range typically 800-1600 mg per day)

FELLOWSHIP STUDY GUIDE 2015 Final Exam

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Review: U2: Micronutrients & Supplements: Vitamin A

Review: U2: Micronutrients & Supplements: Vitamin B6 U9: Integrative Women's Health: Pregnancy

Review: U2: Micronutrients & Supplements: Vitamin B12 U8: Integrative Gastroenterology: GERD

Review: U8: Integrative Dermatology: Psoriasis U9: Integrative Endocrinology: Hypothyroidism U10: Prostate Cancer: Prevention

Selenium Role of selenium in health

Vitamin A

Be familiar with forms of vitamin A (preformed, pro-vitamin A) Dietary sources of vitamin A Role of vitamin A and health (immune function, eyesight) Adverse effects linked to vitamin A (pregnancy, bone health, beta carotene in smokers) Dosing/serving size for vitamin A, lack of RDA for beta-carotene

Vitamin B6

Be familiar with use of vitamin B6 in pregnancy for nausea and vomiting RDA of vitamin B6 Role of vitamin B6 in adults

Vitamin B12

Be familiar with association of PPI

Vitamin D

Be familiar with testing for vitamin D deficiency Consequences of vitamin D deficiency (autoimmune disorders, breastfed infants) Forms of vitamin D (ergocalciferol, cholecalciferol) Role of vitamin D in health (bones, immune function, pregnancy, cancer) Upper tolerable limit

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Micronutrients & Supplements: Vitamin D U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U9: Integrative Women's Health: Pregnancy U9: Integrative Women’s Health: Osteoporosis U10: Introduction to Integrative Oncology: Introduction to Integrative Oncology

Review: U9: Integrative Women’s Health: Pregnancy

Review: U2: Botanical Foundations: Botanical Medicines U9: Integrative Women’s Health: PMS/PMDD U9: Integrative Women’s Health: Menopause

Review: U8: Integrative Respiratory Health: Chronic Conditions U11: Integrative Neurology: Key Botanicals

Review: U2: Micronutrients & Supplements: Zinc

Zinc Role of Zinc in health

Botanicals/Herbs Blue cohosh

Use as a partus preparator (brings on labor) Potential risk of significant adverse effects if used in pregnancy

Chastetree/Chaste Berry/Vitex Agnus Castus

Be familiar with use in PMS Approval by German Commission E (PMS, irregular menstruation, mastalgia)

Chinese skullcap

Be familiar with its use as an anti-inflammatory in respiratory disease Be familiar with its physiologic actions

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Introduction to Integrative Rheumatology U4: Integrative Rheumatology: Integrative Care for Osteoarthritis

Review:

U2: Botanical Foundations: Botanical Medicines; Herbal Actions U8: Integrative Respiratory Health: Acute Conditions

Review: U9: Integrative Women's Health: All modules

Review: U2: Botanical Foundations: Herbal Actions

Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines

Devil's Claw Be familiar with its use in osteoarthritis and back pain Caution in those with peptic ulcer disease, strong bitter Be familiar with its physiologic actions

Dong quai

Be familiar with its physiologic actions

Echinacea

Be familiar with evidence for some preparations to reduce frequency and duration of UR Be familiar with potential adverse effects (most common is allergic reaction in patients with atopy) Be familiar with its physiologic effects

Eucalyptus Be familiar with its physiologic actions

Evening Primrose Oil

Be familiar with its physiologic actions

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Botanical Foundations: Botanical Medicines U7: Integrative Cardiology: Dyslipidemia U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health

Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Introduction U9: Integrative Women’s Health: Pregnancy

Review: U2: Botanical Foundations: Botanical Medicines

Review: U7: Nutrition & CVH: Nutritional Approaches to CVH

Review: U2: Botanical Foundations: Botanical Medicines

Garlic Describe purported health benefits of garlic (mild blood-pressure lowering activity, Allium vegetables may reduce risk of colorectal cancer) Understand key differences between raw and cooked garlic (raw is superior to cooked)

