By Marianne Green, RD, Functional Nutritionist

Eating Hygiene. Have you heard this term? Most people think of the definition in terms of the conditions and measures to ensure the safety of food from production to consumption. Here at FMI, the term eating hygiene is used in terms of  “the method of how you eat”.

Do you eat on the go and shovel food down your throat? Do you eat dinner quickly and can hardly breath between bites? Do you eat while watching TV and forget you’re even eating? Eating hygiene is one of my favorite topics to explore with clients, and you’ll find out why at the end! Patients love hearing nutrition education, but they always gain so much insight into their digestion when we discuss their eating hygiene.

I’m a Registered Dietitian at FMI and during appointments I help my patients discover things that may be inhibiting their digestion. This topic is for everybody: children, teenagers, athletes, older adults, etc.

Digestion begins in the mouth with an enzyme called salivary amylase. The enzyme is embedded in our saliva and when food enters the mouth it signals the release of amylase. To aid in optimal digestion, it is important to chew food 20-30X. Typically, people chew 6X before swallowing their food. If food isn’t fully broken down in the chewing process, the other parts of our digestive tract have to work harder.

By not completely chewing our food, we are missing the first enzyme intended to break down food. This causes large, undigested food to enter the lower GI tract and can cause bloating, flatulence, and distention. 

It takes about 20 minutes for your gut to signal to your brain that you’re full and reduce your sense of hunger. Set a timer next time you sit down for a meal, you might be surprised by how short of time you eat. An easy tip I give to clients and I practice myself is putting my fork/spoon down in between bites. Your body needs oxygen to function and believe it or not oxygen is needed to properly digest food, so taking time to breath in between bites is a great idea!

“Finish your plate” is a saying many of us heard growing up. I would love to see people change their mindset and see this concept replaced with “eat when you’re hungry and stop when you’re full”. Your body has a voice and it tells you what it needs, you just need to slow down and be quiet enough to hear it. We live jam packed and stressful lives, and often lose track of our hunger and fullness cues.. Let’s SLOW down and prioritize eating by cooking our food and sitting around a table to enjoy it. 

This is my favorite topic because… it’s free! It doesn’t cost anything to chew your food longer, put your utensil down, or breath between bites. It’s completely free. When we take care of our gut we take care of all parts of our body because our gut is connected to brain health, organ health, hormone health, tissue health, energy levels, skin, etc.

Stephanie Ritari, PA-C

Stephanie Ritari is a board-certified Physician Assistant who offers primary care for adults at the Functional Medicine of Idaho Meridian Wellness Center. She specializes in Internal Medicine and has spent the majority of her career in the field of cardiovascular disorders.

Stephanie has more than 15 years experience as a Physician Assistant in a variety of medical areas, including cardiology and electrophysiology. Holistic practices have long been a part of Stephanie’s lifestyle, with a particular focus on clean living and nutrition. She has embedded functional principles into her conventional medicine practice throughout her career. After watching family members struggle to find answers for their chronic illnesses, Stephanie became more interested in finding ways to take a root cause approach in her own practice. Wanting to provide a proactive, comprehensive, and preventative scope of care for her patients, Stephanie began studying functional medicine. In 2021, she joined Functional Medicine of Idaho, where she is able to provide evidence based, root cause medicine.

Stephanie earned her Bachelor's of Science in Exercise Physiology from the University of Montana and her masters in Physician Assistant Studies from Rocky Mountain College. She is currently working towards her certification with The Institute for Functional Medicine. 

In her spare time, Stephanie enjoys spending time with her husband, son, and dog doing outdoor activities including biking, hiking, and skiing. She also loves interior design and traveling, and is hoping to start her own garden in the near future.

Dr. David Musnick, MD, IFMCP

David Musnick is a board-certified medical doctor who offers in-person and telemedicine care from the Functional Medicine of Idaho Eagle clinic (coming soon). Dr. Musnick offers Functional Medicine, Sports Medicine, Functional Immunology, and Primary Care for adults and teenagers. He specializes in sports medicine, internal medicine, frequency specific microcurrent (FSM), scars, homeopathy, prolotherapy, and low-level laser treatments. 

