Functional medicine

Functional medicine (FM) is a form of alternative medicine that encompasses many unproven and disproven methods and treatments.^[1][2][3] At its essence, it is a rebranding of complementary and alternative medicine (CAM),^[4] and as such is pseudoscientific,^[5] and has been described as a form of quackery.^{[6][7][8][9][4]}

In the United States, FM practices have been ruled ineligible for course credits by the American Academy of Family Physicians because of concerns they may be harmful.^[10][11]

Functional medicine was created by Jeffrey Bland,^[12] who founded The Institute for Functional Medicine (IFM) in the early 1990s as part of one of his companies, HealthComm.^[13] IFM, which promotes functional medicine, became a registered non-profit in 2001.^[14] Mark Hyman became an IFM board member and prominent promoter.^[12][14]

Description

David Gorski has written that FM is not well-defined and performs "expensive and generally unnecessary tests".^[15] Gorski says FM's vagueness is a deliberate tactic that makes functional medicine difficult to challenge.^[16]

Proponents of functional medicine oppose established medical knowledge and reject its models, instead adopting a model of disease based on the notion of "antecedents", "triggers", and "mediators". These are meant to correspond to the underlying causes of health issues, the immediate causes, and the particular characteristics of a person's illness. A functional medicine practitioner devises a "matrix" from these factors to serve as the basis for treatment.^[17]

Treatments, practices, and concepts are generally not supported by medical evidence.^[1] Jonathan Stea writes that functional medicine, integrative medicine, and CAM "are marketing terms designed to confuse patients, promote pseudoscience, and sow distrust in mainstream medicine."^[18]

Reception

FM practitioners claim to diagnose and treat conditions that have been found by research studies not to exist, such as adrenal fatigue and numerous imbalances in body chemistry.^[19][20] For instance, contrary to scientific evidence, Joe Pizzorno, a major figure in FM, claimed that 25% of people in the United States have heavy metal poisoning and need to undergo detoxification.^[10] Many scientists state that such detox supplements are a waste of time and money.^[21] Detox has been also called "mass delusion".^[22]

In 2014, the American Academy of Family Physicians withdrew course credits for functional medicine courses, having identified some of its treatments as "harmful and dangerous".^[10] In 2018, it partly lifted the ban, but only to allow overview classes, not to teach its practice.^[11]

The opening of centers for functional medicine at the Cleveland Clinic and George Washington University was described by David Gorski as an "unfortunate" example of quackery infiltrating academic medical centers.^[4]