Join the discussion below
Laura Frontiero, FNP-BC, has served thousands of patients as a Nurse Practitioner over the last 22 years. Her work in the health industry marries both traditional and functional medicine. Laura’s wellness programs help her high-performing clients boost energy, renew mental focus, feel great in their bodies, and be productive again.... Read More
Dr. Miles Nichols is a functional medicine doctor specializing in Lyme, mold illness, gut, thyroid, and autoimmunity. After Dr. Miles personally struggled with chronic fatigue in his early 20’s, Dr. Miles dedicated himself to figure out the root causes. He suffered with and recovered from thyroid dysfunction, autoimmunity, a gut... Read More
- Explain oxidative stress and why it is relevant for health and aging
- How you can know if they are experiencing negative effects from oxidative stress
- What is the antioxidant defense system and how it relates to mitochondria
Laura Frontiero, FNP-BC
Welcome back to the Restore Your Mitochondria conversation. I’m your host, Laura Frontiero. I’m bringing you experts to help you boost your energy and fix your health so you can build the life you love. And today my special guest is a friend of mine, Dr. Miles Nichols. Hi, Miles. Welcome to the summit.
Dr. Miles Nichols
Hello, everyone. Happy to be here.
Laura Frontiero, FNP-BC
Yeah, we’re so glad to have you here. We’re gonna go, We’re bringing you on to have some deep discussion around mitochondria oxidative stress. We’re gonna talk deep about the antioxidant defense system today and how that relates to mitochondria. I wanted to bring you on here because you’re such an expert about this and you work with people in your clinic who have had mitochondria decline. You’re a functional medicine doctor specializing in Lyme, mold illness, gut, thyroid and autoimmunity. And you coauthored “How To Use Your Mind To Heal Your Mold And Lyme”, and stress resilience, And your co-founder of the Medicine With Heart Functional Medicine Clinic. I love the name of your clinic. It’s so good.
Dr. Miles Nichols
Thank you.
Laura Frontiero, FNP-BC
And that’s in Colorado. And you also have the Medicine With Heart Institute that trains other doctors in functional medicine. And, of course, you’ve been a featured speaker at national conferences, professional associations, podcast, and summits. And you can add this summit to your resume now. They just keep stacking up.
Dr. Miles Nichols
Yeah.
Laura Frontiero, FNP-BC
We just keep asking you back because you’re such an expert. So, thank you, thank you for being here.
Dr. Miles Nichols
Yeah. Yeah, thank you for having me. I’m looking forward. I think mitochondria is a topic that I’ve been passionate about a long time and I’m glad that it’s starting to get some attention in the space and people are realizing the link between mitochondria disease energy and so many things like oxidative stress.
Laura Frontiero, FNP-BC
You’ve been treating mitochondria for a long time in your practice. And you’re totally right, it’s now, the public is aware of mitochondria now. So now, we’re having summits and talks about this because people are interested in it. But it’s not actually a new concept, is it?
Dr. Miles Nichols
No, it’s not. And research keeps coming up with new diseases that are linked to mitochondrial dysfunction. So, the list grows in the things that we know for sure are linked with mitochondrial dysfunction. But it’s long been known that mitochondrial dysfunction plays a role in health, in energy and many disease processes in the body. And I’m fascinated by the whole history of multicellular life and how mitochondria plays into that history of life as we know it. Multicellular organisms, as well.
Laura Frontiero, FNP-BC
Yeah. Well, let’s jump right in and let’s talk about oxidative stress and why it is relevant for health and aging.
Dr. Miles Nichols
Yeah so, oxidative stress is a big source of issue for the body, potentially. It’s also a source of, It’s not all bad. I think oxidative stress gets a bad rap sometimes. And oxidative stress plays a role when your body creates, There’s superoxide dismutase and then, Hydrogen peroxide. A lot of people know what hydrogen peroxide is. You might have some in your cabinet and you know that it’s antimicrobial and you can put it on a cut or something prevent an infection from happening. And your body will make hydrogen peroxide inside of cells and outside of cells in order to do things like if a fagus site, which is consuming something, wants to get rid of an infection, then hydrogen peroxide will be part of what kills that infection. So, oxidative stress plays a positive role, but oxidative stress can also play a negative role. If it’s not killing pathogens, it can impact. It can damage cells. It can damage DNA.
