Functional Medicine Plan

🔹 1. Glycemic & Lipid Control

• Diet:
• Low-glycemic, Mediterranean-style or low-carb (50–80g/day) until HbA1c <6.0%
• Emphasize: fiber (30g+), omega-3s, cruciferous vegetables, anti-inflammatory foods
• Supplements:
• Berberine 500 mg BID
• Alpha-lipoic acid 300–600 mg/day
• Omega-3s (EPA/DHA 2–4g/day)
• Ceylon cinnamon or gymnema
• Niacin (inositol hexanicotinate) or red yeast rice (if no statin)

Testosterone & SHBG Optimization

• Lifestyle:
• Strength training 3x/week
• Reduce alcohol, optimize sleep
• Labs to add: Estradiol (E2), LH/FSH, prolactin, DHEA-S
• Supplements:
• Zinc 25–50 mg/day (watch copper)
• Vitamin D3 5000 IU/day + K2
• Boron 3–6 mg/day
• Ashwagandha or Tongkat Ali

🔹 3. Iron & Anemia

• Possible causes: Malabsorption, GI loss, frequent donation, poor intake
• Replete with:
• Iron bisglycinate 25–50 mg/day with vitamin C
• Check reticulocyte count, TIBC, and stool for occult blood
• Add B6 and copper if repletion is slow

🔹 4. Cardiovascular Support

• Methylation Support (if homocysteine is high or if MTHFR variants suspected):
• Methyl B12, 5-MTHF, P5P
• Additional:
• CoQ10 100–200 mg/day
• Magnesium glycinate 300–400 mg/day
• Citrulline malate or beetroot for nitric oxide support

🔹 5. Detoxification & Mitochondria

• Support Phase I/II liver detox:
• Milk thistle, NAC, DIM, calcium D-glucarate
• Mitochondrial nutrients:
• PQQ, acetyl-L-carnitine, CoQ10, methylene blue (under guidance)

🔹 6. Peptides (advanced/integrative)

• BPC-157: Gut, vascular & metabolic support
• Thymosin alpha-1: Immune modulation
• CJC-1295/Ipamorelin: Support endogenous GH if fatigue, belly fat present

🔹 7. Lifestyle Tools

• HBOT: Especially useful for diabetes, wound healing, neuroprotection
• Red light therapy: Daily for mitochondria, mood, testosterone
• Sauna therapy: 3–5x/week for insulin and cardiovascular support
• Walking after meals: Lowers glucose and triglycerides

✅ Follow-Up Labs (in 3–6 months)

• Lipids, A1c, iron panel, Vitamin D
• Testosterone panel w/ estradiol & LH/FSH
• hs-CRP
• Homocysteine
• Optional: Gut health panel (if GI concerns), microalbumin/Cr ratio again