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Lifestyle Medicine pp 171–182Cite as

Integrative Medicine

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Abstract

Integrative medicine, or integrative health care, is a field of medicine that unites a strong focus on lifestyle medicine and prevention with the inclusion of safe and effective options from a wide range of complementary and alternative disciplines. Given the high percentage of patients seeking out integrative approaches, as well as the increasing presence of integrative medicine in US hospitals, health care systems, and academic medical centers, it is essential that health care providers be familiar with the available options, risk–benefit data, and trusted resources for information. This chapter provides an overview of the evolving field of integrative medicine, its relation to lifestyle medicine, and how current research might be used to counsel a patient with type 2 diabetes with regard to dietary supplements, mind–body medicine, manual therapies, energy medicine, and whole healing systems.

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Abbreviations

ANC:

Academic naturopathic clinic

BMI:

Body mass index

CAM:

Complementary and alternative medicine

CI:

Confidence interval

DNS:

Diabetic neuropathy symptom

FFMQ:

Five Facet Mindfulness Questionnaire

HPUS:

Homeopathic Pharmacopeia of the United States

HT:

Healing touch

IFM:

Institute for Functional Medicine

LAc:

Licensed acupuncturists

MBSR:

Mindfulness-based stress reduction

MSQ:

Medical Symptom Questionnaire

NCCAM:

National Center for Complementary and Alternative Medicine

NCRCI:

National Center for Research on Complementary and Integrative Health

NDs:

Naturopathic doctors

PHS:

Public Health Service

RCT:

Randomized controlled trial

SDSC:

Summary Diabetes Self-Care Activities Questionnaire

SF-12:

Short Form 12

TCM:

Traditional Chinese medicine

T2D:

Type-2 diabetes

TM:

Transcendental meditation

TT:

Therapeutic touch

References

  1. Now RJ. Let me tell you about my appendectomy in Peking. NY Times. 26 July 1971;1(6).

    Google Scholar 

  2. Berliner HS, Salmon JW. The holistic alternative to scientific medicine: history and analysis. Int J Health Serv. 1980;10:133–47.

    Article  CAS  PubMed  Google Scholar 

  3. Lowenberg JS. Caring and responsibility: the crossroads between holistic practice and traditional medicine. Philadelphia: University of Pennsylvania Press; 1989.

    Book  Google Scholar 

  4. Furnham A, Smith C. Choosing alternative medicine: a comparison of the beliefs of patients visiting a general practitioner and a homoeopath. Soc Sci Med. 1988;26(7):685–9.

    Article  CAS  PubMed  Google Scholar 

  5. Murray J, Shepherd S. Alternative or additional medicine? A new dilemma for the doctor. J R Coll Gen Pract. 1988;38(316):511–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States: prevalence, costs, and patterns of use. N Engl J Med. 1993;328:246–52.

    Article  CAS  PubMed  Google Scholar 

  7. Astin JA. Why patients use alternative medicine: results of a national study. JAMA. 1998;279(19):1548–53.

    Article  CAS  PubMed  Google Scholar 

  8. Rakel D, Weil A. Philosophy of integrative medicine. In: Rakel D, editor. Integrative medicine. 3rd ed. Philadelphia: Elsevier Inc.; 2012. p. 2–11.

    Google Scholar 

  9. Integrative Medicine in America. How integrative medicine is being practiced in clinical centers across the United States [Internet]. [cited 2014 May 27]. http://www.bravewell.org/current_projects/mapping_field/.

  10. Ananth S. 2010 Complementary and Alternative Medicine Survey of Hospitals: Summary of Results [Internet]. Health Forum American Hospital Association and the Samueli Institute. 2011 Sept. http://www.siib.org/our-research/integrative-medicine/im-publications/our-research/integrative-medicine/im-publications.

  11. Ring M, Brodsky M, Low Dog T, Sierpina V, Bailey M, Locke A, Kogan M, Rindfleisch JA, Saper R. Developing and implementing core competencies for integrative medicine fellowships. Acad Med. 2014;89(3):421–8.

