Beyond the Six Pillars: Expanding the Framework for Whole-Person Health

If you’ve spent any time around Lifestyle Medicine, you’ve likely heard of the six pillars of health:
Nutrition, Physical Activity, Restorative Sleep, Stress Management, Positive Social Connection, and Avoidance of Risky Substances.

These pillars provide a solid, evidence-based foundation for well-being—and they matter deeply. But as our understanding of health evolves, it’s becoming clear that this framework, while essential, is not yet complete.

To truly support whole-person health, I believe we need to add two more pillars: Functional Testing and Energy Awareness.

Together, these eight pillars offer a more comprehensive and empowering approach to health—one that bridges modern science with deeper awareness of how the body truly works.

Pillar Seven: Functional Testing — Data as a Tool, Not a Diagnosis

Access to health data has never been easier. Today, individuals can order blood and lab tests directly, often at relatively low cost. Platforms such as Function Health, Empirical Health, and Hone Health offer access to hundreds of biomarkers, frequently paired with AI-generated interpretations.

This is a major shift. For the first time, people can see inside their own biology without waiting for symptoms to appear.

But data alone isn’t wisdom.

While these results can be empowering, they can also be confusing—or even misleading—without proper context. Biomarkers don’t exist in isolation. They interact with one another, shift over time, and reflect patterns rather than single answers. For someone without training in functional or systems-based medicine, knowing what to do next can be the hardest part.

Functional testing becomes truly valuable when it is used as a guiding tool—not just a report card—and interpreted within the broader context of lifestyle, stress, nutrition, and individual physiology.

Pillar Eight: Energy Awareness — The Missing Dimension in Modern Health

We are more than physical bodies.

Each of us has a physical body, an emotional body, and a thinking body—but we also have an energetic body and an ancestral body, both of which play powerful roles in our overall health. Indigenous healing traditions understood this deeply and often worked with the energetic body first, recognizing it as foundational to healing the whole person.

Modern medicine rarely acknowledges this dimension, yet many people experience symptoms—chronic pain, fatigue, anxiety—that cannot be fully explained by physical findings alone.

The ancestral body, or lineage, is especially overlooked. Yet emerging research suggests that unresolved trauma can alter gene expression, and that these changes can be passed down through generations. In other words, some of the pain we carry may not have begun with us.

Energy awareness invites us to listen to the subtler signals of the body, to recognize patterns that don’t show up on lab tests, and to approach healing with curiosity rather than dismissal.

Where It All Comes Together: Integrative Medicine

This is where Integrative Medicine offers a grounded, practical path forward.

Doctors of Natural Medicine and integrative practitioners are trained to look across systems—to connect lifestyle habits, lab data, stress patterns, emotional health, and energetic balance into a coherent whole. Rather than treating isolated symptoms, they help individuals understand why imbalance exists and how to restore health sustainably.

By integrating the traditional six pillars with Functional Testing and Energy Awareness, we move toward a model of care that is both scientifically informed and deeply human.