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Terry L. Wahls, MD

Portrait
Clinical Professor of Internal Medicine - General Internal Medicine
Clinical Professor of Epidemiology
Clinical Professor of Neurology

Contact Information

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Education

MD, University of Iowa
MBA, University of St. Thomas
Resident, Obstetrics and Gynecology, Barnes Hospital, Washington University, St. Louis, MO
Resident, Internal Medicine, University of Iowa Hospitals & Clinics, University of Iowa, Iowa City, IA

Licensure and Certifications

Certified Practitioner - Institute for Functional Medicine
Federal Controlled Substance Certification - United States Department of Justice, Drug Enforcement Administration
Boot Camp Facilitator - Tor Dahl And Associates
Iowa Medical License - Iowa Board of Medicine
Iowa Federal Licensing Examination

Publications

Titcomb, T. J., Bisht, B., Moore, 3rd, D. D., Chhonker, Y. S., Murry, D. J., Snetselaar, L. G. & Wahls, T. L. (2020). Eating Pattern and Nutritional Risks among People with Multiple Sclerosis Following a Modified Paleolithic Diet. Nutrients, 12(6). PMID: 32575774.

Zhang, Y., Chhonker, Y. S., Bala, V., Hagg, A., Snetselaar, L. G., Wahls, T. L. & Murry, D. J. (2020). Reversed phase UPLC/APCI-MS determination of Vitamin K1 and menaquinone-4 in human plasma: Application to a clinical study. Journal of Pharmaceutical and Biomedical Analysis, 183, 113147. PMID: 32086127.

Lee, J. E., Titcomb, T. J., Bisht, B., Rubenstein, L. M., Louison, R. & Wahls, T. L. (2020). A Modified MCT-Based Ketogenic Diet Increases Plasma ß-Hydroxybutyrate but Has Less Effect on Fatigue and Quality of Life in People with Multiple Sclerosis Compared to a Modified Paleolithic Diet: A Waitlist-Controlled, Randomized Pilot Study. Journal of the American College of Nutrition, 1-13. PMID: 32213121.

Fellows Maxwell, K., Wahls, T., Browne, R. W., Rubenstein, L., Bisht, B., Chenard, C. A., Snetselaar, L., Weinstock-Guttman, B. & Ramanathan, M. (2019). Lipid profile is associated with decreased fatigue in individuals with progressive multiple sclerosis following a diet-based intervention: Results from a pilot study. PloS One, 14(6), e0218075. PMID: 31211794.

Chenard, C. A., Rubenstein, L. M., Snetselaar, L. G. & Wahls, T. L. (2019). Nutrient Composition Comparison between the Low Saturated Fat Swank Diet for Multiple Sclerosis and Healthy U.S.-Style Eating Pattern. Nutrients, 11(3), pii: E616. PMID: 30871265.

Chenard, C. A., Rubenstein, L. M., Snetselaar, L. G. & Wahls, T. L. (2019). Nutrient Composition Comparison between a Modified Paleolithic Diet for Multiple Sclerosis and the Recommended Healthy U.S.-Style Eating Pattern. Nutrients, 11(3). PMID: 30832289.

Wahls, T., Chenard, C. & Snetselaar, L. (2019). Review of Two Popular Eating Plans within the Multiple Sclerosis Community: Low Saturated Fat and Modified Paleolithic. Nutrients, 11(2), E352. PMID: 30736445.

Wahls, T., Scott, M. O., Alshare, Z., Rubenstein, L., Darling, W., Carr, L., Smith, K., Chenard, C. A., LaRocca, N. & Snetselaar, L. (2018). Dietary approaches to treat MS-related fatigue: comparing the modified Paleolithic (Wahls Elimination) and low saturated fat (Swank) diets on perceived fatigue in persons with relapsing-remitting multiple sclerosis: study protocol for a randomized controlled trial. Trials, 19(1), 309. PMID: 29866196.

