“Respiratory and Sinus Conditions Clinical Strategies and Treatment Applications”
Introduction to Respiratory and Sinus Conditions Course
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Respiratory and Sinus Conditions Course
Chronic respiratory conditions lead to functional hypoxia
It’s crucial to understand that respiratory conditions like chronic asthma or chronic sinusitis can lead to functional hypoxia. This can have far-reaching effects clinicians must be aware of.
Functional hypoxia can result in fatigue, hinder patients’ ability to recover effectively, increase pain sensitivity, and impact mood. Numerous studies have demonstrated links between depression, anxiety, and low oxygen levels.
Hypoxia promotes neurodegeneration, dysbiosis, and intestinal permeability through the lung-gut axis. Additionally, people with chronic respiratory conditions often suffer chronic adrenal disorders due to these patterns.
Many functional medicine practitioners are so focused on the gut that they overlook chronic pulmonary conditions that inflame the nasopharynx, pulmonary respiratory mucosa, and other parts of the body.
The role of functional medicine in addressing respiratory conditions
Many people rely on chronic antibiotic and glucocorticoid use, which creates a complex situation for people with chronic respiratory conditions seeking relief.
Functional medicine practitioners excel in treating chronic respiratory conditions through dietary, nutritional, and lifestyle applications.
Although functional medicine may not directly impact lung diseases that involve lung injury, we can offer many interventions to reduce hospital visits and the need for anti-inflammatory medications.
Types of respiratory concepts covered
We will explore acute infections, such as acute sinusitis or acute bronchitis and recurring or chronic conditions, such as chronic asthma or sinusitis. We’ll also look at chronic tissue damage from respiratory disorders.
Understanding fundamental respiratory concepts is important when dealing with chronic asthma, bronchitis, sinusitis, and lung disease. I will teach you how to recognize and address dysfunction in systems such as:
- Aging lungs
- Respiratory barrier issues
- The respiratory antioxidant system
- Mucous modulation
- Mucociliary clearance
- Respiratory mucosal immune response
- Respiratory microbiota
- Lung-adrenal axis
- Respiratory system resiliency to triggers
For instance, what are the symptoms of mucociliary clearance issues, and how do you address them? What are the symptoms of overzealous lung mucosa associated with lung development?
Evaluating different aspects of the respiratory and sinus systems
We will evaluate the lower respiratory tract, proper oxygenation, and factors that could potentially reduce the ongoing need for glucocorticoids and antibiotics, which can create vicious cycles.
We explore the web of chronic sinus inflammation. Many people have chronic sinusitis, which involves a pathological web that can lead to autoimmunity or nasal polyps.
We explore asthma and its related neuroendocrine-immune vicious cycle. Chronic asthma patients frequently respond well to a functional medicine approach.
Promoting pulmonary resiliency
We will discuss how these respiratory concepts come together to create pulmonary resiliency. Resiliency determines whether a pulmonary condition becomes chronic or whether a person can recover quickly and prevent serious inflammatory responses.
Secretory immune (SIgA) defense barriers, mucus production, proper mucus viscosity, mucosal clearances, and the role of the lung-adrenal axis in the mucosal response all play a role in resiliency. By the end of the course, you will clearly understand how to address these concepts.
Functional medicine approaches
We’ll discuss various functional medicine approaches and adjunctive therapies to respiratory and sinus conditions, including:
- Nutraceuticals that address various mechanisms
- Nasal migration
- Nasal irrigation
- Nasal sprays
- Nebulizers
- Humidifiers
- Positive airway pressure devices
- Percussion devices
- And other approaches important to know about
Developing a personalized functional medicine model
This course will teach you how to develop a personalized functional medicine treatment model.
We will ensure you gain the necessary skills to clinically identify and create personalized treatment plans using diet, nutrition, and lifestyle adjustments for various pulmonary conditions.
This course is designed to be clinically applicable to real-life practice and give you the skills to deal with bronchitis, sinusitis, asthma, and other respiratory conditions.
Gut-lung axis dysfunction
A respiratory condition can prevent the healing of gut dysbiosis due to the role of the lung-gut axis.
The lung-gut axis is a symbiotic relationship between the respiratory and gut microbiomes. These microbiomes release different metabolites, cytokines, and aminokines that impact one another. Ample research shows that people with chronic sinusitis or asthma typically have respiratory or nasopharynx pulmonary dysbiosis.
An inflamed respiratory tract leads to an inflamed gut and vice versa
Simply put, inflamed gastrointestinal mucosa can lead to an inflamed and hyperreactive nasal mucosa—and the other way around.