It can cause cell signaling problems where cells aren’t properly signaling to take glucose into the cell. So, we can, there’s a link between oxidative stress and heart disease, many times, because of damage to, cholesterol damage to the lipids that are in the body, damage that happens to the cells and the cell lining, in particular, the vessel walls can collide with cholesterol that can oxidize, that can create plaques that can lead to heart disease, the number one killer for today. So, oxidative stress relates to heart disease. It relates to diabetes. It relates to some of the biggest disease processes today. And it also relates to some of the more obscure things like mold illness and Lyme disease. There’s many toxins and infections create oxidative burdens on the body and it is very frequent that I see people who are chronically ill with elevated levels of lipid peroxidation, elevated lipoprotein little a. These are markers that tell us that oxidative stress is an issue and the person is not appropriately getting rid of the oxidants at a speed that would be helpful for their body.
Laura Frontiero, FNP-BC
It sounds like a little bit of oxidative stress is, actually, beneficial to the body, but a lot of oxidative stress is where the problem comes in. And I heard you say there’s things that can cause oxidative stress, and then there’s a problem with the body not being able to get rid of it.
Dr. Miles Nichols
Exactly, yeah.
Laura Frontiero, FNP-BC
Okay.
Dr. Miles Nichols
Yeah.
Laura Frontiero, FNP-BC
Yeah.
Dr. Miles Nichols
All right. And even thyroid function, oxidants play a big role in thyroid function. That’s part of how thyroid makes thyroid hormone is it uses hydrogen peroxide, but it wants it outside of the cell and not too much inside of the cell. So, there’s a lot of glutathione and selenium inside of the cells and the thyroid preventing that hydrogen peroxide from damaging those cells. But the hydrogen peroxide outside of the cell is needed there to make thyroid hormone.
Laura Frontiero, FNP-BC
Mm-mm. Okay so, we can’t survive without a little bit of oxidative stress.
Dr. Miles Nichols
Exactly, yeah. Yeah.
Laura Frontiero, FNP-BC
So, how would somebody know if they’re experiencing the negative effects of oxidative stress? If it’s too much? If it’s overwhelm on the body, what’s gonna happen?
Dr. Miles Nichols
Yeah, that’s part of the problem is it’s not so easy to know, at least in early phases of oxidative stress. People can feel fine in the beginning when oxidative stress is occurring. But certainly there are some signs. Any physical injury you’re gonna get some oxidative stress as the body inflames. Inflammation, it’s gonna signal oxidative stress there. Some of those oxidants are gonna be in the appropriate area of that injury that are gonna do some things positively there, but some’s gonna leak out and get into other cells. And if there starts to be, If there starts to be things like heart disease or diabetes or a chronic infection, like Lyme or co-infections, thyroid disease or a mold toxin illness, any of these issues, or chronic inflammation, chronic inflammatory response, any of these are often coupled with oxidative stress.
Laura Frontiero, FNP-BC
Okay. And so, how do you know when it’s getting really bad?
Dr. Miles Nichols
Yeah so, certainly energy production can be affected. So, people could feel, they could feel tired. They could feel like something’s off, easily winded. They could feel like they’re in pain a lot because inflammation is significant and chronic. They could feel like they’re not thinking well. Sometimes even having headaches, migraines, muscle pains, joint pains that are significant and getting worse over time could be all signs that oxidative stress has become overburdened in the body. And obesity would be another one that would be sign that oxidative stress is really causing problems. And in the most severe, if someone gets a cardiovascular event, a heart attack or a stroke, then, often, there’s been a long term oxidative stress process. For heart disease it’s, People talk about cholesterol. And a lot of people know about cholesterol, but inflammation and oxidation are two elements that are extremely important and make the progression of atherosclerosis, or a very deep part of that progression, of how people get to eventually having a heart attack. Unfortunately, some of the first symptoms can be, maybe chest pain, maybe shortness of breath, but sometimes a bigger event, like a heart attack, which is actually happened to my father when I was young, which makes me passionate about trying to prevent this and look for markers earlier in labs, in order to prevent this from happening, progressing when it’s at its earlier stages and people might not know that it’s happening.
Laura Frontiero, FNP-BC
Yeah. So, what I’m hearing is you might not have early signs.
Dr. Miles Nichols
You might not.
Laura Frontiero, FNP-BC
Right. So, working with a functional practitioner, if you suspect, maybe you’re not at the peak of your health anymore, to get early detection from labs. And are these blood tests, urine tests? What kind of tests are you doing?