Irish, A., Erickson, C. E., Wahls, T. L., Snetselaar, L. & Darling, W. R. (2017). Randomized control trial evaluation of a modified Paleolithic dietary intervention in the treatment of relapsing-remitting multiple sclerosis: A pilot study. Degenerative Neurological and Neuromuscular Diseases, 7, 1-18. DOI: https://doi.org/10.2147/DNND.S116949.

Bisht, B., Darling, W. G., White, E. C., White, K. A., Shivapour, E. T., Zimmerman, M. G. & Wahls, T. L. (2017). Effects of a multimodal intervention on gait and balance of subjects with progressive multiple sclerosis: a prospective longitudinal pilot study. Journal of Degenerative Neurological and Neuromuscular Disease, 7, 79-93. DOI: https://doi.org/10.2147/DNND.S128872.

Wahls, T., Adamson, E. (2017). The Wahls Protocol A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles. Avery (an imprint of Penguin).

Wahls, T., Adamson, E. (2020). The Wahls Protocol A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles: Revised Edition. Avery (an imprint of Penguin).

Lee, J. E., Bisht, B., Hall, M. J., Rubenstein, L. M., Louison, R., Klein, D. T. & Wahls, T. L. (2017). A Multimodal, Nonpharmacologic Intervention Improves Mood and Cognitive Function in People with Multiple Sclerosis. Journal of the American College of Nutrition, 1-19. PMID: 28394724.

Wahls, T., Adamson, E. (2017). The Wahls Protocol Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions. Penguin Publishing Group. DOI: 9780399184772.

Wahls, T. L. (2017). Feeding Your Microbiome Well. Journal of Evolution and Health, 2(1).

Wahls, T. L. (2017). Feeding Your Microbiome Well. (Vols. 2). (1) Journal of Evolution and Health. DOI: https://doi.org/10.15310/2334-3591.1055.

Bisht, B., Darling, W., Grossman, R., Shivapour, E., Lutgendorf, S., Snetselaar, L., Hall, M., Zimmerman, M. & Wahls, T. (2015). Multimodal intervention improves fatigue and quality of life of subjects with progressive multiple sclerosis: a pilot study. Journal of Degenerative Neurological and Neuromuscular Disease, 2015:5, 19-35. DOI: http://dx.doi.org/10.2147/DNND.S76523.

Chenard, C., Zimmerman, M., Nonnie, P., Smith, K. & Wahls, T. (2015). New Measured Weight for One Cup Raw Kale Reduces Nutrient Intake of Individuals Following Wahls™ Diet. Procedia Food Science, 4(2015), 39-47. DOI: 10.1016/j.profoo.2015.06.007.

Wahls, T., Rubenstein, L., Hall, M. & Snetselaar, L. (2014). Assessment of dietary adequacy for important brain micronutrients in patients presenting to a traumatic brain injury clinic for evaluation. Nutr Neurosci, 17(6), 252-9. PMID: 24074905.

Bisht, B., Darling, W. G., Grossmann, R. E., Shivapour, E. T., Lutgendorf, S. K., Snetselaar, L. G., Hall, M. J., Zimmerman, M. B. & Wahls, T. L. (2014). A multimodal intervention for patients with secondary progressive multiple sclerosis: feasibility and effect on fatigue. J Altern Complement Med, 20(5), 347-55. PMID: 24476345.

Wahls, T., Adamson, E. (2014). The Wahls Protocol A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles. Avery (an imprint of Penguin).

Wahls, T. L., Adamson, E. (2014). The Wahls Protocol How I Beat Progressive MS Using Paleo Principles and Functional Medicine,. Avery (an imprint of Penguin).

Wahls, T. L. (2014). “Telling the World”. In On Being a Doctor. American College of Physicians.

Wahls, T. L. (2011). The Seventy Percent Solution. J Gen Intern Med, 10, 1215-1216. PMID: 21253878.

