多年来，我一直通过不同的平台分享文章、研究、临床观察、讲座和评论，包括网站、电子通讯、社交媒体、微信公众号、Substack，以及各种专业组织。
这种方式曾经发挥了作用，但也带来了一个越来越明显的问题：
信息太分散了。
今天，我们开始尝试一种不同的方式。
I-OM 整合正分子系统医学社区（I-OM Systems Medicine Community）希望把健康教育、讨论交流、专业互动和 AI 辅助学习集中到同一个平台。
这个社区同时面向 普通公众 和 健康专业人士。
面向公众
今天的健康信息无处不在，但往往是碎片化的、令人困惑的、彼此矛盾的，或者只盯着某一种疾病、某一个化验指标。
I-OM —— Integrative Orthomolecular Systems Medicine，整合正分子系统医学 —— 采取的是另一种思路。
我们不只是问：
“这个人得了什么病？”
我们还会进一步问：
“人体哪些基础系统正在失衡？又是什么因素在推动这些系统发生异常？”
I-OM 社区将提供大量实用的健康教育内容，包括：
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营养与代谢健康
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心血管健康
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癌症
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糖尿病与胰岛素抵抗
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健康衰老与长寿
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大脑与心理健康
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女性健康
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儿童与青少年健康
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睡眠与恢复
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运动、肌肉与骨骼健康
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维生素、矿物质与正分子营养
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生活方式与环境因素对健康的影响
我们的目标不是替代医生，也不是提供个体化医疗诊断。
我们的目标，是帮助大家 更深入地理解自己的健康，并提出更好的问题。
面向健康专业人士
这个社区也希望成为一个供医生、科学家、营养专业人士、研究人员以及其他健康专业人士交流的平台。
很多重要的医学问题，并不能简单地放进传统医学各自独立的专业“筒仓”里。
I-OM 更关注 疾病过程与宿主整体生物状态之间的相互作用。
这包括：
代谢、线粒体功能、氧化应激、炎症、免疫调节、营养状态、激素平衡、血管完整性、环境暴露、生活方式，以及这些系统之间复杂的相互作用。
在这里，专业人士可以与来自世界各地的同行讨论：
研究进展、临床观察、新兴概念、复杂病例，以及系统医学的思考与实践。
I-OM Journal
I-OM Journal 将逐步成为我的主要发表平台。
我会在这里发表：
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原创文章
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研究评论
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临床洞见
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I-OM 理论、概念与框架
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重要新研究解读
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实用健康讨论
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适合时发表较长的科学论文
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对当前医学与营养争议问题的评论
有些文章会比较专业、技术性较强。
有些文章则会专门写给普通公众。
I-OM Journal 希望成为连接这两个世界的一座桥梁。
更重要的是，读者不需要在一个平台阅读文章，再到另一个平台讨论。
文章本身就可以直接成为社区讨论的起点。
I-OM.ai 健康教练
这个社区的另一个重要组成部分，是与 I-OM.ai 的整合。
我们并不只是建立一个通用型聊天机器人，而是在开发针对不同健康领域的专业教育型 AI Coach。
目前及未来的方向包括：
ASCVD / 心血管健康
癌症
代谢健康
成瘾医学
女性健康
大脑与心理健康
睡眠与恢复
运动、肌肉与骨骼健康
以及更多领域。
这些 AI Coach 都以 I-OM 系统医学框架和各领域的专业知识标准为基础进行设计。
它们是 健康教育工具，而不是医生的替代品，也不是个体化医疗服务。
一个社区，多种语言
医学和科学不应该受到语言的限制。
I-OM Community 从一开始，就是按照一个国际化平台来建设的。
英文将作为主要发表语言，但文章和社区内容将逐步支持包括：
中文 · 日本語 · Español · Deutsch · 以及其他语言
我们的长期目标，是让同一篇 I-OM 文章、同一个讨论，可以被不同国家、不同语言的读者阅读，而不需要分别维护多个彼此割裂的社区。
不只是“发布”，而是真正的交流
I-OM Community 与传统 newsletter、公众号或单向媒体最大的不同之一，是：
文章发表以后，交流并没有结束。
读者可以：
阅读 → 讨论 → 提问 → 延伸探索 → 使用 I-OM.ai Coach
专业人士可以交流不同观点。
社区成员可以彼此学习。
新的想法也可以在持续讨论中不断发展，而不是发表以后就静止在一个网页上。
把一切整合到一起
随着平台逐步成熟，我计划把 I-OM Community 建设成为我今后公共健康教育工作的主要平台之一。
过去，很多内容分别散布在 Substack、微信公众号、网站、社交媒体和其他平台。
未来，我们希望逐渐把这些活动整合起来：
I-OM Journal
↓
社区讨论
↓
I-OM.ai Coaches
↓
公众教育与专业交流
这不会一夜之间完成。
这个社区还很年轻，很多功能仍在开发和完善之中。
但我认为这个方向非常重要。
我们需要更加整合的健康教育。
我们需要一种不只盯着单一疾病的医学思维。
我们需要科学家、临床医生与公众之间更好的沟通。
我们也需要能够帮助人们理解复杂健康信息的 AI 工具，同时又不假装 AI 可以取代真正的人类医学判断。
这正是我们现在正在建设的。
欢迎加入
无论你是：
希望更好理解自己健康问题的普通人，
关注营养、代谢与长寿的读者，
愿意重新思考一些传统医学假设的医生，
还是对系统生物学、正分子医学以及整合医学感兴趣的科学家——
欢迎来到 I-OM 系统医学社区。
