In this article:
Protocol development in integrative medicine is not typically a simple process. Individuals require individualized care, and what works for one patient may not work for another.
As a result, the Fullscript Integrative Medical Advisory team advises using an evidence-informed approach to protocol development. To simplify this process for practitioners, we have assembled a sampling of evidence-based standardized protocols that practitioners can use as a foundation when developing individualized protocols.
To establish these protocols, we first developed a Rating Scale that could be used to discern the rigor of evidence supporting a specific nutrient’s therapeutic effect.
The following protocols were developed using only A through C-quality evidence. These are categorized as follows:
A Systematic review or meta-analysis
B Randomized Double Blind Placebo Controlled (RDBPC) 2+ studies and/or 1 study with 50 + subjects
C Randomized Double Blind Placebo Controlled (RDBPC) 1 study
Please refer to the complete Rating Scale for further information.
The ingredients included in these protocols are based on a review of existing clinical research, with a priority placed on systematic reviews and meta-analyses, classified as A in the Rating Scale.
These protocols are intended to form a foundation for developing individualized treatment plans. Clinician discretion is highly advised, as ingredients can vary in safety and effectiveness, depending on the needs of the individual patient.
Ingredient-Based Protocol: Type 2 Diabetes Mellitus
500 mg, three times per day, minimum 12 weeks1
- In diabetic patients, demonstrated reduction in blood glucose levels comparable in effect to hypoglycemic pharmaceutical interventions2
- Overall effectiveness measured by reduction of T2DM biomarkers2
Search for Berberine in the Fullscript catalog.
500 mcg, two times per day, minimum four weeks3
- Current literature confirms a minor reduction in blood glucose when supplemented consistently for four weeks or longer3
- Chromium supplements should be taken with a carbohydrate-containing meal4
Search for Chromium Picolinate in the Fullscript catalog.
5 g, three times per day, minimum six weeks5
- In diabetic patients, demonstrated minor to moderate reduction in blood glucose levels6
15 g daily is a minimum dose and can be titrated up gradually to patient tolerance5
- However, no current literature points to an increased benefit using more than 15 g daily5
Search for Psyllium Husk in the Fullscript catalog.
Adding Protocols to your Fullscript Catalog
Create a Template
- Click the “Prescriptions” button
- Click “Manage your prescription templates”
- Click “Create a new template”
- Add a title, products, dosing, message, and attachments
- Click “Save Template”
Templates can be accessed and applied when creating a new prescription for your patients.
Write a Prescription
- Click the “New Prescription” button
- Click the “Templates” button in the right-hand menu column
- Click the “Apply” button beside the template you wish to apply
- Modify as needed
- Click the “Send to Patient” button!
Create a Category
- Click the Catalog button
- Click the “Your Favorites” tab
- Click “Add Category” and add name
- Add products
Categories can be used for quick reference or for patient use when accessing the catalog (depending on catalog settings).
Visit the Fullscript Integrative Clinical Education Hub for a full review of the literature used to develop this protocol.
We’d be happy to help you create a protocol containing these ingredients in your Fullscript catalog! Contact our Customer Success team for assistance.
1 (A) - https://www.ncbi.nlm.nih.gov/pubmed/23118793
2 (B) - https://www.ncbi.nlm.nih.gov/pubmed/18397984?dopt=Abstract
3 (B) - https://www.ncbi.nlm.nih.gov/pubmed/9356027
4 (C) - https://www.ncbi.nlm.nih.gov/pubmed/15310739
5 (B) - https://www.ncbi.nlm.nih.gov/pubmed/9747644
6 (C) - https://www.ncbi.nlm.nih.gov/pubmed/12209371