Dr. Miles Nichols
Blood and urine both have markers that can help us understand if oxidative stress is playing a role. On blood markers for the cardiovascular system, for heart disease, there’s something called lipoprotein little a. And lipoprotein little a is a good indicator of whether oxidative stress is occurring in the cardiovascular system. So, that’s one I like to order on everyone, just as a preventive to screen people for seeing if oxidative stress is playing a role there. In terms of a urine test, there’s something called lipid peroxidase. And lipid peroxidase is a great test. 8 OHDG is another one that’s a good urinary test that’s looking at oxidative stress. And then we can see sometimes signs of oxidative damage. But those are some of the big direct looking at oxidative stress markers.
Laura Frontiero, FNP-BC
I’m gonna ask you in a minute about what we can do to help ourselves if these labs come up abnormal. But first, can you talk about the antioxidant defense system and how it relates to mitochondria? And then we’ll shift into what to do about it.
Dr. Miles Nichols
Yeah so, part of the way that the body deals with excessive oxidants is what’s called the antioxidant defense system. And the antioxidant defense system is where the mitochondria are helping to reduce that oxidative burden. And there are different ways in which the body recycles oxidants and changes things like lipid peroxidase into a less oxidative thing or where it takes the superoxide dismutase, which is a very, very reactive oxidative species, and then it reduces it in the hydrogen peroxide that uses several, it uses a couple enzymes and several nutrients that are needed for those enzymes and mitochondrial function plays a role in that. And then there’s also the reduction of hydrogen peroxide into water. And that actually is also utilizing glutathione and selenium and mitochondrial function in order to get it back to water. So, energy production, basically, like when there’s excessive oxidative stress in the cells, when oxidants go into the cells, they can tell the cells, don’t uptake glucose anymore. Don’t make energy anymore. Like don’t do that because the oxidative stress is a sign that it there’s something going on that would mean don’t make energy. Making energy isn’t the best idea, at that point. And so, you need to deal with a pathogen. You need to deal with something going on in the system. And that then can, unfortunately, lead to lower mitochondrial production of energy. It can lead to fats being oxidized outside of the cell, instead of going into the mitochondria and getting energy produced from them.
Laura Frontiero, FNP-BC
Question, Miles. Help us make sense of this. So, if you have a pathogen and your body down regulates energy production, in my mind, you think, wait, there’s a pathogen. Immune system needs more ATP energy to take care of it. Explain to people why the energy gets down regulated. ‘Cause that’s an important point.
Dr. Miles Nichols
Yeah, because it is part of, Part of how the part of how the body fights infections is with oxidants. Oxidants, while they’re damaging to cells, they’re also damaging the pathogens. So, your body wants, when there’s a lot of oxidative stress, it wants to produce more oxidants in order to attack pathogens in some cases. So, hydrogen peroxide is very oxidative. It does kill pathogens. We know that from having it in our cupboards. And so, the body is trying to go into defense mode by increasing oxidative stress and not by reducing oxidants as much. So, there’s this feedback loop where the body is reducing energy creation, but it’s increasing immune activation. It’s increasing oxidants to deal with that infection.
Laura Frontiero, FNP-BC
So, then.
Dr. Miles Nichols
But it’s not always healthy.
Laura Frontiero, FNP-BC
Right. That’s what I wanna establish here is that it’s a mechanism your body uses to fight chronic infection, but it doesn’t necessarily help you in every way.
Dr. Miles Nichols
It mostly, actually, becomes problematic with chronic, Acute infection, you get tired. Your energy production goes down in acute infection. Your body creates a fever. It does the immune response. It does its oxidative thing and you’re over it fairly quickly and your body can then start making energy again and go into repair mode. But with chronic infections is where it becomes particularly problematic because then you have longer term low energy production and longer term cells not up taking glucose and then glucose can rise in the blood. You can have low energy and many other problems can arise from that.
Laura Frontiero, FNP-BC
Yes. And so, people might not always know they have a chronic infection. You can have, I mean, you’re fortunate if you know you have Lyme disease or micro toxin mold intoxication, or if you have parasites or something that’s hanging out there. But there’s a lot of people that have no clue this is going on. They just feel lousy. They just,
Dr. Miles Nichols
Absolutely.
Laura Frontiero, FNP-BC
And they’re told, when they go to their doctor’s office, well, it’s just probably aging because all your labs are checking out fine. Right?
