Master of Science in Human Nutrition and Functional Medicine

Core Courses

MSN6101 Evidence-Based Nutrition (3 credits)
This course provides core knowledge in evidence-based nutrition with a focus on the role of nutrition in health optimization and disease treatment. Students will gain a detailed understanding of the practical application of various nutrients and dietary strategies used in clinical practice. Discussions will also incorporate the three components of evidence-based health care (clinical expertise, patient preference, research evidence) into the decision-making and data-analysis process. Prerequisite: MSN6102

MSN6102 Principles of Functional Medicine (4 credits)
This course presents the fundamental concepts of functional medicine, including genetic predisposition to illness, biochemical individuality, environmental factors functions and imbalances, triggers and mediators of illness, common clinical imbalances (oxidative and reductive stress, energy production, structural integrity, assimilation, immune surveillance and inflammation, other defense mechanisms, hormone and neurotransmitter regulation, detoxification and biotransformation, nutritional genomics, and the relationships of mental, emotional and spiritual elements to health and healing). The personalized, whole-person, integrated systems approach of functional medicine will be compared and contrasted to conventional approaches of health care. Specialized clinical assessments, diagnostic functional tests and measures/biomarkers of allostatic load will be explored, along with some of the core therapeutic approaches used in many patients. This course lays the foundation for many of the subsequent courses in this degree program and must be taken in the first quarter of the program.

MSN6105 Clinical Biochemistry and Laboratory Assessment (3 credits)
This course explores the molecular basis of important physiological imbalances and illness states associated with aberrant metabolic function. Special emphasis is given to nutrition-responsive conditions. Through the evaluation of various laboratory testing methods, students will learn to gather clinically relevant data, assess key findings, and connect test results with elements of the nutrition-focused care plan.

MSN6202 Sports Nutrition and Exercise Metabolism (3 credits)
This course focuses on nutrition considerations and applications in exercise, athletics, performance enhancement, and weight management. Fitness-promoting programs are compared and contrasted, and the evidence supporting various programs is evaluated. Pre-participation guidelines are reviewed. Prerequisite: MSN7208

MSN6204 Gastrointestinal Imbalances (4 credits)
This course presents a functional medicine approach to understanding the metabolism of the gastrointestinal system, with an emphasis placed on the nutritional implications of dysfunctional digestion or absorption, intestinal membrane integrity and permeability, alterations in GI microbiological flora and gut ecology, hepatoenteric cycles, hydrochloric acid and digestive enzymes, assimilation of nutrients, and the GI immune system. Nutritional support of GI function and repair is emphasized. Health disorders reviewed include inflammatory bowel diseases, irritable bowel syndrome, gluten sensitivity, autism, and disorders of systemic inflammation. Prerequisites: MSN6101, MSN6102, MSN6105, MSN6305

MSN6300 Detoxification and Biotransformation Pathways and Imbalances (3 credits)
This course examines the metabolic pathways involved in the conversion of exogenous and endogenous toxins and waste compounds and molecules into excreted substances, placing them in context within the functional medicine model. Phase I and II reactions, regulation of detoxification pathways, genetic variations, and functional assessment of these mechanisms are detailed. Nutritional support and the effect of drugs on detoxification pathways are reviewed, as well as the disturbed physiology and eventual pathology that results from imbalances in detoxification and biotransformation. Prerequisite: MSN7208

MSN6303 Hormone and Neurotransmitter Regulation and Imbalances (4 credits)
This course examines the actions, interrelationships, control mechanisms and imbalances of neurotransmitters, neuroendocrine factors, hormones and immune mediators. Particular emphasis is placed on the hypothalamic-pituitary-adrenal (HPA) axis, thyroid metabolism, and sex hormones. The effects of toxins, free radicals, stress, diet, nutrient deficiencies, digestive disorders, drugs and specific foods on neurotransmitters and hormones are analyzed within a functional medicine framework. Laboratory testing of the various substances, including precursors and metabolites is included. Prerequisite: MSN7208

MSN6305 Whole Food Nutrition and Supplementation (4 credits)
This course covers concepts and evidence related to nutritional therapy, public health nutrition policy, whole foods and processed foods, food groups, dietary patterns, nutrient content of foods, organic and conventional foods, and various controversies in the field of nutrition. Evidence on nutritional prevention and treatment of major diseases is emphasized. Dietary guidelines, meal planning, and regulation and quality control in the dietary supplement industry are also discussed. Prerequisite: MSN6102

MSN7102 Oxidative/Reductive Dynamics and Energy Production (3 credits)
This course examines the mechanisms leading to oxidative or reductive stress and the impact of those reactions on the development of chronic disease. Production of free radical and reactive oxygen species, and the nitric oxide cycle are covered in depth. Mitochondrial dysfunction and other mechanisms of abnormal energy production are reviewed. Relevance to conditions such as neurodegenerative disorders, chronic fatigue, and fibromyalgia will be emphasized. Prerequisite: MSN7208

