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John Mansberger MD Medical Director Archbold Integrative Medicine Center “Integrative medicine... combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.” http://nccam.nih.gov/health Holistic Medicine is the art and science of healing that addresses care of the whole person – body, mind, and spirit… integrates conventional and complementary therapies to promote optimal health and to prevent and treat disease by addressing contributing factors.” American Holistic Med Assoc, est 1977 Post-Lyme Syndrome? Autoimmune Disorder? Chronic Infection? Something different? All of the above? First described by Rheumatologist Three Equivocal Studies Conflict of interest Insurance company interests Animal Studies Anecdotal Evidence Fallon Study Physician Experience Diet and Nutrition Supplements and Nutrients Medications Stress Reduction Physical Therapies Anything that helps empty the rain barrel S-Sleep H-Hormones I-Infections N-Nutrition E-Energy/Exercise Anti-Inflammatory Diet Food Allergies Gluten Free Diet Replacement of Nutrients Healing the Gut D-Ribose, L-Carnitine, Co-Q10 Magnesium, Vitamin D, B Vitamins Artemesia, Olive Leaf Extract, Cat’s Claw Fish Oil, Turmeric, Devil’s Claw Meyer’s Cocktail- IV Nutrients Antibiotics-Doxcylcline, Rocephin, Clarithromycin, Flagyll Hormones-Thyroid, Adrenal, HRT Sleep Medications Muscle Relaxants Pain Medications Cognitive Therapy Mindfulness Meditation Yoga Tai Chi Massage Manual Therapy Exercise Yoga Massage Acupuncture In Conclusion Represent complex disorders that often require a multidisciplinary approach, and will benefit from a Holistic or Integrative Plan Integrative Medicine represents a bigger tool box, plus a more compassionate and effective system