LEADER 04232nam 22006253 450 001 9910860802403321 005 20230504080311.0 010 $a1-4773-2688-X 010 $a1-4773-2687-1 024 7 $a10.7560/326855 035 $a(OCoLC)1369599483 035 $a(CKB)5580000000512969 035 $a(MiAaPQ)EBC30222516 035 $a(Au-PeEL)EBL30222516 035 $a(OCoLC)1373987640 035 $a(DE-B1597)650960 035 $a(DE-B1597)9781477326879 035 $a(EXLCZ)995580000000512969 100 $a20230504d2023 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aNested Ecologies $eA Multilayered Ethnography of Functional Medicine 205 $a1st ed. 210 1$aAustin :$cUniversity of Texas Press,$d2023. 210 4$dİ2023. 215 $a1 online resource (336 pages) 311 $a1-4773-2685-5 327 $tFrontmatter -- $tContents -- $tPrelude. Anthropology of and for Healing -- $tIntroduction -- $tInterlude ? The Birth of an Anthropologist -- $tChapter 1 Paradigm Shifts -- $tInterlude ? Stuck in a Web of Chronic Disease -- $tChapter 2 Systems Biology -- $tInterlude ? Genetic Fate? -- $tChapter 3 (Epi)genetics and Its Multiple Implications -- $tInterlude ? A ?Vampire? No More -- $tChapter 4 The Political Ecology of ?Human? Microbiology -- $tChapter 5 The Social Microbiome -- $tInterlude ? Toxicity -- $tConclusion. Food Justice -- $tPostlude ? Health Is a Process -- $tAcknowledgments -- $tAppendix. Persons Described in This Book -- $tNotes -- $tWorks Cited -- $tIndex 330 $aHow functional medicine leverages systems biology and epigenetic science to treat the microbiome and reverse chronic disease. Each body is a system within a system?an ecology within the larger context of social, political, economic, cultural, and environmental factors. This is one of the lessons of epigenetics, whereby structural inequalities are literally encoded in our genes. But our ecological embeddedness extends beyond DNA, for each body also teems with trillions of bacteria, yeast, and fungi, all of them imprints of our individual milieus. Nested Ecologies asks what it would mean to take seriously our microbial being, given that our internal ecologies are shaped by inequalities embedded in our physical and social environments. Further, Rosalynn Vega argues that health practices focused on patients? unique biology inadvertently reiterate systemic inequities. In particular, functional medicine?which attempts to heal chronic disease by leveraging epigenetic science and treating individual microbiomes?reduces illness to problems of ?lifestyle,? principally diet, while neglecting the inability of poor people to access nutrition. Functional medicine thus undermines its own critique of the economics of health care. Drawing on novel digital ethnographies and reflecting on her own experience of chronic illness, Vega challenges us to rethink not only the determinants of well-being but also what it is to be human. 517 $aNested Ecologies 606 $aChronically ill$xCare 606 $aChronically ill$xTreatment 606 $aDiscrimination in medical care 606 $aFunctional medicine 606 $aMedical anthropology 606 $aSOCIAL SCIENCE / General$2bisacsh 610 $aEpigenetics, microbiome, environmental justice, social justice, functional medicine, biomedicine, chronic disease, pharmaceuticals, systems biology, personalized medicine, lifestyle medicine, intergenerational trauma, exposome, food justice, food system, autoethnography, digital ethnography, medical anthropology, microbial humans. 615 0$aChronically ill$xCare. 615 0$aChronically ill$xTreatment. 615 0$aDiscrimination in medical care. 615 0$aFunctional medicine. 615 0$aMedical anthropology. 615 7$aSOCIAL SCIENCE / General. 676 $a615.5 700 $aVega$b Rosalynn A$01741743 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910860802403321 996 $aNested Ecologies$94167956 997 $aUNINA