Gingko

Be familiar with its physiologic actions

Ginger

Be familiar with the evidence for ginger in nausea and vomiting of pregnancy, motion sickness, and chemotherapy related nausea Be familiar with the anti-inflammatory effects of ginger and its use in osteoarthritis Be familiar with the dose range for pregnancy and the doses commonly used in arthritis

Goldenseal

Be familiar with its physiologic effects

Hibiscus

Be familiar with effects on blood pressure

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Botanical Foundations: Botanical Medicines U9: Integrative Women's Health: Menopause

Review: U2: Botanical Foundations: Botanical Medicines U4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U8: Integrative Gastroenterology: Introduction U8: Integrative Gastroenterology: Inflammatory Bowel Disease U8: Integrative Respiratory Health: Chronic Conditions

Review: U3: Introduction to Integrative Mental Health: Anxiety U9: Integrative Endocrinology: Thyrotoxicosis U11: Introduction to Integrative Neurology: Key Botanicals

Review: U2: Botanical Foundations: Herbal Actions

Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines

Kava Be familiar with the side effects (liver toxicity)

Lemon balm

Be familiar with its role in health

Licorice Describe key uses of licorice (anti-inflammatory, expectorant, demulcent, GERD, Cushing’s disease) Mechanism of action and effect on cortisol level Understand differences between DGL and licorice root Adverse effects (hypertension, hypokalemia)

Nettle leaf

Be familiar with its role in health

Panax Ginseng

Be familiar with its physiologic effects and potential adverse effects

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U8: Integrative Respiratory Health: Acute Conditions U8: Integrative Gastroenterology: Irritable Bowel Syndrome (IBS)

Review: U2: Botanical Foundations: Botanical Medicines U2: Botanical Foundations: Safety & Ethical Issues U3: Intro to Integrative Mental Health: Depression

Review: U2: Botanical Foundations: Herbal Actions

Review: U2: Botanical Foundations: Herbal Actions

Review: U2: Botanical Foundations: Herbal Actions U2: Botanical Foundations: Botanical Medicines

Peppermint Describe the mechanism of action of peppermint oil capsules (enteric coated) in IBS Be familiar with the use of peppermint for coughs and colds Be familiar with potential adverse effects of peppermint (GERD, peppermint essential oil on face of babies/young children, anal burning with peppermint oil capsules) Dose for enteric coated peppermint oil capsules

Slippery Elm

Be familiar with its physiologic properties

St. John's wort Be familiar with clinical trials for depression Be familiar with adverse effects, principally herb-drug interactions Know dose range and what compounds are standardized in extracts (standardized extracts typically 0.3% hypericin and/or 3-5% hyperforin. Dose is 900-1500 mg per day)

Thyme

Be familiar with its physiologic properties

Turmeric

Be familiar with the physiologic actions of turmeric and its primary phytochemical curcumin

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U2: Botanical Foundations: Botanical Medicines U2: Botanical Foundations: Safety & Ethical Issues U3: Intro to Integrative Mental Health: Anxiety U3: Sleep Health: Case Study: Insomnia

Review: U2: Botanical Foundations: Herbal Preparations

Review: U3: Mind-Body Medicine: Modalities Overview; Stress & Health; Meditation and Mindfulness; Pediatric Mind-Body Medicine

Valerian Be familiar with its use as a mild over-the-counter sleep aid Relatively good safety profile Be familiar with its physiologic actions

Herbal Preparations

Know different types of extracts, strengths/ratios (be able to define what is meant by a 1:3 or 1:5 ratio of herb/solvent - i.e., 1:5 ratio means 1000 mg or 1 gram for every 5 ml of tincture) Know the major differences between water, vegetable glycerine, and alcohol as solvents Be a competent label reader of botanical products Be familiar with most common herb-drug interactions (these are reviewed above under botanicals)

