Edema

What Does It Mean?

Edema is the abnormal accumulation of fluid in the body's tissues, leading to swelling, particularly in the extremities, abdomen, or lungs. It can be a result of various underlying conditions, including cardiovascular, renal, or lymphatic dysfunction. Functional Medicine evaluates edema by identifying root causes such as inflammation, fluid retention, electrolyte imbalances, and compromised circulation.

How Did We Get There?

Root Causes:

• Lymphatic Dysfunction – Impaired drainage leads to fluid retention.
• Electrolyte Imbalances – High sodium and low potassium or magnesium contribute to water retention.
• Kidney Dysfunction – Impaired kidney filtration can result in fluid accumulation.
• Liver Dysfunction – Reduced albumin production leads to poor fluid balance.
• Heart Failure – Decreased cardiac output affects fluid circulation.
• Chronic Inflammation – Systemic inflammation increases vascular permeability, leading to swelling.
• Hormonal Imbalances – Estrogen dominance and cortisol dysregulation can promote fluid retention.

Signs & Symptoms:

• Swelling in the legs, feet, or hands
• Puffiness in the face or around the eyes
• Tightness or heaviness in affected areas
• Decreased urine output
• Shortness of breath in severe cases (pulmonary edema)
• Skin that appears stretched or shiny

Lab Test Findings

(Note: Additional lab tests may be referenced for a comprehensive evaluation.)

Lab Test Name	Expected Change	Optimal Range
Albumin, Serum	Decreased in liver-related edema	4.5-5.00 g/dL
Antistreptolysin O (ASO) Antibody	Elevated in streptococcal infections	0.00-200.00 IU/mL
BUN (Blood Urea Nitrogen)	Elevated in kidney dysfunction	10.00-16.00 mg/dL
Sodium, Serum	Elevated in fluid retention	137.00-142.00 mmol/L

How Do We Treat It?

A Functional Medicine approach focuses on optimizing fluid balance, improving circulation, and reducing inflammation.

Supplement Protocol

Supplement	Function	Dosage & Frequency
Vita-Omega	Supports cardiovascular health and inflammation balance	2 capsule with food, daily
Vita-Glutathione	Enhances detoxification and reduces oxidative stress	3 capsules with or without food, daily
Vita B Methyl	Supports methylation and energy metabolism	1 capsule without food, daily
V-Inflamma	Reduces systemic inflammation	2 capsules without food, daily
Magnesium	Supports muscle function and electrolyte balance	2 capsules with or without food, daily
Endura	Enhances hydration and electrolyte balance	1 packet with or without food, daily

Additional Lifestyle Interventions:

• Reduce Sodium Intake: Limit processed foods to prevent excess water retention.
• Increase Potassium-Rich Foods: Include bananas, leafy greens, and avocados to balance electrolytes.
• Lymphatic Support: Incorporate dry brushing, rebounding, or lymphatic massage.
• Hydration Optimization: Encourage proper water intake to promote kidney function.
• Regular Movement: Engage in light exercise to improve circulation and fluid balance.
• Manage Stress: Support adrenal function with relaxation techniques to regulate cortisol.