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The N of 1 Program for IBS

What is the program?

We are dedicated to helping patients struggling with irritable bowel syndrome.  Because of this we are enrolling one randomized selected person to receive complementary guidance and recommendations for IBS through Naturopathic Medicine and Functional Medicine

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Benefits of Participating

  • ​Each month for the next 13 months participants will receive 1 visit per month over secure Telemed

  • Supplements, functional lab testing, baseline blood work and other services will be provided complimentary
     

Requirements

  • Participants must live in Washington state; or in a state or country that does not have licensed Naturopathic Physicians such as Wyoming, Texas, Iowa , Oklahoma, Indiana, Missouri, Arkansas, Illinois, Indiana, Michigan, Ohio, Missouri ,Arkansas, Tennessee, Georgia, Florida, North Carolina, Virginia, New Jersey, New York. 

  • Participants cannot be an insurance holder of a plan in which Dr. Rinde is an in-network provider.

  • Participants must be able to provide documentation that you have been diagnosed with IBS by a Gastroenterologist.

  • Participants must meet ROAM-IV criteria for IBS . Please take screening questionnaire and provide results as part of applications.

  • Participants must have a primary care provider that you see in person in your city.

  • Participants agree to anonymous interviews and recordings with voice dubbing and video dubbing that may appear on our podcasts or youtube channels.

  • Participants agree to report any new symptoms under the direction of our clinic to your primary care provider

  • Participants must not be on any prescription medications including PPI's or H2 blockers or Dietary Supplements for IBS.

  • Participants must be 18 years old or older.

  • Participants must not be breastfeeding or pregnant.
     

Study protocol

  • Patient will be randomly selected on August 30, 2023 after meeting criteria.

  • Patient will then schedule 12 visits (1 per month for the next calendar year).

  • Patient will complete Functional Medicine new patient paperwork and Digestive Wellness Questionnaire baseline 1 and will transfer all medical records to clinician and lead investigator for review.

  • Patient will be sent a basic blood test, Lactulose Hydrogen Breath Test, Organic Acid Test, and Complete Digestive Stool Analysis to complete and submit.

  • Patient will have First Visit while awaiting results for clinician and will initiate Mind Body Therapy program and Initial Dietary changes. The visit will be recorded.

  • Visit 2 will be to review results of the test and begin recommendations based on lab findings, interview, and digestive wellness questionnaire. Protocol will depend on findings. Subcategories of the protocol will be based on patterns of Dysbiosis, Inflammation, immune Activation, digestive malabsorption features, maldigestion features, intestinal lining and barrier features, mind/gut imbalances, and presence or absence of pathogens

  • Supplements may include herbal antimicrobials, digestive enzymes, prebiotics, probiotics, herbal anti-inflammatories, herbal prokinetics, herbal intestinal lining support, and more.

  • Visit 3-12 will be monitoring treatment, making adjustments to treatment. ON each visit a digestive wellness questionnaire will be recorded. At month 4 (visit 4) we will retest any labs with abnormal findings.   Based on progress after month 4 labs and reassessment; patient will be implemented additional protocol either a prevention/maintenance protocol or resistance/recurrence protocol. At visit 11 additional testing will be ordered for the conclusion of the trial.

  • Supplements and refills will be sent directly to the patient.

  • All results will be documented.

  • Each visit will be recorded.

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Publication Goals

  • Each visit will be recorded and dubbed for privacy; we will air episodes related to the progress on The One Thing Podcast with Adam Rinde. 

  • The results of the trial will be submitted for publication in the Integrative Medicine Journal

 

IRB This has not been submitted for IRB approval

 

Contact information
 

Adam Rinde, ND

Naturopathic Physician

Sound Integrative Health, PLLC

2320 130th Ave NE #110

Website: http://www.soundintegrative.com

messaging through website

Phone: 425-889-5894

Fax: 425-307-6674

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