    Article  PubMed  Google Scholar 

  12. Integrative Medicine [Internet]. Tampa (FL): The American Board of Physician Specialties; c2014 [cited 2014 May 31]. http://www.abpsus.org/integrative-medicine/integrative-medicine.

  13. IMConcortium.org [Internet]. Consortium of Academic Health Centers for Integrative Medicine; [updated 2013 Nov 5; cited 2014 May 29]. http://www.imconsortium.org.

  14. Doctor’s Page [Internet]. Bethesda (MD): National Center for Complementary and Alternative Medicine; [cited 2014 May 31]. http://nccam.nih.gov/about/offices/od/comments/about/offices/od/comments.

  15. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA. 1998;280(18):1569–75.

    Article  CAS  PubMed  Google Scholar 

  16. Barnes PM, Bloom B, Nahin R. The use of complementary and alternative medicine in the United States: findings from the 2007 National Health Interview Survey (NHIS) conducted by the National Center for Complementary and Alternative Medicine (NCCAM) and the National Center for Health Statistics. CDC Natl Health Statistics Rep #12 [Internet]. 2008 Dec [cited 2014 May 31]. http://nccam.nih.gov/news/camstats/2007/camsurvey_fs1.htm.

  17. Chang HY, Wallis M, Tiralongo E. Use of complementary and alternative medicine among people living with diabetes: literature review. J Adv Nurs. 2007;58:307–19.

    Article  PubMed  Google Scholar 

  18. Yeh GY, Eisenberg DM, Davis RB, Phillips RS. Use of complementary and alternative medicine among persons with diabetes mellitus: results of a national survey. Am J Public Health. 2002;92(10):1648–52.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Kennedy DA, Seely D. Clinically based evidence of drug-herb interactions: a systematic review. Expert Opin Drug Saf. 2010;9:79–124.

    Article  CAS  PubMed  Google Scholar 

  20. Gardiner P, Graham RE, Legedza AT, Eisenberg DM, Phillips RS. Factors associated with dietary supplement use among prescription medication users. Arch Intern Med. 2006;166:1968–74.

    Article  PubMed  Google Scholar 

  21. Ziegler D, Hanefeld M, Ruhnau KJ, Hasche H, Lobisch M, Schütte K, et al. Treatment of symptomatic diabetic polyneuropathy with the antioxidant alpha-lipoic acid: a 7-month, multicenter, randomized, controlled trial (ALADIN III Study). Diabetes Care. 1999;22:1296–301.

    Article  CAS  PubMed  Google Scholar 

  22. Reljanovic M, Reichel G, Rett K, Lobisch M, Schuette K, Möller W, et al. Treatment of diabetic polyneuropathy with the antioxidant thioctic acid (alpha-lipoic acid): a 2-year, multicenter, randomized, double-blind, placebo-controlled trial (ALADIN II). Alpha Lipoic Acid in Diabetic Neuropathy [abstract]. Free Radic Res. 1999;31:171–7.

    Article  CAS  PubMed  Google Scholar 

  23. Ziegler D, Hanefeld M, Ruhnau KJ, Meissner HP, Lobisch M, Schütte K, et al. Treatment of symptomatic diabetic peripheral neuropathy with the antioxidant alpha-lipoic acid: a 3-week, multicentre randomized controlled trial (ALADIN Study). Diabetologia. 1995;38:1425–33.

    Article  CAS  PubMed  Google Scholar 

  24. Ruhnau KJ, Meissner HP, Finn JR, Reljanovic M, Lobisch M, Schütte K, et al. Effects of 3-week oral treatment with the antioxidant thioctic acid (alpha-lipoic acid) in symptomatic diabetic polyneuropathy. Diabet Med. 1999;16:1040–3.

    Article  CAS  PubMed  Google Scholar 

  25. Ametov AS, Barinov A, Dyck PJ, Hermann R, Kozlova N, Litchy WJ, et al. The sensory symptoms of diabetic polyneuropathy are improved with alpha-lipoic acid. Diabetes Care. 2003;26:770–6.