MSN7106 Autoimmune Disease: Causes and Strategies (3 credits)
The prevalence of autoimmune diseases is increasing rapidly worldwide and, as with other health ailments such as hypertension and diabetes, these conditions are becoming particularly more common in westernized societies. Rapid changes in disease prevalence point to a change in the patient’s environment rather than to genetic causes, to which these conditions have traditionally been ascribed. Likewise, these conditions that were once considered idiopathic have now been described and researched to the extent that we better understand the etiology and pathophysiology of the disease process, allowing us to formulate improved treatment approaches. This course uses a functional medicine perspective to explore the major autoimmune diseases, their unique and common etiologies, laboratory assessments, physical exam findings, and nutritional and integrative interventions, including pharmacologic drugs. Prerequisites: MSN7200, MSN7208

MSN7116 Meal Planning in Health and Illness (3 credits)
This course prepares students to design and modify meal plans in order to promote optimal health, address specific illness states, manage weight and encourage healthful food behaviors. Emphasis is placed on demonstrating practical skills for effective patient assessment and communication with appropriate documentation. Special consideration will be given to food selection, preparation methods, patient preference, operating within a budget, cultural influences and the creation of sustainable plans that encourage long-term compliance. Prerequisite: MSN7208

MSN7200 Immune Imbalances and Inflammation (4 credits)
This course explores inflammation and immune dysfunction as common pathogenic mechanisms in many chronic disorders, such as diabetes mellitus, hypertension, allergy, and autoimmunity. Dietary and phytonutritional influences on the inflammatory process, including both proinflammatory and anti-inflammatory effects, are explored in depth using a functional medicine framework. Case studies include autoimmune diseases, allergies, and metabolic disorders. Risks, benefits, and nutritional interactions associated with common anti-inflammatory medications are reviewed. Prerequisite: MSN7208

MSN7208 Nutritional Epidemiology and Clinical Research (3 credits)
This course is an introduction to the principles of epidemiology and their application to nutrition. This course addresses the role of nutrition in investigating the epidemiology of many chronic diseases. The course also stresses clinical research design methods utilized in nutrition research as well as general clinical research designs such as clinical trials, cohort studies, case- control studies, and other pragmatic designs. Prerequisites: MSN6101, MSN6102, MSN6105, MSN6305

MSN7216 Cardiovascular Disease and Metabolic Imbalances (3 credits)
Diseases of the cardiovascular system and disruption of its related metabolic processes are among the deadliest and most economically burdensome health problems facing industrialized societies. Having reached epidemic proportions, an urgent need now exists to identify and implement strategies for reversing the trend of increased morbidity and mortality, uncontrolled cost and younger age of onset that characterizes these conditions. This course presents a functional medicine approach to the prevention and nutritional management of chronic cardiovascular disease and imbalances of metabolism (including metabolic syndrome and type II diabetes mellitus). Students also learn the key diagnostic criteria, physical examination and laboratory findings associated with these conditions. Prerequisite: MSN7208

MSN7300 Clinical Nutrition through the Life Cycle (2 credits)
This course provides an overview of nutritional considerations related to the stages of life. Topics include differences in nutritional needs by age group, expected variations in nutrient status, and common conditions or health concerns for specific age groups. Chronological age is contrasted with biological and functional indicators of health status to better represent the variety of patient or client presentations students will encounter. Prerequisite: MSN7208

MSN7305 Capstone-HNFM (3 credits)
This is the capstone course in the degree program and is taken in the last quarter of study (with other courses), or in the following quarter. Each student produces a scholarly paper on a subject related to nutrition and/or functional medicine. Students also write a reflective essay about their learning experiences in the MS-HNFM program. Essential skills and concepts taught in required program coursework will also be assessed through work completed in this course. Prerequisite: All required courses completed prior or concurrently.

Elective Courses

MSN6050 Foundations of Nutritional Biochemistry (2 credits)
This course provides an overview of essential concepts in human biochemistry that support effective nutrition-focused health care. The course examines the biological roles of macro- and micronutrients, their metabolism, and related key physiological processes. Topics include carbohydrates and energy metabolism, protein and amino acids, bioactive peptides, enzymes, lipids, and nucleic acids. Students will be prepared to connect these concepts with normal and aberrant body function. This course is only available to students who did not complete their biochemistry prerequisite prior to entry into the MS-HNFM program.

