Brentwood Concierge Medicine -  - Integrative Medicine Doctor

Shera Raisen, MD

Integrative Medicine Doctor & Family Practice Physician located in Brentwood, Los Angeles, CA

Functional & Nutritional Medicine And Programs

At Brentwood Concierge Medicine, Dr. Raisen helps patients improve their overall health through the use of functional and nutritional medicine programs. The types of testing and treatment regimens used in these programs go above and beyond what the average doctor’s office provides. Individuals throughout Los Angeles and the surrounding areas can come to Dr. Raisen to heal their current problems and to feel the best in body, mind and spirit.

Functional & Nutritional Medicine and Programs Q&A

by Shera Raisen, MD

Where does a Functional Medicine plan begin?

Dr. Raisen believes in getting a thorough history and interview from her patients.  Conversation and questionnaires help focus in on where the physiology is functioning well vs. poorly.  In addition, even the first set of blood tests give functional medicine information: for example, are B-12, iron and vitamin D levels in the optimal range, and why or why not? Is there the past or current infection of Epstein-Barr virus or H. pylori, that may be affecting immune or digestive well-being? Further blood, urine, saliva and stool testing can give a personal evaluation of a person’s digestive, immune, and endocrine systems.  This information is related to how a person is feeling now, as well as how to prevent future problems. Genetic testing also factors in for a person’s optimal health and physiologic function. Another testing can look at heavy metals and other toxins in the body. The microbiome, or bacteria that lives in your gut, can influence items as far as mood and infections.


Where does a nutrition plan begin?

Dr. Raisen's philosophy and treatment programs are based on using “whole, real foods.” The program is based on the basic guidelines of eating high nutritional content foods and mostly plants. In the nutritional program, patients will stick to a plant-based diet consisting of whole, unprocessed foods. These provide the highest nutrigenomic index based on:

  • Low Glycemic Load – a moderate amount of carbohydrates
  • Proper Fatty Acid Composition – high levels omega 3 fats as opposed to saturated fats and trans fats
  • High Phyto-Nutrient Density – elevated levels of plant nutrients and antioxidants
  • Healthy Protein – pasture raised animal products or lean, predominately plant-based proteins
  • High Micronutrient Density – contains large amounts of vitamins and minerals
  • Low Allergenic Burden – low in foods that are very allergenic including gluten, dairy, and personal allergens
  • Low Toxic Burden – reduced toxins in food such as added hormones, pesticides, antibiotics, or artificial additives
  • Correct PH Balance – offers balance between acidity and alkalinity
  • Healthy Salt to Potassium Ratio – low in salt, high in potassium
  • High Fiber Content – increased fiber to slow the insulin response
  • Avoidance of empty calories- including alcohol, sugars, and over-processed foods.


What does it mean to remove food allergens or sensitivities?

Food sensitivities which present later in life are one of the most powerful triggers for chronic symptoms and an aggravated immune system. During the program, a 2-3 week trial period will occur where an elimination diet will be required to help Dr. Raisen determine what is causing an adverse reaction. Food will be systematically reintroduced, once an accurate diagnosis can is made. Lab tests used by the office can help to fine tune what foods a patient is sensitive to and allow them to change their diet.


herbs and vitaminsHow can this nutrient program improve my health?

The digestive tract contains 60% of our immune system, and our nutrient intake can significantly impact our health. In combination with a gastrointestinal history, Dr. Raisen will utilize diagnostic tests to identify gluten and food sensitivities, small intestinal bacterial overgrowth (SIBO), inflammation in the GI tract, and unnoticed ailments such as parasites or yeast. When/if an issue is discovered, aggressive treatment will begin. Depending on the situation, the office might use herbs, antibiotics, anti-fungal, anti-parasitic, and anti-worm medications or botanicals. Treatment will often involve the use of digestive enzymes, pre-biotic foods which promote healthy bacteria, probiotics or good bacteria, and nutrients such as zinc, omega 3 and 6 fats, glutamine, and anti-inflammatory botanicals.


What is nutritional optimizing?

Vitamins and minerals are necessary for every biochemical reaction in your body. Without adequate amounts for optimal health, your biochemistry gets stuck, and you get sick. Nutritional optimizing can include increased:

  • Magnesium- for irritable, cramping muscles or bowels and lung and moods health
  • Zinc- for immune function
  • Vitamin D- for better calcium, iron, magnesium, phosphate, and zinc absorption
  • Methylation (B6, folic acid, B12)- for detoxification, improved cognitive function, and DNA repair
  • Omega 3 fatty acids (EPA and DHA)- for mood health, inflammation, cognitive function, and development.
Location
Brentwood Concierge Medicine
11704 Wilshire Boulevard , Suite 200
Brentwood

Los Angeles, CA 90025
Phone: 310-458-9200
Fax: 310-579-2223
Office Hours

Shera Raisen, MD
11704 Wilshire Boulevard
Suite 200
Los Angeles, CA 90025