For instance, an active inflammatory nasal mucosa, such as allergic sinusitis, can cause a hyper-inflammatory, hyper-responsive state in the gut mucosa. This, in turn, promotes food sensitivities.
We see this when someone eats a food that triggers inflammation in their gut. Suddenly their nose starts running or their lungs become congested. Gut inflammation turns on respiratory and sinus inflammation.
At the same time, gut dysbiosis makes one more vulnerable to airborne allergens, air pollution, pulmonary antioxidant depletion, and pulmonary and sinus infections.
Why it’s vital to address the gut-lung axis
In the functional medicine model, many practitioners focus on the gut yet overlook the respiratory system and the gut-lung axis.
If a chronic respiratory issue is overlooked, a patient may struggle to repair gut function and restore bacterial diversity.
Factors that promote dysbiosis
Inflammatory diets, a lack of dietary fiber, excess sugar consumption, and intestinal infection are factors that promote dysbiosis.
The lung-adrenal axis
The lungs and adrenal glands have an important two-way relationship called the lung-adrenal axis.
How adrenal function supports pulmonary function
Cortisol is essential for resolving inflammation and regulating the inflammatory response. Impaired adrenal gland function often leads to a weakened immune system and recurrent infections.
The adrenal catecholamines such as epinephrine and norepinephrine open the airways for breathing. Impaired catecholamine release can lead to bronchospasms and impaired bronchodilation, an important factor in chronic asthma.
How pulmonary function supports adrenal function
Healthy pulmonary function helps stabilize ATP and glucose, promoting steady energy throughout the day.
However, chronic pulmonary issues lead to consistently low blood oxygen levels, as indicated by low SpO2 levels or poor spirometric readings.
We call this functional hypoxia, and it directly impacts adrenal function. This can lead to irregular cortisol patterns and insulin resistance.
Adrenal gland function cannot improve when there is an ongoing respiratory condition.
The adrenal salivary panel
An Adrenal Salivary Cortex Profile measures cortisol levels throughout the day. It should be higher in the morning and gradually decrease throughout the day. It’s common to see patients with consistently high cortisol levels, an abnormal cortisol awakening time, or irregular cortisol patterns.
Considering the entire adrenal picture
Clinicians must recognize the connection between ongoing pulmonary issues and adrenal factors such as hypoglycemia, irregular cortisol levels, disrupted sleep, low energy, and circadian rhythm imbalances.
Chronic exposure to airborne allergens, pathogens, smoking, or labored breathing can chronically activate the hypothalamic-pituitary-adrenal axis (HPA) axis and disrupt adrenal regulation.
It’s easy to overlook lung-adrenal axis dysfunction in patients with chronic asthma and sinusitis because they often adapt to living with it and may not mention it. However, clinicians must always consider it.
Pulmonary resilience
Why do some patients with acute sinus infections end up with chronic infections? Why do some people become seriously ill when exposed to certain viruses? And why do some individuals experience recurrent respiratory conditions such as viral bronchitis or asthma attacks?
It all comes down to pulmonary resilience.
Respiratory resiliency refers to the ability of the pulmonary system to respond appropriately to a pathogen or allergen.
Healthy pulmonary resiliency involves sufficient secretory immunoglobulin A (SIgA) and defensin proteins, an intact pulmonary barrier, an efficient and responsive pulmonary antioxidant system, and the ability to appropriately produce mucus of suitable viscosity.
Healthy mucus function
Healthy mucus activity prevents the formation of biofilms, which make harmful bacteria harder to eliminate. Proper mucociliary clearance allows the cilia in the respiratory tract to effectively remove mucus along with trapped pathogens and allergens, ensuring that the airways stay clear.
Optimal function requires a solid and responsive gut-lung axis and lung-adrenal axis. A healthy gut supports lung health, while the adrenal glands help regulate inflammation and immune responses in the lungs.
When we see reoccurring respiratory infections, chronic sinusitis, or asthma, we need to look at which of these resiliency pathways may be breaking down.
Functional medicine depends on our understanding of the mechanisms involved and how to address them. It requires more than superficial asthma or sinus protocols that don’t address the physiological systems.
For instance, in one person low SIgA and glutathione depletion may be their primary factors when reacting to an allergen exposure.
For another it could be pulmonary barrier permeability (leaky lung), pulmonary dysbiosis, and gut dysbiosis.
Another person may have thick mucus and a dysregulated lung-adrenal axis.
Each of these individuals will have different responses and different treatment applications.
Addressing respiratory and sinus conditions
In this course, I’m going to give you a step-by-step approach to clinically identifying and utilizing each of these steps to improve resiliency in patients with chronic respiratory or sinus conditions.