Mind-Body

Techniques and efficacy research for a variety of conditions Techniques and pediatric care Familiarize with pros and cons of clinical hypnosis

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U3: Introduction to Integrative Mental Health: Anxiety U3: Introduction to Integrative Mental Health: Depression

Review: U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health U7: Integrative Cardiology: Dyslipidemia

Review: U2: Nutrition Foundations: Diet & Meal Patterns U7: Integrative Cardiology: Hypertension U7: Nutrition & CVH: Nutritional Approaches to Cardiovascular Health

Review: U2: Nutrition Foundations: Fats U7: Nutrition & CVH: Introduction to Nutrition & Cardiovascular Health U7: Integrative Cardiology: Coronary Heart Disease

Review: U7: Integrative Diabetes Care: Treatment

Integrative Treatment/Prevention Depression & Anxiety

Be familiar with dietary supplements commonly used in the treatment of anxiety and depression (e.g., L-theanine, inositol, rhodiola, SAMe, B-vitamins, omega-3 fatty acids, St. John’s wort) Be familiar with medical conditions and nutrient deficiencies that can mimic or contribute to depression (e.g., tertiary syphilis, heavy metal toxicity, hypothyroidism, folate, B12) Be familiar with dietary supplements and medical conditions that can mimic or cause anxiety (e.g., pheochromocytoma, hyperthyroidism, cardiac arrhythmia, caffeinated drinks including guarana, yerba mate) Be familiar with the evidence for integrative approaches to the management of anxiety and depression (e.g., mind-body techniques, pharmacotherapy, energy medicine, TCM, etc.)

Dyslipidemia

Key dietary interventions and relevant supplements

Hypertension Key dietary interventions and relevant supplements

Coronary Heart Disease Key dietary interventions and relevant supplements

Diabetes Key dietary interventions and relevant supplements

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U8: Integrative Gastroenterology: Celiac Disease

Review: U8: Integrative Gastroenterology: IBD; IBS; Celiac Disease

Review: U2: Micronutrients & Supplements: Glucosamine & ChondroitinU4: Integrative Rheumatology: Integrative Care for Autoimmune Diseases U4: Integrative Rheumatology: Integrative Care for Osteoarthritis

Review: U2: Micronutrients & Supplements: Calcium, Vitamin D U2: Nutrition Foundations

Review: U10: Intro to Integrative Oncology: Integrative Oncology U10: Prostate Cancer: An Integrative Approach U10: Breast Cancer: An Integrative Approach

Celiac Disease Be familiar with key sources of dietary gluten Be able to identify the diagnostic tests used in diagnosis of celiac disease

IBS Be familiar with the role of supplements (enteric coated peppermint oil, soluble fiber), mind-body approaches, and the mechanism of action

Rheumatic conditions (Rheumatoid arthritis and Osteoarthritis)

Anti-inflammatory diet and key supplements

Colon cancer

Be familiar with possible risks (family history, high folate, processed meats) and possible risk reduction (vitamin D, calcium, fiber)

Chemo-induced neuropathy

Be familiar with the use of glutamine and to a lesser degree alpha-lipoic acid Chemo-induced nausea

Be familiar with the use of ginger, acupuncture, and prescription medications Cancer prevention

Be familiar with guidelines regarding cancer prevention (no smoking, healthy weight, exercise, limit alcohol)

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U9: Integrative Women's Health: Infertility: PCOS; Pregnancy; Menopause

Review: U9: Integrative Men's Health: Benign Prostatic Hyperplasia, Erectile Dysfunction, Male Menopause

Review: U11: Introduction to Integrative Neurology: All Modules

Hot Flashes Be familiar with treatment approaches for menopause and men with hot flashes secondary to prostate cancer treatment

PCOS/Infertility

Role of mind-body medicine in fertility Role of insulin resistance in PCOS Possible treatment approaches (diet, exercise, metformin, OCP)

Pregnancy Be familiar with treatment approaches for morning sickness (ginger, acupuncture/acupressure, dietary supplements) Know botanical/herbs that are not recommended during pregnancy

