Twenty modules. Five pillars.
Modules 1–14 build the four-pillar foundation. Modules 15–19 add genomics, epigenomics, and the regulated frontier of gene-targeted therapy. Module 20 integrates everything in a capstone care map.
- 01
Foundations of Integrated Systems Health
The five-pillar model, evidence grading, and the limits of mechanism.
MicrobiomePeptidesVagus & AutonomicGenomics & EpigenomicsLab TestingFive pillarsEvidence vs anecdoteReductionism vs systemsScope of practice - 02
Microbiome Ecology & Metabolites
Communities, diversity, SCFAs, bile acids, and what testing actually shows.
MicrobiomeDiversity metricsSCFAsBile acid poolMucus & barrier - 03
Diet, Fiber & the Microbial Diet–Phenotype Loop
Practical nutrition for ecology, not for ideology.
MicrobiomeLab TestingFermentable fibersPolyphenolsFODMAP nuancePersonalization - 04
Probiotics, Prebiotics, Postbiotics & Live Biotherapeutics
What the evidence actually supports — and where it doesn't.
MicrobiomeStrain-specific claimsFMTLBPsMarketing red flags - 05
Peptide Pharmacology Foundations
Receptor biology, half-life, sourcing, regulation, and safety.
PeptidesLab TestingPK/PD basicsSourcing & purityRegulatory statusAdverse effects - 06
GLP-1, GIP & Cardiometabolic Peptides
Evidence-graded use, monitoring, and integration with lifestyle.
PeptidesLab TestingGLP-1 RAGIP/GLP-1Body compositionLong-term safety - 07
Regenerative & Investigational Peptides
BPC-157, TB-500, thymosin family — separating signal from hype.
PeptidesMechanism claimsTrial maturityRisk communication - 08
Vagus & Autonomic Physiology
Anatomy, the inflammatory reflex, HRV, and clinical phenotypes.
Vagus & AutonomicAfferent / efferentHPA axisHRV interpretation - 09
VNS, tVNS & Behavioral Regulation
Devices, breathwork, gut-directed hypnosis — what works for whom.
Vagus & AutonomicImplanted VNSAuricular tVNSSlow breathingCBT/GDH - 10
Disorders of Gut–Brain Interaction
IBS, functional dyspepsia, and the autonomic–microbial overlap.
Vagus & AutonomicMicrobiomeRome criteriaVisceral hypersensitivityBehavioral therapy - 11
Lab Testing Foundations
Baseline panels, pre-test probability, and avoiding test cascades.
Lab TestingCBC/CMPLipids beyond LDL-CInflammation panelHormones - 12
Functional & Specialty Testing — Critical Read
Stool, organic acids, food sensitivity — where they help and where they mislead.
Lab TestingMicrobiomeGI-MAP-style panelsOATIgG food panels caveats - 13
Hormonal & Metabolic Monitoring
Thyroid, sex hormones, insulin, fasting markers, body composition.
Lab TestingPeptidesTSH/fT4/fT3Sex hormonesHOMA-IRDEXA - 14
Integrating Microbiome × Peptides × Vagus × Labs
Building the four-pillar care map before genomics layers in.
MicrobiomePeptidesVagus & AutonomicLab TestingPhenotypingSequencing interventionsOutcome metrics - 15
Genomics for Functional & Systems Medicine
Genome vs epigenome vs phenotype, family history, and the limits of testing.
Genomics & EpigenomicsLab TestingGermline vs somaticPenetranceDTC vs clinicalThree-generation pedigree - 16
Early-Warning Genetics & Preventive Care
Identifying inherited risk before disease becomes clinically obvious.
Genomics & EpigenomicsLab TestingHBOC / Lynch / FHCardiomyopathy / channelopathiesCascade testingPolygenic context - 17
Pharmacogenomics, Peptides & Precision Prescribing
Translating PGx into safer prescribing without abandoning monitoring.
Genomics & EpigenomicsPeptidesLab TestingCYP2D6/2C19/2C9HLA riskDPYD/TPMT/NUDT15CPIC workflow - 18
Nutrigenomics, Microbiome & Functional Genomics
Practical, cautious integration of gene–nutrient–microbe interactions.
Genomics & EpigenomicsMicrobiomeLab TestingMTHFR overclaimingAPOE / LCT / ALDH2 / HFEFUT2 caveatsMicrobe → epigenome - 19
Epigenome Modulation & Gene-Targeted Therapies
Influencing expression with lifestyle — and the regulated frontier of CRISPR, RNA, and gene therapy.
Genomics & EpigenomicsMicrobiomePeptidesVagus & AutonomicLab TestingModifiable epigenetic inputsMethylation clocks caveatsCRISPR / AAV / ASO / siRNASpecialist referral - 20
Capstone: Integrated Genomic Care Map
Build a full five-pillar care map with evidence grading and referral logic.
MicrobiomePeptidesVagus & AutonomicGenomics & EpigenomicsLab TestingPhenotype → tests → planEvidence grading per claimStop / refer / escalate