Dr. Bruce Hoffman joins Pandora Peoples on WOMR and WFMR radio to discuss the origins of The Hoffman Centre and the benefits of the integrative approach to functional medicine. Dr. Bruce Hoffman utilizes the ayurvedic model through a program he developed called, The Seven Stages of Health & Transformation™ that brings to light the hidden causes of what may be making you sick, and what you can do to heal yourself.
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Hello, hello, hello, hello, Cape Cod and beyond. My guest today is functional medicine Dr. Bruce Hoffman, founder of the Hoffman Center for Integrative and Functional Medicine. His center encourages people to become involved with the process of health, restoration, self-master their health issues and make health a primary value. Dr. Hoffman has dedicated himself to research and education in cutting edge health care wellbeing and living a meaningful life. Welcome, Bruce, thank you so much for being with us.
Excellent. Thanks Pandora
So first off, what inspired you to go from an allopathic practice or a traditional practice to an integrative approach to functional medicine,
Curiosity more than anything and frustration at the drug-based model, you know, when you go to med school, you learn this is called n squared d squared, medicine = name of symptom name of drug. Although it’s interesting, it really limits your diagnostic and therapeutic options. So, when a patient presents say with complex illness, where there’s a mind -associated issue, and or environmental issue, nothing you can do with a drug based model, you know, you just diagnose a disease find a drug or refer to a specialist. And that’s it. It’s over. Whereas in an integrative model, you look far and wide for what they call in functional medicine, antecedents, mediators and triggers. So, you look upstream, you know, and in a functional model that I use functional medicine workup that I use, I’ve expanded beyond pure functional medicine into what I call the seven stages to health transformation. And I use an Ayurvedic model to explain the different layers and levels that come to the table when you’re trying to diagnose and treat somebody. Anywhere from the family systems into which they originated into the early emotional experiences and ego development and defenses, through to unresolved emotional traumas through the brain states and brain functions and then into biochemistry and toxicology. So, it’s a much broader diagnostic roadmap that we use ana a therapeutic roadmap, and I just found the drug-based model limiting. I enjoyed being a traditional MD. But now that I practice a much more expanded paradigm, it’s much more exciting and your results are tremendous when you apply this sort of wider model, you know.
Yes, indeed. So, after studying traditional Ayurvedic medicine, traditional Chinese medicine, homeopathy and looking at health care, from a mind, body, spirit perspective, I’m wondering what fundamental conclusions you’ve drawn about wellness that led you to your inspiration and the creation of the Hoffman Centre.
Wellness is a strange term because it denotes what I really try and help people with, which is to try and live in a state of maximum wellness, maximum potential. And that moves everybody from a disease-based paradigm into what we you know, what is called a wellness paradigm, but is somebody living at their maximum potential, are they fulfilling the desires of their most innate, instinctual talents and abilities, and illnesses and symptoms often sort of create a, what would the word be, they create a block in that person’s trajectory towards optimal performance of their destiny? And so, we use symptoms and diagnosis to, to sort of ask a lot more deeper questions and dive right into the potential reasons why a person may not be fulfilling their ordained destiny. And that’s what I love to do. And so that’s why I created the center to try and explore those possibilities with people and it’s very rewarding, and not everybody, somebody may just have something that’s physically based but many people with chronic illness have led many layers and levels of stressors on their systems, and the detective game of trying to diagnose and treat is what inspires me to keep doing what I love to do. 10 Center.
Very cool. I’m wondering what some of your fundamental theories that you’ve developed are as a result of your work that you could share with us or what some of your underlying ideas are, that are part of your mission.
Certain things that stand out, when I have somebody sitting in front of me with a complex illness, a) you’ve got to take into account all the basic lifestyle factors, diet, sleep, exercise, stress, if you don’t look at those in great detail and sort of dissect them into the multiple subsets, you know, like a diet, for example, there’s many different diets that you can therapeutically apply and what may fit one person may not work for the other. You have to really know your nutrition and dietary issues in great, great detail. A high histamine diet versus a ketogenic diet versus a paleo autoimmune diet versus the Ayurvedic Vata pacifying, that there’s many, many permutations, you got to know those things thoroughly. So that’s huge. And as you know, diet affects the gut microbiome. And the gut microbiome affects the vagus nerve and the vagus nerve runs into the brain. So, your brain-gut microbiome is huge. If you’re not looking at the gut-brain microbiome you can’t really work out what’s going on. So, diet is big. The gut microbiome is big.