Dr. Kharrazian is a leading expert in respiratory and sinus conditions
Datis Kharrazian, PhD, DHSc, DC, MS, MMSc, FACN, is a Harvard Medical School trained researcher, clinical research scientist, academic professor, and a functional medicine health care provider. Dr. Kharrazian earned a Master of Medical Science degree (MMSc) in Clinical Investigation from Harvard Medical School, and is a member of the Harvard Medical Alumni Association and the American Association of Immunologists.
Today, Dr. Kharrazian’s clinical models of functional medicine are used by several academic institutions, and thousands of health care clinics and practices providers throughout the world.
He maintains a private practice near San Diego, California, and consults with patients from all over the world who are seeking non-pharmaceutical alternatives. His practice is focused on developing a personalized medical approach using diet, nutrition, and lifestyle approaches.
Frequently Asked Questions
Do any materials come with this course?
You receive access to all the recorded live videos, presentation slides, published papers, Q&A’s, assessment forms, supplement information, protocols, and all other supporting material for one year after registration. This means you can rewatch the recorded lectures as many times as you’d like during this period.
Do I receive continuing education credits for this class?
6.0 hours of CEs are available for licensed health care practitioners (exceptions noted on CE credits page). Please see the bottom of this page for more particulars.
What if I can’t digest all the information at once?
First, you are given pre-class reading material to begin familiarizing yourself with the material. Then, you have access to the recorded lectures and supporting materials for one year. This means you can rewatch lectures as many times as you need.
What if I have questions after the class?
When you register you are invited to join a Members Only Kharrazian Institute Facebook group where you can ask questions and discuss cases with other practitioners.
How can patients in my area learn about me and the fact that I have taken this class?
We have created an online practitioner referral page. Licensed practitioners who have completed all of the Kharrazian Institute courses will be added to the list. Patients can search the list to look for practitioners in their area.
What if parts of the class are unfamiliar to me?
All of the Kharrazian Institute classes are designed to complement one another. As you take all the courses over time you will receive an extraordinarily comprehensive functional medicine education. Different pieces of human physiology, neurology, immunology, and endocrinology all fit together like pieces of a puzzle for one comprehensive understanding of patient evaluation and care.
MARK HYMAN, MD
Dr. Kharrazian has been a prominent educator and highly-respected clinician in the functional medicine community since the inception of functional medicine. He is an expert clinician and an innovator in this field.
CLEVELAND CLINIC, DIRECTOR OF CENTER FOR FUNCTIONAL MEDICINE
CHAIRMAN, INSTITUTE FOR FUNCTIONAL MEDICINE
TEN-TIME NEW YORK TIMES BEST SELLING AUTHOR
JEFFREY BLAND, PHD, FACN, FACB
I have had the pleasure of knowing Dr. Kharrazian for more than a decade and observing his professional growth and impact as a key opinion leader in the field of Functional Neurology. He is voracious in his pursuit of learning and skill development. His pursuit of post-graduate studies at Harvard in research methods has embellished his already significant expertise in systems medicine and its application to Functional Medicine. He has a unique skill in making complex information accessible to his students and patients alike, which is a measure of an individual who is a master of his field. Dr. Kharrazian is a humble, quietly competent leader who leads by example and his presence. The Functional Medicine field is rapidly evolving, and it is through the work and leadership of a select group of professionals, of which Dr. Kharrazian is a recognized leader, that it is growing in both its adoption and successful application to the treatment of complex chronic diseases. It is truly a pleasure to call Dr. Kharrazian both a colleague and friend in our mutual advocacy in the development and application of Functional Medicine.
CO-FOUNDER, INSTITUTE OF FUNCTIONAL MEDICINE
PRESIDENT, PERSONALIZED LIFESTYLE MEDICINE INSTITUTE
Why is Dr. Kharrazian’s Respiratory and Sinus Conditions course different?
Dr. Kharrazian is an actual clinician who has been successfully treating respiratory and sinus conditions in the United States and Europe for more than 20 years.
Dr. Kharrazian has witnessed countless real-life patient scenarios and developed proven strategies to address commonly overlooked issues.
Dr. Kharrazian is both a scientist and an educator.
Dr. Kharrazian has been an innovator in the field of functional medicine since its inception.
Dr. Kharrazian stays continually up-to-date with the latest scientific and medical research.
Dr. Kharrazian was trained as a clinical investigator (Master of Medical Science in Clinical Investigation) at Harvard Medical School and can effectively share with you the most relevant research.
Dr. Kharrazian has published a number of immunology studies in the most respected medical journals in the world.
