Environmental Medicine

What is Environmental Medicine?

Environmental medicine (EM) is a relatively new branch of medicine that explores how the environment interacts with the human body – especially the physical, mental, and emotional responses to environmental factors. Environmental medicine dovetails with other branches of medicine including toxicology, industrial medicine, and public health. EM uses a holistic, systems-wide based model to evaluate how various toxins, pollutants, chemicals, and microbes may be compromising the body.

Those working in environmental medicine leverage the concept of cumulative toxic load – low-level exposure and interaction with various substances in food, water, air, homes, and communities – over time that may compromise fundamental systems which maintain overall wellness and support healthy aging. This field explores the link between the environment and the documented rise in chronic illnesses like cancer, metabolic, neurological, and endocrine disorders.

Where do toxins come from?

In the age of industrialization and modern society, pollutants, chemicals, and toxins are commonly encountered in daily life and range from pollutants that come through the atmosphere to packaging and consumed food. Several examples of chemicals and pollutants are listed below.

Food

Persistent organic pollutants (POPs)
Organophosphates (OCPs)
Pesticides: various herbicides, glyphosate
Xenobiotics: plastics, bisphenol A (BPA)
Metals: Aluminum, arsenic, cadmium, mercury
Alcohol

Water

Microorganisms
Disinfectants: Chlorine
Metals: Lead
Organic Chemicals

Air

Mold Mycotoxins
Polycyclic aromatic hydrocarbons (PAHs)
Perfluorocarbons (PFCs)
Volatile organic compounds (VOCs)
Particulate matter
Ozone
Carbon monoxide
Sulfur and nitrogen oxides

Products

Parabens
Phthalates
Metals: aluminum

Environmental medicine clinicians understand that no two people are alike due to genetic biochemical individuality. Based on this principle and utilizing a patient-centered approach, EM clinicians evaluate how each person’s environmental exposure may be influencing their foundations of health. In addition to toxic load, an EM clinician evaluates genetic variations, nutrient deficiencies, stressors, dietary choices, microbiome status, vitality, and associated conditions that may influence how a patient responds to toxins.

Given that chronic illness is typically caused by many factors, it is important to identify which toxins or elements in the environment are interacting within the body. Many of the above-named chemicals have a direct effect on a variety of tissues, leading to a potential cycle of oxidative stress inflammation. A number of environmental toxins have also been associated with endocrine disruption.  Research to date alludes to the inflammation as the key driver of metabolic, neurologic, endocrine, and cellular malfunction leading to a rise in obesity, neurodegenerative disease, autoimmune conditions, reproductive disorders, and cancer.

What a patient can expect at an EM visit

  • A comprehensive environmental history questionnaire, medical history & physical exam.
  • Conventional and specialty laboratory testing which may include heavy metal testing, toxicant metabolite testing, and other diagnostic tests.
  • Individualized treatment plans tailored to meet your unique needs.
  • Treatment may include clinical nutrition, lifestyle modification, guidance on reducing toxicant exposures, supplementation, botanical medicine, hydrotherapy, IV therapies, depuration including sauna therapies & pharmaceutical medications.

“I don’t know what I would do and how I would practice without Environmental Medicine. I see so many people with unrecognized root causes for their illnesses that I am forever grateful for everything I have learned from Lyn Patrick, Walter Crinnion, EHS and NAEM.”

Jan Kielmann, DCNc, MS, CNS, IFMCP

"NAEM is a one-stop shop for inspiration and resources relating to the practice of Environmental Medicine."

Dr. Anne Marie Fine, ND

"I can no longer imagine taking a case history without a thorough inquiry regarding current and past toxicant exposure and a treatment plan that includes strategies to decrease daily exposure to chemicals."

Dr. Bonnie Nedrow, ND

"As a member of the NAEM I have access to the greatest minds in the field. The resources available keep me up-to-date not only on research but also on clinical treatments for patient care. NAEM offers diversity in their training by brining together doctors in private practice, along with researchers in the field, instructors of environmental medicine at various medical schools, and integrative MDs as well."

Marianne Marchese, ND

"I am honored to be a board member of NAEM and serve with the leading physicians in environmental medicine. The invaluable educational webinars are a reflection of the passion and dedication of NAEM and its members."

Doug Cutler, ND, former NAEM Board Member

"I have been a member of NAEM for the last couple of years and have found it to be of great value to my Environmental Medicine focused clinical practice. I always find that I learn new clinically relevant information from their newsletters, patient handouts, and from the NAEM conferences. I especially found their last conference (June 6 2020) to be excellent; it inspired me to write this testimonial in hopes that more doctors can get exposed to this information! The organizers and members of NAEM are very passionate individuals when it comes to all things related to Environmental Medicine."

Dr. Aviad Elgez, ND

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