Dentistry, I use a lot of dental insights in order to try and ascertain what may be going on particularly with people’s brains, because the inferior alveolar nerve in the lower part of the jaw runs back into the brainstem as well. So, you get a lot of toxic buildup in root canals, cavitation sites, etc, etc. So, dentistry, a lot of respect for dentistry. Everybody to get a panorex X ray and a 3D Cone Beam CT scan of the jaw, and then I send them to a biological dentist to do a complex workup and treat accordingly. So, dentistry is big. Diet is big.
Sleep, sleep, almost everybody I see has a sleep study, not one of those sleep apnea tests they take home. Do a full in-house sleep study. And I rely on that tremendous extensive can’t tell you how many people suffer ill health from sleep issues, sleep is huge. Which brings me to the whole thing of emf, electromagnetic field exposures, radio frequencies and electrical fields, magnetic fields. That has become a very dominant part of my intake history taking to see what people are doing, how much screen time, are they using blue light blocking glasses, are they turning off their routers at night? So, I take that all of that into account? Huge, huge, huge.
And then another piece that is huge in my work is I really don’t start to work with somebody unless I understand the family system into which they originated. The ancestral lineage not from a genetic but from an epigenetic perspective, what are the experiences of their mothers and fathers and grandparents? I find that is where I really begin my curiosity through taking a history. Are you in relationship with your mother or in your relationship with your father, if people say I can’t stand my mother, I can’t stand my father, I don’t want anything to do with them’ I know right then my task of healing is being brought to a halt. You can’t heal somebody who isn’t aligned with their family system in a flow of love, can’t do it. It doesn’t work. You can treat a symptom but you’re not going to help that person reach their maximum potential if they’ve shut down the influences of their parents or their ancestors, because people are half their mother, half their father, if you say no to your mother or say no to your father you are saying no to half of your life force. And that needs to be worked through. And I use family constellation therapy for that. And things like that, you know?
Yes, I was going to ask what you do for that for that situation? Because that, you know, there are a number of folks who are. Is it family therapy?
No, it’s not family therapy, its family constellation therapy. Its different form family therapy
Can you explain that?
Well, you take a history or you ask people certain questions about their family of origin. What do you blame your mother for? What do you blame your father for? Those are the first question. And if they have a whole string of complaints that begins the diagnostic and therapeutic process. It was developed by Bert Hellinger, called family constellation therapy. He just died a few weeks ago, actually. And it’s a method of working people up through understanding the entanglement of the family system. We try to understand the laws that operate in family systems and those things that lead to good outcomes and those things that blocked the flow of energy in a family. You have to sort of study it and learn it.
Yes, it’s very, very intriguing. I’m wondering if you could just mention briefly, you described turning off your routers at night. So, these electromagnetic fields that we’re constantly in relation to in this digital age. They are really, truly bad for us.
Depends, yeah, there’s certain subtypes of people are more susceptible than others. And some work is being done on basic detox for liver cytochrome p 450 enzymes. Liver enzyme pathways, detox pathways, people with certain liver detox enzyme susceptibilities do much worse, in terms of the electromagnetic hypersensitivities. So, when you sleep at night, you should be in a very deep parasympathetic healing state. Most people you see, particularly say in inner cities, have about two volts running through their body from the electrical fields around them. And then they have these electromagnetic radio frequency fields. This is from the cell phone towers and routers, like if you live in a condo, you’ve got everybody’s router beaming into your bed at night. And when you’re sleeping at night, you are meant to be in this very deep, relaxed state. But if you are surrounded by radio frequencies and electric fields and magnetic fields, you’re in a stress state. And that opens up the blood brain barrier, opens up the gut barrier, leads to suppression of melatonin, the whole glymphatic system or brain detox system doesn’t work, you’re in big trouble. And it’s not being emphasized enough, you know. And then with dentistry, if bite problems and grinding, you don’t detoxify through the glymphatic system and down through the, you know, through the lymphatics that go down through your internal jugular vein and other parts of your neck and thoracic region. So, you want to know these things. I send in Baubiologists or building biologists into homes to measure all of these things before I start treating people with cognitive difficulties or sleep difficulties. They go turn off routers, they help people with sleep, you know, screen time, they use blue light blocking glasses, they do all of these things. So, it’s an integral part of the work I do?