    Article  CAS  PubMed  Google Scholar 

  26. Ziegler D, Nowak H, Kempler P, Vargha P, Low PA. Treatment of symptomatic diabetic polyneuropathy with the antioxidant alpha-lipoic acid: a meta-analysis. Diabet Med. 2004;21:114–21.

    Article  CAS  PubMed  Google Scholar 

  27. Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat. 2010;18:3.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Clar C, Tsertsvadze A, Court R, Hundt GL, Clarke A, Sutcliffe P. Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report. Chiropr Man Therap. 2014;22:12. Epub 2014 March 28.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Rubinstein SM. Adverse events following chiropractic care for subjects with neck or low-back pain: do the benefits outweigh the risks? J Manipulative Physiol Ther. 2008;31:461–4.

    Article  PubMed  Google Scholar 

  30. Ernst E. Adverse effects of spinal manipulation: a systematic review. J R Soc Med. 2007;100:330–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Furlan AD, Imamura M, Dryden T, Irvin E. Massage for low-back pain. Cochrane Database Syst Rev. 2008;(4).

    Google Scholar 

  32. Kumar S, Beaton K, Hughes T. The effectiveness of massage therapy for the treatment of nonspecific low back pain: a systematic review of systematic reviews. Int J Gen Med. 2013;6:733–41.

    Article  PubMed  PubMed Central  Google Scholar 

  33. McGinnis RA, McGrady A, Cox SA, Grower-Dowling KA. Biofeedback-assisted relaxation in type 2 diabetes. Diabetes Care. 2005;28:2145–9.

    Article  PubMed  Google Scholar 

  34. Shulimson AD, Lawrence PL, Iacono CU. Diabetic ulcers: the effect of thermal biofeedback-mediated relaxation training on healing. Biofeedback Self Regul. 1986;11(4):311–9.

    Article  CAS  PubMed  Google Scholar 

  35. Rice BI, Schindler JV. Effect of thermal biofeedback–assisted relaxation training on blood circulation in the lower extremities of a population with diabetes. Diabetes Care. 1992;15:853–9.

    Article  CAS  PubMed  Google Scholar 

  36. Fiero PL, Galper DI, Cox DJ, Phillips LH, Fryburg DA. Thermal biofeedback and lower extremity blood flow in adults with diabetes: is neuropathy a limiting factor? Appl Psychophysiol Biofeedback. 2003;28:193–203.

    Article  PubMed  Google Scholar 

  37. Alexander GK, Taylor AG, Innes KE, Kulbok P, Selfe TK. Contextualizing the effects of yoga therapy on diabetes management. Fam Community Health. 2008;31:228–39.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Innes KE, Vincent HK. The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: a systematic review. Evid Based Complement Alternat Med. 2007;4:469–86.

    Article  PubMed  Google Scholar 

  39. Aljasir B, Bryson M, Al-Shehri B. Yoga practice for the management of type II diabetes mellitus in adults: a systematic review. Evid Based Complement Alternat Med. 2010;7:399–408.

    Article  PubMed  Google Scholar 

  40. Alexander GK. ‘More than I expected’: perceived benefits of yoga practice among older adults at risk for cardiovascular disease. Complement Ther Med. 2013;21(1):14–28.

    Article  PubMed  Google Scholar 

  41. Pace TWW, Negi LT, Adams DD, Cole SP, Sivilli TI, Brown TD, Issa MJ, Raison CL. Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology. 2009;34(1):87–98.

    Article  CAS  PubMed  Google Scholar 

  42. Paul-Labrador M, Polk D, Dwyer JH, Velasquez I, Nidich S, Rainforth M, et al. Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Arch Intern Med. 2006;166(11):1218–24.

    Article  PubMed  Google Scholar 

  43. Rosenzweig S, Reibel DK, Greeson JM, Edman JS, Jasser SA, McMerty KD, et al. Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. Altern Ther Health Med. 2007;13:36–8.

