the focus is one the whole person, physcial, emotional social and spiritual

prevention of illness is key

treatments are hishly individualized

older than conventional western tradintional or allopathy medicines

increase in came since 1960

fish oiil/ omega 3

glucosamine

focuses on the interation among the brain and mind body and behavior, uses mind to affect physical function

like yoga and meditation

origins in eastern religious or spirtual traditions

specific posture focused and an open attitude toward distractions

to increase calmness and physical relation improve psychological balance, cope with illness and enhance overall health and well being

origins in ancient indian philosophy 

to improve quality of life reduce stress lower heart rate and pb, help relieve anxiety, depression, and insonmnia and improve overall physical fitness, strength, and flexibility

origins in traditional chinese medicine

the application of stimulation, such as needling ans moxibustion, on specific sites known as acupuncture site

to relieve pain

- chiropractic care, massage therapy

focuses on the structures and systems of the body including the bones and joints soft tissues and circulatory and lymphatic systems

based on manipulation and or movement of one or more parts of the body

cheir( hand) praxis ( practice)

manual manipulation of the muscloskeltal system

spinal adjustment by use of hands or device to apply a controlled force to a joint of the spine

to relieve pain and improve physical functioning 

pressing, rubbing, and otherwise manipulating the muscles and other soft tissues of the body

ise of the hanf and ingers

to relieve pain rehabilitate sports injuries reuce stress increase relaxation address anxiety and depression and aid general wellness

ancient: ayurvedic medicine, traditional chinese medicine

more modern: homeopthathic medicine. naturopathic medicine

origins in india 

life, science

concepts of interconnectedness, constitution, and life forces

aim to clense the body of substances that can cause disease

to help prevent illness and promote wellness

origins in china, life force shi and qi as the center of the body functions

use of herbal medcines and acupunture

to promote health and treat disease

oringins in germany

like and suffering

based on laws of similar like cures like and law of minimum dose

ofter formulated as sugar pellets to be placed under the tongue

to treat illness

origins in germany 

emphasizes natural methods of healing and practioner as a teacher

includes dietary supplements and herbal medicines

to restore health

not many well disigned clinical trials 

no standarized credtionaling of CAM practices

most cam not reported

usually not covered by health insurance

54% 

most common are mvmm

10% Dietary supplements

20% botantical

a product intended to supplement the diet that contains one or more of the folloeing dietary ingrediant: 

a vitamin, a minerla, an herb, or other botanical, an amino acid.

Increases total dietary intake

a concentrate metabolite constituent extract or combination of any ingediant above

ingested

Labeled as DS

no no

mg

mcg for b complex and c

nutrient claim, health claim, structure function

level of a nutrient

high potency

calcoium builds strong bones 

decribes the role of a nutrient or a dietary ingrediant intended to affect normal structure or function

recognized new category of food called ds

defined new dietary ingrediant

establised framework of safety standards

outlied good manufacturing practices for industry

DS labels must contain domestic address or phone number

serious adverse event to manufacturer

manufacturer must maintain these records

gives fda mandatory recall authority

requires registation of manufactueres with FDA 

requires verifcation in ingrediant suppliers

requires FDA to notify DEA when identifies steroids

Federal trade commission

print and broadcast ads infomercials catalogs and direct marketing materials

increased DS use

multiple phytochemicals

formulations using concentrations

top 5 products

for ds interaction

st johns wort

ginko

kava

digitalis

willow

indication: mild to moderate depression

CYP3 A4 and P glycoprotien 

interacts with clycosporine, warfarin, simvastatin, verapamil, omeprazole

consequences: numerous renders most medication ineffective

specifications identity purity strength composition

good manufactruing practices, certification programs

NSF, USP, consumer Labs

strong bones

calcium and vitamin d does help imporve healthy bones and reduces the risk of high blood pressure 

gi symptomsand doses above UL can cause renal insufficiency

lowering bg

science says that it may help with bg and that it does have benefits on the immune system

allergic reactions and ppl with diabetes should be careful of hypoglycemia

wellness focused consumers, chronic disease epidemic, rising health care costs

food innovation, public health policy, business advantage, research linking diet to health and wellness