Well, that’s very exciting. I’m just wondering, I used to erase floppy disks by just touching them. So, I obviously have some sort of electromagnetic thing going on. would that mean that I would be more susceptible to energy from digital influences or to electromagnetic? Well,
I don’t know. I used to feel tingly and confused when you arrived cell phone towers. They go crazy. They can’t handle it.
Well, I used to be affected by Bluetooth. So yeah, perhaps perhaps. So environmental and lifestyle factors are considered by functional medicine doctors to be as you’ve been speaking about it very important, especially in complex situations with patients with chronic illness. So have certain input environments or lifestyle factors been linked to chronic Lyme disease.
Well, lyme disease is an immune disease, right? So, the bug gets entry if your immune system is compromised. So, you need to have reduced natural killer cells for Lyme disease to take hold. And so, to treat Lyme disease, you know, there is a whole emphasis on using whole rotating antibiotics and, and using herbs and/or pharmaceuticals to treat it. But really, it’s an immune incompetency disease. So often when you have a compromised immune system, you’ve got to look at factors that may have led to that and one of them, apart from the genetic imbalances in immune competency is stress. Stress is the greatest suppressor of the immune system. We know, people with stress they get viruses, they get colds and things; that’s the same principle, your surveillance system of our immune system gets compromised under chronic stress. And what causes chronic stress. Well take your pick, hundreds of factors cause chronic stress, it doesn’t just have to be a boss that gives you a hard time, it can be poor sleep, it can be poor diet, there’s many things that cause chronic stress. That dental infection that hasn’t been treated; they all can cause chronic stress in the body. So, for Lyme disease, the thing you got to look for is immune competency and that’s why one of the tests we do is called natural killer cell function, or CD 57. And we look at that to see if that’s suppressed. If that’s suppressed, your ability to fight Lyme disease is compromised and Lyme disease and co infections can run rampant. So, it’s just one of the things we look. There are genetic components to this as well. One researcher has done work on the genetics of people with Lyme disease, and specific markers that are upregulated. And then anything that compromises your overall resilience and homeostasis and mitochondrial resilience, anything, diet, any other factors, lack of exercise, obesity, any of them.
And if you’re tuning in just now, you’re listening to healing wisdom on WOMR 92.1 FM in Provincetown and WFM are 91.3 FM in New Orleans and streaming at Womar.org. We are speaking with Dr. Bruce Hoffman, functional medicine doctor, founder of the Hoffman Center for Integrative and Functional Medicine.
What are risk factors in Alzheimer’s? Have you seen significant improvements in patients with Alzheimer’s using integrative approaches?
Yeah, Alzheimer’s is very fascinating. I don’t know if you’re aware of the recent work that’s put out by Dale Bredesen and his group. He wrote a book called The End of Alzheimer’s. And I wrote a summary of that book on my website, there is a blog on it. Alzheimer’s is fascinating. He’s worked out that there’s six subtypes of Alzheimer’s disease and 36 biochemical pathways that need to be addressed. And he basically says that Alzheimer’s has six subtypes. The first can be anything that’s inflammatory, then anything that’s deficient is number two, anything that’s blood sugar, glucose, insulin related is number three, anything that’s toxic, like mold and heavy metals is number four, anything that’s cardiovascular related is number five, and anything that is head injury related is number six. Those are the six subtypes of Alzheimer’s disease. And there’s many biochemical pathways that you look at when treating Alzheimer’s. So, for instance, all the deficiency issues, one of the main deficiencies in Alzheimer’s is all the hormones: growth hormone, testosterone, estrogen, progesterone, DHEA. So, we look at all of those pathways and try and repeat them, when we are treating Alzheimer’s: inflammatory, all inflammatory chronic conditions, you know, eating an inflammatory diet, mold, illness, heavy metals, look and treat all of those issues. People with high blood sugar, high insulin, insulin resistance, treat that, that has a huge effect on people’s brains. And then a key underlying factor that seems to be very problematic if anybody has what’s called the Apoe 4/3 or 4/4 gene, that predisposes to a much higher risk later on in life of Alzheimer’s disease. We test for that gene, hopefully, you know, if you have a 3/4 or 4/4 gene, you should really increase everything you can in terms of lifestyle factors to make sure that gene doesn’t get expressed later on in life. There’s a whole website devoted to people with the Apoe4 gene, what they need to do in order to down regulate the risk? Well,
Yes, it’s interesting, because I know with my own grandmother who suffers from Alzheimer’s and my mother-in-law, and also one of my clients, it’s amazing how quickly an anti-inflammatory diet can help heal the brain. I mean, it seems like overnight, a person can have access to memories that they didn’t have before.