    PubMed  Google Scholar 

  44. Hartmann M, Kopf S, Kircher C, Faude-Lang V, Djuric Z, Augstein F, et al. Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-study). Diabetes Care. 2012;35:945–7.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Victorson D, Kentor M, Maletich C, Lawton RC, Kaufman VH, Borrero M, Languido L, Lewett K, Pancoe H, Berkowitz C. A systematic review and meta-analysis of mindfulness-based randomized controlled trials relevant to lifestyle medicine. Am J Lifestyle Med. Published online July 10, 2014 before print.

    Google Scholar 

  46. Lee MS, Choi TY, Lim HJ, Ernst E. Tai Chi for management of type 2 diabetes mellitus: a systematic review. Chin J Integr Med. 2011;17(10):789–93.

    Article  PubMed  Google Scholar 

  47. Barnes PM, Bloom B, Nahin R. Complementary and alternative medicine use among adults and children: United States, 2007. CDC National Health Statistics Report #12. 2008.

    Google Scholar 

  48. Engebretson J, Wardell D. Energy based modalities. Nurs Clin North Am. 2007;42:243–59.

    Article  PubMed  Google Scholar 

  49. Latest Survey Shows More Hospital Offering Complementary and Alternative Medicine Services [Internet]. American Hospital Association; c2006-14 [cited 2014 May 26]. www.aha.org/presscenter/pressrel/2008/080915-pr-cam.shtml/presscenter/pressrel/2008/080915-pr-cam.shtml.

  50. HealingBeyondBorders.org [Internet]. Healing Touch International; c1997 [cited 2014 May 26]. www.healingbeyondborders.org.

  51. Position Statements [Internet]. American Nurses Association; c2014 [cited 2014 May 26]. www.ahna.org/Resources/Publications/Position-Statements/Resources/Publications/Position-Statements.

  52. Quinn JF. Building a body of knowledge: research on therapeutic touch 1974–1986. J Holist Nurs. 1988;6(1):37–45.

    Article  CAS  PubMed  Google Scholar 

  53. Gagne D, Toye R. The effects of therapeutic touch and relaxation therapy in reducing anxiety. Arch Psychiatr Nurs. 1994;8:184–9.

    Article  CAS  PubMed  Google Scholar 

  54. Winstead-Fry P, Kijek J. An integrative review and meta-analysis of therapeutic touch research. Alternative. 1999;5(6):58–67.

    CAS  Google Scholar 

  55. Peters RM. The effectiveness of therapeutic touch: a meta-analytic review. Nurs Sci Q. 1999;12(1):52–61.

    Article  CAS  PubMed  Google Scholar 

  56. Anderson JG, Taylor AG. Effects of healing touch in clinical practice: a systematic review of randomized clinical trials. J Holist Nurs. 2011;29:221–8.

    Article  PubMed  Google Scholar 

  57. Firth K, Smith K. 2007 survey of healing environments in American hospitals: nature and prevalence. Samueli Institute, 2011. www.samueliinstitute.org/file%20library/our%20research/ohe/ohe-hospital-survey-final-report-2007.pdf/file%20library/our%20research/ohe/ohe-hospital-survey-final-report-2007.pdf. Accessed 6 Aug 2014.

  58. Vitale A. An integrative review of Reiki touch therapy research. Holist Nurs Pract. 2007;21(4):167–79.

    Article  PubMed  Google Scholar 

  59. Gillespie E, Gillespie B, Stevens M. Painful diabetic neuropathy: impact of an alternative approach. Diabetes Care. 2007;30:999–1001.

    Article  PubMed  Google Scholar 

  60. AANMC.org [Internet]. Washington (DC): Association of Accredited Naturopathic Medical Colleges; c2014 [cited 2014 May 27]. http://aanmc.org.

  61. Licensed States & Licensing Authorities [Internet]. American Association of Naturopathic Physicians; c2014 [cited 2014 May 27]. http://www.naturopathic.org/content.asp?contentid=57.