Wahls, T. L., Reese, D., Kaplan, D. & Darling, W. G. (2010). Rehabilitation with neuromuscular electrical stimulation leads to functional gains in ambulation in patients with secondary progressive and primary progressive multiple sclerosis: a case series report. Journal of Alternative and Complementary Medicine (New York, N.Y.), 16(12), 1343-9. PMID: 21138391.

Singh, H., Hirani, K., Kadiyala, H., Rudomiotov, O., Davis, T., Khan, M. M. & Wahls, T. L. (2010). Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. Journal of Clinical Oncology, 28(20), 3307-15. PMID: 20530272.

Nepple, K. G., Wahls, T. L., Hillis, S. L. & Joudi, F. N. (2009). Gleason score and laterality concordance between prostate biopsy and prostatectomy specimens. International Braz J Urol: Official Journal of the Brazilian Society of Urology, 35(5), 559-64. PMID: 19860934.

Wahls, T. L., Cram, P. (2009). Proposed interventions to decrease the frequency of missed test results. Advances in Health Sciences Education: Theory and Practice, 14 Suppl 1, 51-6. PMID: 19669920.

Gordon, J. R., Wahls, T., Carlos, R. C., Pipinos, I. I., Rosenthal, G. E. & Cram, P. (2009). Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Annals of Internal Medicine, 151(1), 21-7, W5. PMID: 19581643.

Wahls, T. L. (2009). Health Care The Best Reform- Eating Right. OP Ed Des Moines Register.

Wahls, T. L. (2009). Fixing Healthcare the Right Way. Iowa City Press Citizen.

Reese, D., Shivapour, E. T., Wahls, T. L., Dudley-Javoroski, S. D. & Shields, R. (2009). Neuromuscular electrical stimulation and dietary interventions to reduce oxidative stress in a secondary progressive multiple sclerosis patient leads to marked gains in function: a case report. Cases Journal, 2, 7601. PMID: 19918474.

Wahls, T. L., Peleg, I. (2009). Patient-and system-related barriers for the earlier diagnosis of colorectal cancer. BMC Family Practice, 10, 65. PMID: 19754964.

Wahls, T. L. (2009). The Vaudeville Revue. (Vols. 1). (4) Hektoen International.

Wahls, T. L. (2009). What Have I Done?. Ars Medica, 2, 71-77.

Wahls, T. L. (2009). Minding My Mitochondria. TZ Press 2nd Edition.

Wahls, T. L. (2008). Delayed Clinician Responses to Elevated prostate-specific Antigen Values–Reply–I. Mayo Clinic Proceedings, 83(8), 962. DOI: https://doi.org/10.4065/83.8.962.

Sinsky, T., Sinsky, C. & Wahls, T. L. (2008). Delayed clinician responses to elevated prostate-specific antigen values. Mayo Clinic proceedings, Mayo Clinic, 83(8), 961-2; author reply 962. PMID: 18674482.

Wahls, T. L. (2008). Telling the world. Annals of Internal Medicine, 149(1), 61-2. PMID: 18591640.

Wahls, T. L. (2008). A daughter's duty. Journal of General Internal Medicine, 23(6), 887-8. PMID: 18080168.

Wahls, T. (2008). The primer never written. The American Journal of Medicine, 121(6), 549. PMID: 18501239.

Nepple, K. G., Wahls, T. L., Hillis, S. l. & Joudi, F. N. (2008). Gleason score and laterality concordance between prostate biopsy and radical retropubic prostatectomy specimens. J Urology 2008, 179(4 S1), 639-640.

Nepple, K. G., Joudi, F. N., Hillis, S. L. & Wahls, T. L. (2008). Prevalence of delayed clinician response to elevated prostate-specific antigen values. Mayo Clin Proc, 83(4), 439-45. PMID: 18380989.

Wahls, T. (2007). Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. The Journal of Ambulatory Care Management, 30(4), 338-43. PMID: 17873665.

Wahls, T., Haugen, T. & Cram, P. (2007). The continuing problem of missed test results in an integrated health system with an advanced electronic medical record. Jt Comm J Qual Patient Saf, 33(8), 485-92. PMID: 17724945.

