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Illness is a process and the cut offs we use to define disease, here diabetes, are to some extent arbitrary cut offs. They are useful in their own right, but they may give the impression that until the patient was actually diagnosed with diabetes the patient was not ill. People like Hyman, and his mentor, Dr. They rightly criticize the current diagnostic coding system invented by bureaucrats, ICD-9 and its new iteration ICD, as artificial constructs. Jeffrey Bland, perhaps the father of functional medicine, writes in his book, The Disease Delusion, that illness is merely a consequence of imbalances within a handful of basic biological systems, the so-called functional medicine matrix, at the center of which is the mental-emotional-spiritual core of the human being. All too often we seek out the simple cause in order to intervene on its presumed effect. But I am digressing from what I want to say in this essay because I am sure I am touching on themes I will return to again and again May not be available in all states

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