Dr. Musnick is interested in getting to the root of underlying causes and factors that affect healing, including diet, sleep, exercise, stress, GI health, brain region health, toxins, hormones, infections, and electromagnetic fields (EMF). In medical school, Dr. Musnick spent a year studying nutrition. He has always been interested in the complex interrelationships of different systems of the body. Taking on challenges in the past, he created new treatment programs to heal the brain after concussion, treat chronic pain, arthritis, and tough SIBO and IBS cases. Dr. Musnick wants to help his patients achieve the highest level of health, vitality and function. 

After his internal medicine residency in Seattle, Dr. Musnick completed a fellowship in sports medicine where he became interested in helping patients get back to optimal musculoskeletal health and eventually back to their favorite activities. He quickly learned that many areas of the body were interrelated and started learning more about nutrition, supplements, and other facets of functional medicine. Dr. Musnick has more than 24 years of experience in Functional Medicine and achieved a very high level of both experience and expertise with many health conditions. He is also the author of the book, Conditioning for Outdoor Fitness, and helped in writing textbook chapters on arthritis and concussions.

Dr. Musnick received his Doctorate of Medicine from the University of California, San Francisco. He is certified through the Institute for Functional Medicine as an IFMCP. He also studied in the French school of Homeopathy. He is uniquely rare in that he teaches Frequency Specific Microcurrent (FSM) and how to integrate it with functional medicine. 

In his spare time, Dr. Musnick enjoys hiking, nature photography, cooking healthy food, mountain biking, and skiing.

IFM Certified Practitioner

Aaron Dykstra, DNP, FNP-C

Aaron Dykstra is a board certified Family Nurse Practitioner with a Doctor of Nursing Practice degree. He offers pediatric primary care, including well-child checks and acute visits, in the Pediatric Department of the Functional Medicine of Idaho Meridian Wellness Center.

Functional and alternative therapies were a part of Aaron’s life from a young age, and he has implemented these principles into his conventional medicine practice throughout his career. Aaron has more than 8 years of experience in a variety of medical disciplines, including pediatrics, obstetrics, mental health, and nutrition. He has practiced in rural health clinics in California and Oregon. For the last 5 years, Aaron has had a passion for working with children and implementing positive change through the family unit. Aaron joined the Functional Medicine of Idaho Pediatric Team in 2021. His enthusiasm for educating children and parents about living a healthy lifestyle allows him to provide preventative and acute care for infants, children, and adolescents. 

Aaron obtained his Bachelor of Science in Nursing at Brigham Young University. He earned both his Master’s of Science in Nursing and Doctor of Nursing Practice through the University of Arizona. He has obtained a Family Herbalist and Family Nutritionist certifications through The School of Natural Healing by Dr. Christopher. He is currently working towards his certification with The Institute for Functional Medicine.

Outside of work, you will find Aaron spending time with his wife and 5 kids, mountain biking, running, or camping in the backyard. Aaron is a big fan of Master Chef and enjoys cooking.

Nadia Kravchuk, DNP, FNP-C

Nadia Kravchuk is a board certified Family Nurse Practitioner with a Doctor of Nursing Practice degree. She offers functional pediatric primary care, including well-child checks and acute visits, in the Pediatric Department of the Functional Medicine of Idaho Meridian Wellness Center.

Nadia and her family immigrated to the United States in 1989 where they first settled in Oregon and then moved to Idaho in 2001. Complementary medicine practices were embedded into her lifestyle at a young age, and she has implemented these principles into her conventional medicine practice throughout her career. She has more than 15 years experience in a variety of medical environments, including emergency room, intensive care unit, pediatrics, obstetrics and gynecology, family practice, and aesthetics.

Nadia joined Functional Medicine of Idaho so that she can combine functional principles with the foundations of conventional medicine to address the underlying causes of disease and promote optimal wellness. As an avid gardener, beekeeper, and sustainable living enthusiast, she understands the importance and role of optimizing nutrition, sleep, physical, spiritual, and emotional well-being. She has a passion for pediatric functional medicine and understands that early recognition and interventions can correct imbalances, prevent chronic illness, and improve overall outcomes for children.

Nadia obtained her Bachelor of Science in Nursing at Northwest Nazarene University. She earned both her Master’s of Science in Nursing and Doctor of Nursing Practice through Frontier Nursing University. In 2017, she was the recipient of the HCA Excellence in Nursing Award. She is currently working towards her certification with The Institute for Functional Medicine.

Outside of work, you will find Nadia working on her urban homestead, hiking, foraging, camping, snowboarding, and spending time with her husband and her dog, Wolfy. She is also fluent in both English and Russian.