The other thing we do is, down regulating the gut microbiome and neuroinflammation through the vagus nerve. But we also assess all the fats. I test with the Kennedy Krieger fatty acid analysis and we look at all the Omega 3/6/9 and saturated fats and we treat very aggressively with the ketogenic diet and high fat intake, particularly something called phosphatidyl choline. Choline is one of our key nutrients to help restore brain function back to normal. In fact, the patient I saw just now had a huge deficiency in phosphatidyl choline with cognitive deficits.
Wow, can you dispel the mold myth mold illness is not an allergy, correct?
You do get IgE mold allergies, but we do not worry about that. That’s the least of one’s worries. Mold is a huge trigger of the innate immune system causing a condition called CIRS; chronic inflammatory response syndrome. And that plays havoc with your inflammatory cytokines, which then down-regulate areas in the brain, particularly the melanocyte stimulating hormone, MSH. And MSH controls many things; sleep, pain, gut function, and all the sex hormones and the diuretic hormones. So, when you get exposed to mold and you get inflamed from mold, and it appears that only 25 to 35% of people have a susceptibility to mold illness. They don’t downregulate the mycotoxins that are expressed. And they get very inflamed with consequences to their brain, consequences to their hormone’s, consequences to mitochondrial and to oxygen delivery, sleep, gut function. Amazing. So moldy allergies is the least of our worries. I don’t see people with mold allrgies, I see people for mold toxicity, mold inflammation. It’s a whole different subset, not taught, not understood. Respirology don’t know about it. The insurance companies certainly don’t want to know about it. It’s a huge problem. And I treat mold illness all day. Huge. Most homes are moldy.
Yes, many, many homes on Cape Cod, for example, are moldy. There’s just a ton of dampness and can you talk a little bit about mold illness?
Yeah, well, I work like as much as I work with a dentist and I work with building biologists for EMF’s, I work with mold, remediating indoor air specialists, we send people into homes to do a visual inspection. Anybody that I suspect, with mold illness, we have a questionnaire. And if people score very high on the questionnaire, we immediately suspect mold. And then we ask questions. Do you have any water damage? Do you have any damp areas? Do you have any condensation on your windows? Do you have any visible mold downstairs, or air conditioning? Have your ducts been cleaned lately, a whole bunch of questions. Then we send in the mold inspectors to go and do a good visual inspection, which takes hours. If somebody walks in with an air sample and waves it around and says you don’t have any mold in the air, run for the hills, because that’s was not a proper mold assessment. We also send people home with ERMI kits where they actually take swabs for DNA particles of mold, they take a swiffer cloth, mold samples from dust collected, or they vacuum the carpets and they collect the DNA spores and send it off to a lab to measure it. And then if they’ve got mold in their home, we assess the degree of the mold. And then we send in a remediation crew, and then we start to treat the mold illness. And there’s about 12 steps in how to treat mold illness. First step is to get out of the moldy home. Second step, bind the mold with binders like cholestyramine or charcoal or whatever. And then there’s a whole series of other steps that you do.
What are your thoughts on ozone for killing, mildew and mold?
It affects our immune system. Yes.
Mold exposure causes inflammation upregulation of the innate immune system which causes inflammation.
Yes. So I’m wondering about andropause. And why is it worth talking about? It’s not something that you know, people talk a lot about menopause, but not so much about andropause. And I noticed that was on your website. I’d love to hear
Andropause. Yeah, it’s grumpy old men. Yeah. Men age slower than woman so they’re not as you know, andropause, it takes a year or two. Women and perimenopause take about a year, but they notice when they start getting hot flashes and night sweats, it’s pretty quick. Men, their testosterone levels fall slower. And they don’t go into like an acute sort of jump off a cliff so to speak, it’s a slow, gradual decline, they put on weight, they get grumpy, they get depressed and they ache. Their libido goes down, erections go down. And when you start measuring all the sex hormones, you find that they are deficient or you know, low normal. And that you know, usually in the age 50 onwards, and we measure all those hormones and treat accordingly and it can have tremendous effect when you start treating, particularly testosterone, dhea, sometimes growth hormone very seldom, melatonin, and then using thyroid hormone and adrenal support, some can make a tremendous difference to people’s wellbeing. So andropause is a real and undiagnosed, under treated condition. It is very rewarding once diagnosed and treated appropriately, you know.