MSN7201 Fundamentals of Mind-Body Medicine and the Psychology of Well-Being (2 credits)
This is an overview of mind-body medicine — history and current practices. There will be a particular emphasis on the growing variety of evidence-based mindfulness practices, specifically Mindfulness-Based Stress Reduction (MBSR) and related approaches including Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and Mindful Self-Compassion. We will approach mind-body medicine through a biopsychosocial lens, taking into account the context and culture of environment. We will also explore the impact of meaning and story on illness / wellness and how this can be brought into the therapeutic relationship through Narrative Medicine. This class includes a strong experiential component through instruction and practice in mindfulness and other mind-body practices. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8100 Botanical Medicine (2 credits)
This course presents a practical overview of medical botany/herbology, including history, composition, safety, and therapeutic use of the most commonly used botanical medicines. Each of these agents is reviewed regarding its classification, bioactive components, herb-drug-nutrient interactions, mechanism of action, metabolism, indications and contraindications, toxicology, methods of administration, and dosage. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8115 Advanced Practice Modules (modules from IFM and AFMCP) (2-4 credits)
Advanced Practice Modules (APMs) and the week-long Applying Functional Medicine in Clinical Practice (AFMCP) from the Institute for Functional Medicine (IFM) can be completed for elective credit, with one APM or one AFMCP substituting for one elective course in our MS program. APMs are focused on a single key health dysfunction such as gastrointestinal, cardiometabolic, detoxification and immune imbalances. APMs are offered both in person and electronically for greater ease of access. MSN8115 must be completed prior to MSN7305 Capstone-HNFM.

MSN8125 Pharmacology and Drug-Nutrient Interactions (2 credits)
This course provides a practical overview of pharmacologic therapy used in the management of ambulatory patients with chronic illnesses or non-life-threatening acute illnesses. The student will study the effects of drugs on organ systems and diseases and the mechanism of action (pharmacodynamics), the absorption, distribution, metabolism and excretion of drugs (A.D.M.E. of pharmacokinetics), potential toxic effects of medications, factors affecting the effectiveness of drugs, and interactions with drugs, botanical compounds, foods and nutritional supplements. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8126 Supervised Nutrition Mentorship I (2 credits)
MSN8127 Supervised Nutrition Mentorship II (2 credits)
Mentorships are designed to provide practical experiences to help students explore various career opportunities and/or improve practical knowledge and skills within the field of nutrition. During a mentorship, students work under the supervision of a credentialed nutritionist or other health care professional in a nutritional practice environment. Students are responsible for finding a licensed health practitioner who will serve as their mentor. The supervised experience must total at least 66 hours and may include observational experience in the following categories: nutritional assessment, intervention, education, counseling or management, and monitoring or evaluation. Optionally, students may extend the mentorship as high as 335 hours. Only two credits per quarter will be awarded, no matter how many additional hours above the minimum 66 hours are involved. (Program director permission required) Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8132 Nutrigenetics and Nutrigenomics (2 credits)
This course explores the current understanding and practical application of nutrigenetics and nutrigenomics. By considering the impact of individual genetic variations on nutritional status and requirements (nutrigenetics), students will learn to provide tailored dietary and nutritional recommendations that accommodate common genetic variants. Evaluating the evidence for food and nutrient modulation of gene expression (nutrigenomics) will improve the student’s ability to design nutritional treatment plans that address common chronic illnesses and aid in their prevention. Connections to nutritional epigenetics and genetic testing options will assist the student in navigating the complexities of gene-mediated influences on health and illness. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8135 Psychology of Eating and Wellness (2 credits)
This course explores our complex relationship with food: why we eat what we eat, how we eat, and why we eat too much or too little. Based on positive psychology, mind-body medicine, cognitive-behavior therapy, and a functional medicine model of psychological intervention as paths to wellness, the course also focuses on expectations, beliefs, and resistance to change. Students will examine their own eating and wellness practices, as well as their readiness for counseling others. Therapeutic interventions for developing healthy behaviors and recognizing eating disorders will be discussed and the role of family, peer, societal, corporate, and governmental influences on personal choices will be emphasized. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8145 Plant-Based Nutrition (2 credits)
This course provides a comprehensive guide to plant-based nutrition. Subjects addressed include obtaining sufficient protein from plant sources, the health benefits of a whole foods plant-based diet for prevention and treatment of chronic disease, and determining which supplements are essential. Emphasis is given to transitioning to a vegan diet, and its appropriateness during pregnancy and breastfeeding, for children and teens, for people over fifty, and for people engaged in recreational sports and competitive athletics. Nutrient-dense recipes and menus are provided. Various dietary controversies are evaluated in an evidence-based framework. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

MSN8165 Nutrition Practice Strategies (2 credits)
This course addresses essential aspects of successful nutrition practice with an emphasis on advanced nutrition counseling techniques. Students study effective communication, observation, and active listening skills. Assessment of stages of behavior change and motivational interviewing are integrated with methods for guiding clients/patients through goal setting and maintaining accountability. Case studies to integrate knowledge with clinical application are examined. Analytical strategies such as planning, implementation, and assessment of progress are discussed to prepare the practitioner for successful patient management. Practical steps for setting up a nutrition practice are presented. Prerequisites: MSN6101, MSN6102 MSN6105, MSN6305

COUN6425 Ethical Use of Telehealth Platforms (2 credits)
This course introduces students to digital healthcare platforms, their ethical use, and related jurisdictional laws and rules. Students will examine advances in information and communication technology, as well as data collection. Students will become familiar with how smartphone applications, virtual reality, and wearable sensors support healthcare services. Additionally, students will identify mainstream telehealth startups, evaluate incentives for investing in promising telehealth tools, predict consumer demand based on efficiencies in access and pricing, and understand real-world implications of big data collection and management.