Wahls, T. L., Jones, E., Stewart, G., Murphy, J. & Petzel, R. (2007). Assessing Provider Satisfaction within a VA Network. Federal Practitioner, 24(11), 22, 25-28, 31-32, 35, 38.

Wahls, T. L. (2007). Emphasize Chronic Disease Management, Population Health and Integration of Mental Health Care Federal Practitioner. Federal Practitioner, 24(8), 65-66.

Wahls, T. L., Cram, P. (2007). The Epidemiology of Missed Test Results and Associated Treatment Delays in Va Primary Care Clinics. (Vols. 22). (S1), pp. i-276. Journal of General Internal Medicine.

Wahls, T. L., Cram, P. M. (2007). The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Family Practice, 8, 32. PMID: 17519017.

Nepple, K. G., Joudi, F. N., Hillis, S. L. & Wahls, T. L. (2007). The Frequency of Prostate Cancers with a Prior Abnormal PSA Value Lost to Follow-up. National Association of Veterans Ambulatory Care Administrators Newsletter, 18(2), 002-005.

Forman-Hoffman, V., Little, A. & Wahls, T. (2006). Barriers to obesity management: a pilot study of primary care clinicians. BMC Family Practice, 7, 35. PMID: 16756673.

Wahls, T. L. (2006). Clinical Benefits of the Service Line versus Traditional Organizational Structure. National Association of Veterans Ambulatory Care Administrators Newsletter, 17(1), 008-10.

Wahls, T. L., Becker, W. K. & Murphy, J. P. (2006). Diagnostic Errors Due to Missed Results: A Major Patient Safety Issue, Current Status and Next Steps in VISN 23. National Association of Veterans Ambulatory Care Administrators Newsletter, 7(2), 002-005.

Wahls, T. L., Haugen, T., Cowell, K. & Becker, W. (2006). Improving Diagnostic Results Reporting in the Veterans Administration. Federal Practitioner, 23(11), 24-31.

Wahls, T. L., Murphy, J. P. (2006). VISN 23 Provider Satisfaction Survey: Assessing Satisfaction of Clinical Providers within Primary Care, Specialty Medicine and Mental Health. National Association of Veterans Ambulatory Care Administrators Newsletter, 7(2), 11-015.

Wahls, T. L., Barnett, M. J. & Rosenthal, G. E. (2004). Predicting resource utilization in a Veterans Health Administration primary care population: comparison of methods based on diagnoses and medications. Medical Care, 42(2), 123-8. PMID: 14734949.

Wahls, T. L., Ting, H. H., Chaterjee, K. & Clancy, T. (2002). Quality, Patient Safety and Medical Errors Resistance and Support for the Federal Recommendations to Address These Concerns. Journal of Ambulatory Care Management, 25(1), 54-62.

Wahls, T. L., Futz, D. N. (2000). The master clinician project. The Journal of Ambulatory Care Management, 23(4), 9-21. PMID: 11067097.

Wahls, T. L., Olson, K. A. & Turney, S. L. (1993). Practice satisfaction and dissatisfaction in general internal medicine departments of large multispecialty clinics. Journal of General Internal Medicine, 8(10), 578-9. PMID: 8271093.

Wahls, T. L., Stene, R. A. & Olson, K. A. (1991). General internal medicine practice trends in large multispecialty clinics. Journal of General Internal Medicine, 6(2), 103-7. PMID: 2023015.

Wahls, T. L., Bonsib, S. M. & Schuster, V. L. (1987). Coexistent Wegener's granulomatosis and anti-glomerular basement membrane disease. Human Pathology, 18(2), 202-5. PMID: 3542802.

Wahls, T. L., Stene, R. A. (1972). Short-term medical service in the developing world. Journal of the American Medical Women's Association, 44(1), 18-20. PMID: 2926089.

Wahls, T. L., Haugen, T. & Cram, P. Risk of Delayed Treatment Due to Missed Results. (Vols. 21). (S4), pp. 1-283. Journal of General Internal Medicine.