Curriculum Outline

Curriculum Outline

1 - Good Health Starts in the Gut Overview Associated Content The Mouth, Esophagus, Stomach, Small Intestine, Large Intestine, Pancreas, Liver,Microbiota, Enteric Nervous System Enzymatic Digestion and Absorption Microbial Production of Nutrients 5 R Program Introduction Clinician Takeaways	2 - Microbiome Part 1 Overview The Microbiota in Infancy Associated Content The Microbiota’s Influence on Metabolism, Health, and Disease Commensal, Symbiotic, Pathogenic The Importance of Diversity Probiotics Prebiotics Clinician Takeaways
3 - Microbiome Part 2 Overview Associated Content Contributors to Dysbiosis Bacterial Association with Medical Conditions, causative/preventive Immune Regulation Neurological/Gut-Brain Axis Probiotic Supplementation-specific strains for specific conditions Fecal Microbiota Transplant (FMT) Impact of Diet Clinician Takeaways	4 - What Can Go Wrong? Overview Overview: FODMAP Intolerance, Gastroparesis, GERD, Celiac Disease, Non-Celiac Gluten Sensitivity, Increased Intestinal Permeability, IBD, IBS, SIBO Contributing Factors Therapy, DIGIN, Testing, 5R- Remove, Replace, Reinoculate, Repair, Rebalance Clinician Takeaways
5 - FODMAPs Intolerance Description Signs and Symptoms Contributing Factors FODMAP Foods/Hidden FODMAPs Testing Therapy 5 R Program for FODMAP Intolerance Low FODMAP Diet Overview Clinician Takeaways	6 - GERD Description Signs and Symptoms Contributing Factors Testing GERDQ Therapy Nutrition Therapy for GERD 5R Program for GERD Clinician Takeaways
7 - Celiac Disease Description Signs and Symptoms Contributing Factors: Genetic Susceptibility, Gliadin, Environmental Factors, GI Permeability Testing Therapy Nutrition Therapy for Celiac Disease 5R Program for Celiac Disease Clinician Takeaways	8 - Non-Celiac Gluten Sensitivity (NCGS) Description Gluten Related Disorders- NCGS, Celiac Disease, Wheat Allergy Associated Conditions Signs and Symptoms Clinical Manifestations of NCGS Contributing Factors Testing Therapy Nutrition Therapy for NCGS 5R Program for NCGS Clinician Takeaways
9 - Intestinal Permeability Description Elements that Influence the Intestinal Barrier Tight Junctions Zonulin, Modulator of Intestinal Permeability Signs and Symptoms Associated Conditions Contributing Factors Testing Therapy for Leaky Gut Anti-Inflammatory Diet 5R Program for Leaky Gut Clinician Takeaways	10 - IBD Crohn’s and Colitis Description Signs and Symptoms Characteristics and Complications Contributing Factors Genetic Polymorphisms’ Influence on Development and Exacerbation of IBD Dietary Components Medications Linked to Microscopic Colitis Microbiota and IBD Alterations in the Microbiome and Metabolome during IBD Intestinal Permeability in IBD Testing Therapy Nutrition for IBD 5R Program for IBD Clinician Takeaways
11 - Irritable Bowel Syndrome Description Signs and Symptoms Rome IV Criteria for IBS diagnosis IBS Subtype Criteria Bristol Stool Form Scale Characteristics and Complications Potential Comorbidities Contributing Factors Gut-brain, Neuroendocrine, Neuroimmune Interactions Immune Activation and Inflammation Stress and IBS Diet and IBS FODMAPs GI Microbiota Composition in IBS Probiotic Therapy Testing Therapy Nutrition for IBS 5R Program for IBS Clinician Takeaways	12 - SIBO Description Signs and Symptoms Contributing Factors and Consequences Common comorbidities IBS Testing Therapy Nutrition for SIBO, FODMAPs, SCD Antimicrobials 5 R Program for SIBO Clinician Takeaways
13 - Candida Description Signs and Symptoms Contributing Factors and Consequences Testing Controlling Candida albicans Pharmaceuticals Natural Anti-Fungals Nutrition for Candida Overgrowth 5 R Program for Candida Clinician Takeaways	14 - Gut Immune System Overview The Innate and Adaptive Immune System MALT and GALT Microbiota and Immunity Inflammation and Immunity Nutrition and Immunity Clinician Takeaways
15 - Stress and Gut-Brain Interactions Overview Associated Content Stress Neurotransmitter/Hormone effect on GI Tract Neuroendocrine Modulation of Stress Stress and GI Immune Function Stress and the Microbiota-Gut-Brain Axis Psychobiotics Functional Gastrointestinal Disorders and Stress Clinical Nutrition Intervention Therapy Nutrients Stress Management Herbs and Plant Based Therapies Clinician Takeaways	16 - Histamine Intolerance Description Roles of Histamine in the Body Histamine Intolerance (HIT) DAO, HNMT Signs and Symptoms Contributing Factors and Consequences Histamine in Foods Histamine Production by Bacteria Endogenous Histamine Testing Therapy/Histamine Restricted Diet DAO Supplementation 5R Program for HIT Clinician Takeaways
17 - Functional GI Testing Overview- GI Symptoms/Disorders Warranting Testing Indications for Colonoscopy or Imaging Studies Diarrhea/Categories of Diarrhea Dysbiosis Specific Tests - Rationale, Symptoms, Science and Supportive Data Breath Testing Candida Overgrowth Testing Celiac Disease Workup Food Allergy Testing Food Sensitivity Testing GERD Workup, Gastric pH Test IBD Workup Intestinal Permeability Testing IBS Workup/2016 Rome IV Criteria Nutrition Focused Physical Exam Organic Acids Testing Stool Analysis Clinician Takeaways	18 - Supplementation Overview What are Nutrition Supplements? Why are Nutrition Supplements Needed? Who Needs Supplements? Regulation and Quality Control CGMPs, Third Party Certification Nutrient Requirements and Guidelines Supplement Categories and Forms Choosing Nutritional Supplements Supplement Sources Magnesium Stearate Chelated Minerals and Mineral Absorption What to Include/What to Exclude FAQs by Patients Regarding Supplementation Clinician Takeaways 5R Supplementation Recommendations