So we resort to the term nutritional medicine so as not to alienate out patients and colleagues. Page one of any pathology textbook will tell you that by the time disease is detectable by microscopy there must have involved a structural change. The structural change must have involved an alteration in the biochemistry in a direction away from the direction that nature intended. They will say look up a biochemistry book to find out what this change entails. The biochemistry books fail to link the pathobiochemistry with the clinical symptoms and everybody basically passes the buck. Nutritional medicine links the various specialties and tries to explain all the phenomena.
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