DAVE PERLMUTTER, MD, FACN, ABIHM
Dr. Kharrazian’s work represents the vanguard in our understanding of the role of lifestyle choices in charting the brain’s destiny. His highly effective educational outreach has opened the door for countless healthcare providers, allowing them to dramatically increase their effectiveness in treating and indeed preventing so many of the pernicious conditions that plague our modern society.
AUTHOR, #1 NEW YORK TIMES BESTSELLING BOOK,
GRAIN BRAIN AND BRAIN MAKER
KELLY BROGAN, MD, ABIHM
Dr. Datis Kharrazian is one of the most powerful clinicians of our time. From the lab to the clinic, he has studied, vetted, and applied his cutting-edge science to heal patients all over the world. I consider him to be a foremost authority in a systems approach to recovery and wellness.
AUTHOR, NEW YORK TIMES BESTSELLING BOOK, A MIND OF YOUR OWN
TERRY WAHLS, MD, IFMCP
Dr. Kharrazian is a brilliant clinician educator who has inspired many, myself included. He is superb at teaching clinicians the power of using functional medicine-oriented history and physical examination to understand and address the root causes of disease and health. Integrating the latest research and years of clinical experience, Dr. Kharrazian, is an international leader in Functional Medicine.
NEW YORK TIMES BEST SELLING AUTHOR OF THE WAHLS PROTOCOL – HOW I BEAT
PROGRESSIVE MS USING PALEO PRINCIPLES AND FUNCTIONAL MEDICINE
CLINICAL PROFESSOR OF MEDICINE, UNIVERSITY OF IOWA, CARVER COLLEGE OF MEDICINE
On Demand Registration
Respiratory and Sinus Conditions Clinical Strategies and Treatment Applications
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Kharrazian Institute Respiratory and Sinus Conditions Course Registration Fees
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ON DEMAND Registration
Respiratory and Sinus Conditions Course
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Testimonials about the Kharrazian Institute courses
More testimonials
PEDRAM SHOJAI, OMD
Dr. Kharrazian is one of the greatest minds in the functional medicine space. He’s a trailblazer and an innovator. His courses are gold and his direction is wise. If you’re in healthcare and are ready to be on the right side of history, study with this man.
AUTHOR, NEW YORK TIMES BESTSELLING BOOK, THE URBAN MONK
FOUNDER OF WELL.ORG
DAVID MUSNICK, MD
Dr. Kharrazian is one of the most skilled Functional medicine practitioners in the country. His understanding of interrelationships in physiology puts him in the top tier of Functional Medicine writers and educators in this country.
FACULTY OF THE INSTITUTE FOR FUNCTIONAL MEDICINE
NORA GEDGAUDAS, CNS, NTP, BCHN
Datis Kharrazian is truly among the great medical geniuses of our time. His capacity to think outside the box is second to none. He brings cutting-edge insights to the table that others have missed along the way and for this we should be eternally grateful.
AUTHOR, PRIMAL BODY, PRIMAL MIND AND PRIMAL FAT BURNER
ELIZABETH BOHAM, MD, RD
Dr. Kharrazian is a leader in functional medicine, always looking to discover the root cause of illness or dysfunction in the body and, most importantly, uncovering novel therapies to improve optimal function.
MEDICAL DIRECTOR OF THE ULTRAWELLNESS CENTER
MARK FLANNERY, DC, MS, BS
Dr. Kharrazian’s education gave me the knowledge and confidence to take on complicated chronic cases. I would not have the patient success I have without the information I gained from Dr. Kharrazian. I have taken many seminars by many different doctors but I could not do what I do without the knowledge I gained from Dr. Kharrazian.
DIRECTOR OF HEALTH WISE CLINICAL NUTRITION
JOSHUA REDD, DC, MS
Dr. Kharrazian’s education has been pivotal in every aspect of my practice. His curriculum has been my foundation for building seven thriving functional medicine clinics. I couldn’t ask for a more rewarding career path.
FOUNDER OF RED RIVER HEALTH AND WELLNESS CENTER
AUTHOR, THE TRUTH ABOUT LOW THYROID
SHANE STEADMAN, DC, DACNB, DCBCN, CNS
In the last decade, I have seen Dr. Kharrazian change the landscape of healthcare. His ability to integrate functional medicine, immunology, and neurology is second to none. Individuals like Dr. Kharrazian come around once in a lifetime. I could not be more honored to learn from him and consider him to be a wonderful mentor. I sincerely believe the Kharrazian Institute will continue to evolve health care.
DIRECTOR, INTEGRATED HEALTH SYSTEMS AND INTEGRATED BRAIN CENTERS