Dr. Miles Nichols
Yeah. Yeah, unfortunately, many times until, until they get a diagnosis like something like diabetes or something like heart disease, maybe,
Laura Frontiero, FNP-BC
Which is way down, right?
Dr. Miles Nichols
Yeah, exactly.
Laura Frontiero, FNP-BC
I mean, at this point, they’ve had some kind of chronic thing that’s causing oxidative stress that, way down the line, now they have something that the allopathic medicine model recognizes as a problem.
Dr. Miles Nichols
And what’s interesting is that many times I will see standard lipid panels looking normal. So, the person doesn’t have elevated cholesterol, but lipoprotein little a, which it is a lipid, but it’s a different lipoprotein that is one that’s showing us that oxidative stress is present, is often elevated for individuals who have normal cholesterol. So, in the normal screen for cholesterol and blood sugar, they’re going to often miss lipoprotein little a, indicating that there is oxidative stress happening. And I find that all the time. And I also find that when glucose and hemoglobin A1C look normal, that if we look at fasting insulin and fructose, or if we put a CGM, a continuous glucose monitor, on someone, we see that there are impaired responses for glucose getting into the cells that have begun, even though they’re not showing as even prediabetes. But even people who have, generally, average of low blood sugar, they’re getting these spikes up and down and that’s showing cellular signaling problems, which we know oxidants can cause cell signaling problems.
Laura Frontiero, FNP-BC
Okay. So, now let’s shift into talking about what to do about it. So, lots of things we can do, but let’s go with supplements here. I mean, I’ve had a lot of people talk about all the lifestyle things. There’s so many talks on this summit about all the things you can do. But let’s dig into supplements because they can help with the negative byproducts from oxidative damage and cell signaling issues. So, which ones do you recommend?
Dr. Miles Nichols
Yeah so, first I’ll say, it’s important for the long run to identify the source and or sources of oxidative stress. That could be a nutrient deficiency and supplementation could directly impact the cause in some cases. For example, if there is glutathione deficiency, then that can really actually improve the function of the antioxidant defense system. And plant-based antioxidants are wonderful for this, as well, for up regulating the internal antioxidant defense system. But I do wanna say it’s important to find a cause if there are toxins or chronic infections or Lyme disease or something that is a bigger cause of oxidative stress, poor lifestyle habits, poor diet. These things are important to identify and not just put a bandaid on of increasing antioxidants. And some of the external antioxidants, some of the ones that are popular, like vitamin E is a very, very strong synthetic antioxidant that unfortunately it can down regulate the antioxidant defense system of the mitochondria because it’s doing the job for them. And so there’s, this, it is a strong antioxidant. It’s shown to be an antioxidant, but it actually won’t improve the endogenous antioxidant defense system. If we wanna train for getting strong, if we wanna do weight lifting to get stronger, we lift weights that are heavy to break down the muscle tissue and then that signals repair and it builds the muscles up.
Laura Frontiero, FNP-BC
Mm-hm.
Dr. Miles Nichols
This is a process it’s called hormesis. And so, there are actually things that some nutrients that are direct antioxidants like vitamin E and vitamin C and glutathione, but there are some that are actual mild pro-oxidants. They actually are creating super oxide like green tea and curcumin and polyphenolic compounds from grape seeds or from many other plant phytochemicals. Any polyphenolic compound or phytochemical compound, from, usually, any brightly colored fruits and vegetables on the dietary front or extractions from those fruits and vegetables and leaves and things like green tea, are actually able to be converted in the body. They get detoxified as if they’re toxin. They get converted into super oxide. They become a mild pro-oxidant, but they’re a small enough pro-oxidant, just like lifting weights is a small enough stress to the muscle. It doesn’t like break the muscle tissue apart. It doesn’t rip it apart to where it can’t repair properly. It stresses it enough to send signals to make it grow. And that’s similar to, like green tea, for example, if you, There are studies that show that the amount of green tea that you get from drinking green tea or even from taking a green tea supplement, will increase glutathione, significantly.
Laura Frontiero, FNP-BC
Mm-hm.
Dr. Miles Nichols
But then, if you keep going up in dose to doses that most people wouldn’t get, you’d be taking a crazy amount of green tea or you’d like make a huge extract and you’d, If you keep going up in dose, it, actually, becomes toxic. It becomes, actually, an oxidative burden that the body can’t, it exceeds the.
Laura Frontiero, FNP-BC
Too much of a good thing. Too much of a good thing. Is that what I’m hearing?