  62. Bradley R, Oberg EB. Naturopathic medicine and type 2 diabetes: a retrospective analysis from an academic clinic. Altern Med Rev. 2006;11(1):30–9.

    PubMed  PubMed Central  Google Scholar 

  63. Bradley R, Sherman KJ, Catz S, Calabrese C, Oberg EB, Jordan L, et al. Adjunctive naturopathic care for type 2 diabetes: patient-reported and clinical outcomes after one year. BMC Complement Altern Med. 2012;12:44.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Seely D, Szczurko O, Cooley K, Fritz H, Aberdour S, Herrington C, et al. Naturopathic medicine for the prevention of cardiovascular disease: a randomized clinical trial. CMAJ. 2013;185(9):E409–16.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Herman PM, Szczurko O, Cooley K, Seely DA. Naturopathic approach to the prevention of cardiovascular disease: cost-effectiveness analysis of a pragmatic multi-worksite randomized clinical trial. J Occup Environ Med. 2014;56(2):171–6.

    Article  PubMed  PubMed Central  Google Scholar 

  66. FunctionalMedicine.org [Internet]. Institute for Functional Medicine; c2014 [cited 2014 May 27]. www.functionalmedicine.org/.

  67. Functional Medicine Matrix [Internet]. Institute for Functional Medicine; c2013 [cited 2014 May 27]. www.functionalmedicine.org/files/library/ifm-matrix-teaching.pdf/files/library/ifm-matrix-teaching.pdf.

  68. Franic D, Snapp C, DeBusk R. Newly developed functional medicine program in diabetes: impact on clinical and patient reported outcomes—functional medicine and quality of life. BMC Complementary Altern Med. 2012;12(Suppl 1):S1.

    Google Scholar 

  69. Gillian E, Callender T, Gaster B. Integrative medicine at academic health centers: a survey of clinicians’ educational backgrounds and practices. Fam Med. 2013;45(5):330–4.

    Google Scholar 

  70. Reilly D. The puzzle of homeopathy. J Altern Complement Med. 2001;7(Suppl 1):S103–9.

    Article  PubMed  Google Scholar 

  71. CPG Sec. 400.400 Conditions Under Which Homeopathic Drugs May be Marketed [Internet]. Silver Spring (MD): U.S. Food and Drug Administration; [updated 2010 Jan 12; cited 2014 May 26]. www.fda.gov/iceci/compliancemanuals/compliancepolicyguidancemanual/ucm074360.htm.

  72. Cuesta Laso LR, Alfonso Galan MT. Possible dangers for patients using homeopathy: may a homeopathic medicinal product contain active substances that are not homeopathic dilutions? Med Law. 2007;26(2):375–86.

    PubMed  Google Scholar 

  73. Dannemann K, Hecker W, Haberlan H, Herbst A, Galler A, Schafer T, et al. Use of complementary and alternative medicine in children with type 1 diabetes mellitus—prevalence, patterns of use, and costs. Pediatr Diabetes. 2008;9(3 Pt 1):228–35.

    Google Scholar 

  74. Remli R, Chan SC. Use of complementary medicine amongst diabetic patients in a public primary care clinic in Ipoh. Med J Malaysia. 2003;58(5):688–93.

    CAS  PubMed  Google Scholar 

  75. Ehrlich G, Callender T, Gaster B. Integrative medicine at academic health centers: a survey of clinicians’ educational backgrounds and practices. Fam Med. 2013;45(5):330–4.

    PubMed  Google Scholar 

  76. Sampath S, Narasimhan A, Chinta R, Nair KR, Khurana A, Nayak D, et al. Effect of homeopathic preparations of Syzygium jambolanum and Cephalandra indica on gastrocnemius muscle of high fat and high fructose-induced type-2 diabetic rats. Homeopathy. 2013;102(3):160–71.

