“The first 1000 days of life are instrumental for clinical destiny.”
-Alessio Fasano, MD, and Chief of Pediatric Gastroenterology and Nutrition at Mass General Hospital in Boston

Dr. Fasano, a world-renowned pediatric gastroenterologist, pioneered the thought process behind leaky gut and resulting health conditions that develop later in life. His remarkable work includes the discovery and diagnosis of “non-celiac gluten sensitivity” and its association with a multitude of chronic health conditions, which can start at a very young age in children.

As functional medicine practitioners, Dr. Fasano’s work encourages us to focus on and ask questions regarding the first 1000 days of life. Starting with PRENATAL exposures that can have a lasting impact on the body’s immune system, we must explore mom’s nutritional status, alcohol intake, tobacco exposure, and environment, to name a few. For instance, babies born by c-section can experience a dramatic impact on their gut health, since they lack the appropriate amount of mom’s healthy bacteria. And when a baby isn’t breast fed, their gut may not develop appropriately since there are specific sugars in breast milk that feed and fuel the microbiota.

Antibiotic use early in life also has profound impacts on your child’s immune system and hence, the gut, since 80% of our immune system is housed in the gut. Some scientific studies show that after ONE round of antibiotics, it will take the gut one to two years to heal. Other studies show that after only one round, our gut microbiome is NEVER the same.

Another important topic worth mentioning is the hygiene hypothesis. Antibacterial products are EVERYWHERE. We know that children who grow up with dogs in the home and spend more time playing in dirt have healthier immune systems, as these activities help with inoculation of healthy bacteria in the gut.

And it’s worth mentioning that the ever-dreaded glyphosate that is sprayed on fields, parks, and fruits and vegetables is intended to kill bugs and viruses and stop weeds from growing. As a result, this herbicide penetrates our food and water supply. EEK! The resulting impact on developing children is devastating since this potent toxin acts as an antibiotic and wipes out beneficial bacteria that are pivotal to a healthy immune system. The other impacts of glyphosate is a topic for another day…

Are you overwhelmed yet? Mom guilt starting to creep in because your child wasn’t breastfed for two years, or born by c-section? Read on….

The MOST influential factor that determines clinical outcomes in the first three years of life is NUTRITION. Children eat at least three times a day and YOU as a parent have a lot of control over the foods they consume. YOU have the power to purchase nutritious foods and educate and encourage your children to eat these foods and form healthy habits early on. Wondering what to buy? Eat the way our ancestors did. Consider an organic, non-GMO, and mostly plant-based diet. When purchasing foods with labels, especially note the gluten, sugar, and soy (the majority of it is GMO) ingredients and amounts. Be careful with dairy since even organic can be inflammatory for some children. Focus on grass-fed organic meats, wild fish, and nuts and seeds for sources of protein. Continue to introduce new foods to your children to ensure they are getting a wide variety of foods to support a healthy microbiome.

In the end, we know that an imbalanced microbiota WILL (not can) eventually trigger immune activation. For those of you who want to dig deeper, check out the following video of Dr. Fasano discussing the science behind the first three years of life, leaky gut, gluten and nutrition.

Amber Warren, PA-C
Functional Medicine of Idaho

Josiah Smith, PA-C

Josiah Smith graduated with his Bachelor of Science degree in Physician Assistant Studies from Drexel University in 1998. He continued his education and received his Master of Physician Assistant Studies in 2007. He served as a medical officer with the Army National Guard and earned the rank of Captain. He started his career in Family Practice and moved onto Emergency Medicine and Urgent Care. When he experienced overwhelming life stressors ten years ago, he sought out conventional medical care and all that was offered were several “pills.” Not satisfied that this would fix the “root” cause of his symptoms, Josiah found a Functional Medical provider that transformed his wellbeing through a lifestyle and root cause resolution approach. Impressed with his health transformation, he started his own pursuit of being trained in Functional Medicine.

Josiah opened his own functional medicine consulting practice in Las Vegas with several health coaches. His professional pursuits continued into learning how to optimize the body’s healing potential via other therapeutic interventions. He uses regenerative medicine for aesthetics, sexual wellness, repair and recovery of the body. These include peptide therapy, hormone optimization, IV infusions, Acoustic Wave Therapy, and other cellular interventions to enhance vitality and longevity.

In his personal time he enjoys international traveling and exploring cultures, history, and cuisine with his wife and four teenagers. Josiah also enjoys hiking and skiing.

Kristin Gomes, APRN-CNM

Kristin is a Certified Nurse Midwife.  She received a bachelor’s of science in nursing from California State University San Bernardino.  After working as a registered nurse in transplant, oncology, and palliative care Kristin switched her focus to gynecology, labor, and birth.  Recognizing the need to emphasize health, wellness, and prevention in our culture, she saw an opportunity to impact the health of women and their families through education focused, more personalized, family centered care. Thus, Kristin pursued a graduate degree in nurse midwifery at New York University and graduated with honors in 2014.  She has practiced as a nurse midwife in the Treasure Valley since 2015.