Dr. Miles Nichols
Yeah. Yeah, the dose is important. There’s a U-curve and there’s there’s benefit and then it tapers and there’s actually detriment. So, these plant-based antioxidative brightly colored fruits and vegetables, polyphenolic compounds and phytonutrients are these amazing, they’re almost like exercise, like weightlifting or exercise for the mitochondria. They’re saying like, hey, kick into gear. Because one of the signals that oxidants give is mitochondrial biogenesis. This is part of how exercise works. So, when people exercise, it creates inflammation in oxidants but it’s at the right amount to what signals the mitochondria to reproduce. Biogenesis means reproduction. So, the mitochondria is saying, oh, we need to make more of us
Laura Frontiero, FNP-BC
Mm-hm.
Dr. Miles Nichols
to deal with this oxidative burden. We need to make more antioxidants. Plant-based antioxidants do the same thing. They are a mild pro-oxidant. They do stress the body a little bit in a way that says, mitochondrial biogenesis start to reproduce and make more mitochondria in order to have a better antioxidant defense system to deal with these oxidants that are, not overwhelming the system, but that are telling the system or signaling the system, that they need more mitochondria, more antioxidant defense.
Laura Frontiero, FNP-BC
Okay. What else do you wanna tell us about solving this problem, besides eating the right foods, doing the labs, figuring out what’s happening so you can supplement correctly. What else will support people?
Dr. Miles Nichols
Yeah so, certainly things along the lines of doing other practices that can help mitochondrial function. There’s, In terms of supplementation, there are a lot that are good. I just wanna quickly say that like vitamin E in two high doses of alpha tocopherol, I do think actually makes mitochondria a little more lazy. We know that vitamins C at very high doses, right after exercise, can blunt some of the beneficial hermetic stressful effects of exercise. I like vitamin C a lot, but not right after exercise. And we know that these plant based antioxidant compounds, things like curcumin and things like green tea extract, and polyphenolic compounds from pomegranate extract, these are really amazing plant-based antioxidants and lots of brightly colored fruits and vegetables. Few cups of them per day could be really significant in building strength, like weightlifting for the mitochondria. And then, exercise is gonna be tremendously important, as well. And then being able, and there are other ones there’s Co-Q10. There’s glutathione. There are many other supplements that can be mitochondrial support supplements that also have antioxidative components to them that can be helpful without doing what high dose vitamin E can do, and that can support antioxidants system. So, what I do encourage people to do is to look at the, look at labs, if you can. If you have access to them. Look at things like lipid protein little a. Look at things like lipid peroxidase 8 OHDG.
Those markers. And then also look for dietary approach that integrates a lot of brightly colored fruits and vegetables. Consider supplementation with nutrients that are phytochemical, polyphenol rich nutrients. And then exercise to help with mitochondrial function. Sleep is incredibly, incredibly important. And then there are specific practices. There are breath practices that will induce a mild hypoxia that’ll increase the oxygen carrying capacity and that will stimulate also mitochondrial biogenesis. Cold exposure has been shown to increase norepinephrine a tremendous amount, 200 to 300%, within just seconds of getting into very cold water. And that then can signal the mitochondria to reproduce because your body’s saying I’m cold. I need more heat. Heat comes from energy production. There’s a byproduct when mitochondria are making ATP energy that releases a little bit of heat. There’s a thermogenic property. So, part of what, There’s fat that’s negative for you. There’s a lot of fat tissue, visceral fat tissue and white fat, has health detrimental problems to it. And the adipose tissue can cause big problems of inflammation and swelling and can lead toxicity of stress. But there’s what’s called brown fat where the fat actually, Babies have more brown fat, which means more mitochondria. It’s more densely packed full of mitochondria and cold exposure can actually signal fat to start to reproduce mitochondria, to build more mitochondria and fat in tissue and muscles and in the body. So, cold exposure is a really interesting one that I like for stimulating mitochondrial function, as well.
Laura Frontiero, FNP-BC
Well, whole body cryo is super popular now. So I mean, people are doing this and cold plunges.
Dr. Miles Nichols
Yep.
Laura Frontiero, FNP-BC
Yep. We see places cropping up here and there for your cellular health, right? And for anti-aging. Miles, you’ve talked a lot about root causes. We’ve talked about Lyme and mycotoxins, infections like parasites. Any other additional root causes that may play a part of oxidative stress?