    Article  PubMed  Google Scholar 

  77. Maiti S, Ali KM, Jana K, Chatterjee K, De D, Ghosh D, Ameliorating effect of mother tincture of Syzygium jambolanum on carbohydrate and lipid metabolic disorders in streptozotocin-induced diabetic rat: Homeopathic remedy. J Nat Sci Biol Med. 2013;4(1):68–73.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Pomposelli R, Piasere V, Andreoni C, Costini G, Tonini E, Spalluzzi A, et al. Observational study of homeopathic and conventional therapies in patients with diabetic polyneuropathy. Homeopathy. 2009;98(1):17–25.

    Article  PubMed  Google Scholar 

  79. Nayak C, Oberai P, Varanasi R, Baig H, Ch R, Reddy GR, et al. A prospective multi-centric open clinical trial of homeopathy in diabetic distal symmetric polyneuropathy. Homeopathy. 2013;102(2):130–8.

    Article  PubMed  Google Scholar 

  80. Chen W, Yang GY, Liu B, Manheimer E, Liu JP. Manual acupuncture for treatment of diabetic peripheral neuropathy: a systematic review of randomized controlled trials. PLoS ONE. 2013;12:8(9). eCollection 2013.

    Google Scholar 

  81. Yang M, Li X, Liu S, Li Z, Xue M, Gao D, et al. Meta-analysis of acupuncture for relieving non-organic dyspeptic symptoms suggestive of diabetic gastroparesis. BMC Complement Altern Med. 2013;13:311.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  82. McWhorter LS. Biological complementary therapies: a focus on botanical products in diabetes. Diabetes Spectr. 2001;14:199–208.

    Article  Google Scholar 

  83. Saxena A, Vikram NK. Role of selected Indian plants in management of type 2 diabetes: a review. J Altern Complement Med. 2004;10:369–78.

    Article  PubMed  Google Scholar 

  84. Sridharan K, Mohan R, Ramaratnam S, Panneerselvam D. Ayurvedic treatments for diabetes mellitus. Cochrane Database Syst Rev. 2011;(12).

    Google Scholar 

  85. Keen RW, Deacon AC, Delves HT, Moreton JA, Frost PG. Indian herbal remedies for diabetes as a cause of lead poisoning. Postgrad Med J. 1994;70:113–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Kulambil Padinjakara RN, Ashawesh K, Butt S, Nair R, Patel V. Herbal remedy for diabetes: two case reports. Exp Clin Endocrinol Diabetes. 2009;117:3–5.

    Article  CAS  PubMed  Google Scholar 

  87. Davis MA, Weeks WB. The concentration of out-of-pocket expenditures on complementary and alternative medicine in the United States. Altern Ther Health Med. 2012;18(5):36–42.

    PubMed  PubMed Central  Google Scholar 

  88. Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Report. 2009;(18):1–14.

    Google Scholar 

  89. HealthCare [Internet]. Washington (DC): US Department of Health and Human Services; [cited 2014 June 1]. www.hhs.gov/healthcare/healthcare.

  90. FAQs about the Affordable Care Implementation Part XV. [Internet]. Washington (DC): U.S. Department of Labor; 2013 Apr 29 [cited 2014 June 1]. www.dol.gov/ebsa/faqs/faq-aca15.html/ebsa/faqs/faq-aca15.html.

  91. Jellin JM, Gregory PJ, et al. Natural medicines comprehensive database. www.naturaldatabase.com. Accessed 10 June 2014.

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Authors and Affiliations

  1. Osher Center for Integrative Medicine at Northwestern University, Northwestern Feinberg School of Medicine, Chicago, IL, USA

    Melinda Ring MD

  2. NorthShore University HealthSystem Integrative Medicine Program, University of Chicago Pritzker School of Medicine, 2400 Chestnut Ave, 60026, Glenview, IL, USA

    Leslie Mendoza Temple MD

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  1. Melinda Ring MD
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Correspondence to Leslie Mendoza Temple MD .

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  1. New York, USA

    Jeffrey I. Mechanick MD

  2. Chicago, USA

    Robert F. Kushner MD

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Ring, M., Temple, L. (2016). Integrative Medicine. In: Mechanick, J., Kushner, R. (eds) Lifestyle Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-24687-1_18

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