Throughout her years of practice Kristin has always strived to provide an inclusive and holistic approach to healthcare. She aspires to meet each woman where they are and collaborate with them on their health journey.  She has seen the profound difference in treating a symptom vs treating the cause while supporting the body.  The desire to support the innate healing and protective qualities of the body through evidenced based care led to her discovery of functional medicine.  In late 2020 she began her training through the Institute for Functional Medicine which she completed in the winter of 2022.  At Functional Medicine of Idaho alongside the community of practitioners, nutritionists, nurses, and health coaches Kristin has the opportunity to provide a personalized and integrative women’s health experience focused on individualized wellness. 

Kristin feels deeply connected to nature.  When she’s not in the mountains camping, hiking, kayaking, or fishing you can find her tending her garden beds or on her yoga mat.  Her favorite season is winter, preferably one with lots of snow, and her happy place is on her skis with her husband and daughter.

Allyson Howarth, DNP, FNP-C, WHNP

Allyson Howarth is a board-certified Family Nurse Practitioner and Women’s Health Nurse Practitioner. She offers functional primary care and women’s health care. Allyson's heart for women's health began as a labor and delivery nurse in 2011 out of a strong desire to provide a safe place for women to heal physically, emotionally and spiritually. 

Allyson discovered Functional Medicine through her own personal struggle with autoimmune disease. When traditional medicine didn’t have a solution for her poor health, she wholeheartedly embraced functional medicine in her quest for healing. She is passionate about helping her patients find healing and is excited to be able to implement functional medicine principles with conventional healthcare. 

Allyson is working towards her certification with the institute of Functional Medicine. Allyson earned her Bachelor of Science in Nursing from Oregon Health Science University, a Master of Art in Human Services with an emphasis in Health and Wellness from Liberty University, and both of her Master of Science in Nursing and Doctorate of Nursing Practice from Frontier Nursing University. 

Outside of work, Allyson’s favorite activity is spending time with her family. She also enjoys reading, researching, traveling, biking on the Green Belt, and hiking with her husband.

Gavin Guard, PA-C, MPAS, CISSN, Pn1

Gavin Guard believes that the average doctor visit is not giving patients the time and support they deserve. Gavin graduated summa cum laude from Whitman College with a bachelor’s in biochemistry before completing graduate medical school training at the University of Colorado. His main clinical focuses include gastrointestinal disorders, thyroid and hormone health, as well as metabolic disease like diabetes, high cholesterol, and heart disease. Aside from patient care, Gavin is also publishing medical literature in the functional medicine field. He wakes up every morning to help patients find lasting solutions to their health so that they can experience hope and feel restored. When not in the clinic or reading papers, you can find him spending time with his wife and two young girls or pumping iron in the weight room.

Specialties include:
- Digestive concerns (IBS, SIBO, reflux, bloating, diarrhea, constipation, IBD)
- Longevity and metabolic health (heart health, blood pressure, blood sugar, cholesterol, weight loss)
- Mold illness and toxicity
- Thyroid health
- Hormones (testosterone, menopause, female hormones)
- Autoimmunity
- Brain fog, fatigue

Jennifer Paulson, DNP, FNP-BC, APHN-BC, IFMCP

Jennifer Paulson joins FMI after 8 years of owning her private practice in Bend, Oregon. She is dually board-certified as a Family Nurse Practitioner and Advanced Practice Holistic Nurse. She earned her Doctor of Nursing Practice degree from University of Arizona and completed her graduate studies in Nursing at Concordia University in Wisconsin. 

Jennifer discovered early in her primary care role as a nurse practitioner that the band-aid approach used in medical settings was not the way she wanted to practice. She knew from her personal healing journey with autoimmune disease and recovering her children from neurodevelopmental disorders she needed a different model to provide care to her patients. She earned her certification with the Institute of Functional Medicine in 2017.  Her practice style is unique and she truly meets each patient where they are on their wellness journey while holding space for learning and growing. She enjoys caring for patients of all ages. 

Jennifer also holds certifications and advanced studies in mind-body-medicine such as Yoga, Reiki, HeartMath™, Ayurveda, Holistic Pelvic Care™, and lifestyle genomics. Jennifer is an educator at heart and has held faculty positions with Georgetown University and currently teaches Doctor of Nutrition students at University of Western States. 

In her time outside of work, Jennifer loves gardening, baking, fishing and spending time with her growing family-husband, children, grandchildren, cats, and dogs.  

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. 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, mood, GI health, brain region health, toxins, mold,  hormones, infections, and electromagnetic fields (EMF). He is excellent at Orthopedic diagnosis trying to determine which tissues are causing pain, what the issue with the tissue is and what is going on in the pain processing system. He has developed a unique program to heal the brain after Concussion that is based on what actually goes on in the brain after head injury. His program integrates: diet, supplements, sleep, exercise and microcurrent and brain training to heal the brain after concussion. He also applies this to other brain based disorders including cognitive impairment and dementia. He has a special interest in autoimmune disorders and has studied Functional Immunology.  He is one of the top 10 clinicians in the world with Frequency Specific Microcurrent and he teaches at Microcurrent meetings. He is also very experienced in Prolotherapy regenerative injections to build more ligament to stabilize a joint or area of the spine.  

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.