Dr. Miles Nichols
Yeah, I won’t dismiss genetics ’cause they do play a role, but they’re overstated, so I don’t wanna overstate them. Genetic predisposition does play a role in, for example, lipid protein little a elevation or superoxide dismutase production and ability like catalysts to break it down. The enzymes in the body, you can have, what are called SNPs or single nucleotide polymorphisms, in some of the enzymes that are needed to reduce oxidative, I actually have some of those myself. I have some SNPs in part of the enzymes that break down superoxide dismutase. And so, that makes me need a little bit extra antioxidants and be a little more subjected to oxidative stress burden, as compared to the average person. So, I will say genetics play a role. But even though genetics play a role and we do see lipid protein little a elevation, for example, not tied so directly to dietary approaches and tied a little more to genetic predisposition.
There are direct intervention trials using high dose of vitamin C, acetylcarnitine and niacin. I don’t like niacin for reasons I won’t go into right now, but high dose vitamin C and acetylcarnitine, which is also mitochondrial support. Acetylcarnitine is needed for fat to get into the mitochondria instead of being oxidized outside of the cell. And I see a lot of, actually, people who have urinary metabolites that are suggesting that fat’s being oxidized outside of the cell and contributing oxidative burden instead of contributing to energy production. And we want it to go into the mitochondria to produce energy. And acetylcarnitine is one of the factors for that. So, some of the oxidative stress burden is due to either a genetic preposition, a dietary reason, or some other reason why there’s insufficient carnitine in order to shuttle the fat into the mitochondria in order to make energy.
And that is contributing to oxidative stress burden. So, dietarily, meat is the biggest source of carnitine but there’s many reasons genetically, in absorption and gut dysfunction, as to why people might not be absorbing, metabolizing or utilizing that very well. So, gut dysfunction is another big one that I would say is really, really important. Genetics and gut issues. Because with gut issues, you’re not going to absorb as well. And that absorption of nutrients can play a big role. And we know that certain nutrient deficiencies are connected with small intestinal bacterial overgrowth. And we know that certain gut dysbiosis can cause big signaling problems and issues with B vitamin production. And some of the, some of those nutrients, There are nutrients involved in antioxidant defense. There are many minerals involved in antioxidant defense. So, selenium, I mentioned already, is one. And manganese and there are several other, Iron is involved. There are several other minerals involved in the antioxidative system defense system. So, gut dysfunction is a big, big problem that I think contributes to a lot of people’s issues with oxidants.
Laura Frontiero, FNP-BC
Yep. Yep. I always start with the gut. That’s where I go first, when I start working with people. I’m sure you do the same.
Dr. Miles Nichols
Yeah.
Laura Frontiero, FNP-BC
So, this has been fantastic. Your knowledge is so vast. I like literally want to open your brain and pour it into mine. It’s so amazing. Every time I talk to you, it’s like I could get lost in Miles’ words. I know the practitioners viewing this summit are going to love this talk. ‘Cause it’s so, it just really helps connect the dots. And if you’re a consumer in healthcare, then you’ve got a lot of pearls from Dr. Miles on what to be looking for when you’re working with your practitioner. Now, can you share with us how people can get ahold of you? How people can work with you? You do work with practitioners, you do work with patients. Let us know if you have virtual offerings for people and how that works.
Dr. Miles Nichols
Absolutely. Best way to get a hold is to go to the website MedicineWithHeart.com. There is the ability to look at our blog. We have free materials there. There’s also a link to book a pre-discovery call with one of our staff to find out more about the clinic. And we do work with people all across the United States and even some people outside of the United States with some caveats about labs and supplements. But we work with people worldwide. And then the practitioners can go to MindBodyFunctionalMedicine.com. And MindBodyFunctionalmMedicine.com is where Medicine With Heart Institute training programs, clinician training programs, to be able to learn functional medicine and be able to treat complex chronic issues or just get started with functional medicine. So, we have two tracks that are for different practitioners who are at different places in their functional medicine journey. And MindBodyFunctionalMedicine.com is where to go for them. MedicineWithHeart.com is for the clinic for anyone who would like care and, or to get free resources like our blog.
Laura Frontiero, FNP-BC
Oh, so amazing. Thank you so much for being here, for imparting your wisdom and for what you do out there in the world. The world is a better place because you are in it.
Dr. Miles Nichols
Well, same for you. And I really appreciate what you’re this summit and your practice, as well.
Laura Frontiero, FNP-BC
Thanks, Miles. You take good care. Bye now.
Dr. Miles Nichols
You too.
Downloads