Benign Prostatic Hyperplasia

Be familiar with dietary supplements typically used: saw palmetto, pygeum, rye grass pollen and beta-sitosterol

Erectile Dysfunction

Be familiar with primary integrative therapies (e.g., pharmaceutical, botanical, mind-body and lifestyle) Pros and cons of testosterone replacement

Neurological Conditions

Be familiar with food chemicals that may influence neurological development or behavior (e.g., monosodium glutamate, aspartame, dyes and preservatives) Be able to define excitotoxicity and provide examples of excitotoxins Be able to describe the key role for omega 3 fatty acids, zinc, magnesium, B-vitamins, and iron in neurological health Be able to describe the difference between nervine tonics, relaxants, and stimulants and an example of each

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U9: Environmental Medicine: Taking an Environmental Medicine History; Land; Air

Review: U3: Integrative Sleep Health: Case Study: Insomnia

Review: U9: Integrative Endocrinology: Multiple Modules

Environmentally Influenced Illness Be familiar with key components of an environmental history, including populations who are most at risk for environmental exposures Be able to define and identify key classes of endocrine disruptors and how to reduce exposure (e.g., BPA, phthalates, flame retardants) Be able to identify key strategies for reducing exposure to air pollutants in high risk populations

Insomnia and Sleep Health

Be familiar with clinical recommendations for patients with insomnia Be able to identify factors associated with a healthy sleep environment

Thyroid Disorders Be familiar with the role of iodine in thyroid health and disease and recommended daily intake Be familiar with the role of selenium in autoimmune thyroiditis and postpartum thyroiditis Be able to identify with the role of T4 and T3 replacement in hypothyroidism

Autoimmune thyroiditis

Be familiar with supplements used

Adrenal Health

Be familiar with the distinction between adrenal insufficiency and adrenal fatigue Be able to describe the adverse consequences of persistent stress on the neuroendocrine system Be able to discuss the role of exercise, mind-body therapies, bright light therapy and supplements in HPA axis dysfunction

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Review: U4: Manual Medicine: Introduction; Massage Therapy; Osteopathy

Review: U6: Whole Systems Introduction: Introduction to Ayurveda

Review: U6: Whole Systems Introduction: Introduction to Traditional Chinese Medicine U10: Intro to Integrative Oncology: Introduction

Review: U5: Legal Issues

Manual Medicine Be familiar with basic history of massage (widespread around world since ancient times) and prevalence of use today (one of most widely used CAM modalities) Physiologic effects of massage therapy Know the five basic techniques of Swedish massage Strain-counterstrain technique (what it is, when it is used, how it is used)

Whole Systems Ayurveda

Understand the basics about the three doshas and what characteristics they are associated with Know the terms: dhatu, panchakarma, agni

Traditional Chinese Medicine Understand the philosophical basis and meanings of yin & yang, qi, and the meridians Be able to identify a variety of treatment approaches used in TCM (herbal medicine, acupuncture, moxibustion, diet) Research showing benefit of acupuncture for a variety of conditions, including cancer Potential contraindications for acupuncture (neutropenia, thrombocytopenia)

Legal Understand Medicare’s Opt Out program Understand physician liability and informed consent

FELLOWSHIP STUDY GUIDE 2015 Final Exam

All rights reserved © Arizona Board of Regents

Some of the following lectures may be helpful to review:

Top Selling Botanical Medicines with Tieraona Low Dog

U2: Botanical Foundations: Botanical Medicines

Diabetes: Kitchen Preps with Tieraona Low Dog

U7: Integrative Diabetes Care: Treatment

GI Health Botanical lectures with Tieraona Low Dog

U8: Integrative Gastroenterology: Chronic Liver Disease U8: Integrative Gastroenterology: IBD U8: Integrative Gastroenterology: IBS

Sleep Recommendations with Rubin Naiman U3: Integrative Sleep Health: Case Study: Insomnia