Yes. Now this might seem like a strange thought. But I’m wondering if there is an evolutionary reason that people as you know, over a certain age tend to get up earlier. And earlier. And you know, if the oldest troubled sleep, maybe has, you know, if that’s really how people were living, organically naturally. I mean, I know, overall, people are dying, at much older ages, and so on and so forth. But I always wonder about this early rising business that seems to happen and be so much a part of our hormonal evolution over our lives.
You mean why older people sleep less.
So succinctly said,
Multiple factors for that, you know, I mean, it’s definitely based on diminishing hormones, particularly, melatonin, melatonin levels go down as we age, too. Melatonin is a major brain antioxidant. It’s also what turns on the suprachiasmic nucleus, which tells you that it’s nighttime. So, melatonin deficiency, as we age, affects the suprachiasmic nucleus and affects the ability of somebody to stay asleep for longer periods of time. There are many, many factors, but that’s just one of them.
As we go into colder months, it’s very important that we use preventative measures and make sure that we’re as healthy as we can in the fall so that going into winter, our immune systems are as strong as possible. I’m just wondering what your thoughts are on just simple things, people can start doing better to take care of themselves in the colder months?
Well, the thing that I always worried about the colder months is when people go indoors, and they shut themselves in. And so I always want you to worry about the indoor air quality, and these tightly sealed homes. So, when we not exposed to the outside sunlight, when we get sealed into our homes for six months of the year, the question is, what is the quality of your home? What is the quality of the indoor air? Are you being exposed to mold spores and mold toxins, volatile organic compounds, off gassing? That’s the thing I’m most concerned about in winter months, and many, many patients will tell you “ in October when winter comes, I get sick, I get worse, I get depressed”, or I get this or that” a lot of it’s to do with the fact that they get sealed into their homes, and they don’t spend any time outside, you know. So that’s what I started to think about – quality of indoor and environmental indoor homes.
Okay, so we have one more minute left. So, my final, final question is just, if you could, if you could tell everyone, one or two things that would help improve most people’s lives, you know, mind body spirit, what would that thing be?
If you’re not connected with your mother and your father, if they are alive or dead, go do some work and try and reconnect yourself to their life spirit and to their love. If you’ve got a complaint about your parents, go do your work. I really mean that.
If you cannot say yes to your mother and father for giving you life, your work is incomplete. If you are in complaint about your mother and father, you have got work to do. They gave you life, be grateful. All the rest was just an excess. It’s just the fact they gave you life that was enough. That if you’re not aligned with them, and the flow of love isn’t from you, to them to your children, you need to do your internal work to try and correct that. That’s what I say is the principle, the cardinal aspect of healing.
Thank you so much, Dr. Bruce Hoffman for joining us today on healing wisdom.
Okay, thank you very much. Thank you so much. Bye.
You’ve been listening to healing wisdom. I’m your host Pandora people’s certified chartered herbalist and psychic medium. You can find healing wisdom podcasts at Womar.org. Contact me with any feedback questions or show ideas at peachy firstname.lastname@example.org. A big thanks to the Wizard of operations Matthew Dunn. Join me again next week.
Dr. Bruce Hoffman, MSc, MBChB, FAARM, IFMCP is a Calgary-based Integrative and Functional medicine practitioner. He is the medical director at the Hoffman Centre for Integrative Medicine and The Brain Centre of Alberta specializing in complex medical conditions. He was born in South Africa and obtained his medical degree from the University of Cape Town. He is a certified Functional Medicine Practitioner (IFM), is board certified with a fellowship in anti-aging (hormones) and regenerative medicine (A4M), a certified Shoemaker Mold Treatment Protocol Practitioner (CIRS) and ILADS trained in the treatment of Lyme disease and co-infections. He is the co-author of a recent paper published by Dr. Afrin’s group: Diagnosis of mast cell activation syndrome: a global “consensus-2”. Read more about Dr. Bruce Hoffman.