欢迎大家注册、浏览社区、阅读 I-OM Journal、提出问题，并参与讨论。
欢迎来到 I-OM 系统医学社区。
欢迎大家注册、浏览社区、阅读 I-OM Journal、提出问题，并参与讨论。
加入 I-OM 系统医学社区
免费注册，关注最新文章、参与讨论、提出问题，并逐步体验不断上线的 I-OM.ai 功能。
https://community.i-om.ai/signup
这只是一个开始。
Richard Z. Cheng, MD, PhD
I-OM Systems Medicine 创始人
I-OM.ai
A New Home for Public Education, Professional Exchange, and AI-Powered Systems Medicine
For many years, I have shared articles, research, clinical observations, lectures, and commentary through different platforms — including websites, newsletters, social media, WeChat, Substack, and professional organizations.
That approach worked, but the information became scattered.
Today, we are beginning something different.
The I-OM Systems Medicine Community is designed to bring education, discussion, professional exchange, and AI-assisted learning together in one place.
It is intended for both the general public and health professionals.
For the Public
Health information is everywhere, but it is often fragmented, confusing, contradictory, or focused on one disease or one laboratory number at a time.
I-OM — Integrative Orthomolecular Systems Medicine — takes a different approach.
Instead of asking only:
“What disease does this person have?”
we also ask:
“What underlying systems are becoming dysfunctional, and what factors may be driving that dysfunction?”
The Community will provide practical educational content on topics such as:
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nutrition and metabolic health
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cardiovascular health
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cancer
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diabetes and insulin resistance
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healthy aging and longevity
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brain and mental health
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women’s health
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children and adolescents
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sleep and recovery
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movement, muscle and bone
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vitamins, minerals and orthomolecular nutrition
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lifestyle and environmental influences on health
The goal is not to replace your physician or provide individualized medical diagnosis.
The goal is to help people understand their health more deeply and ask better questions.
For Health Professionals
This Community is also intended to become a place where physicians, scientists, nutrition professionals, researchers, and other health professionals can discuss ideas that do not always fit comfortably within conventional medical silos.
I-OM focuses on the interaction between disease processes and the biological condition of the host.
That includes metabolism, mitochondrial function, oxidative stress, inflammation, immune regulation, nutrient status, hormonal balance, vascular integrity, environmental exposures, lifestyle, and other interacting systems.
Professionals will be able to discuss research, clinical observations, emerging concepts, difficult cases, and systems-based approaches with colleagues from around the world.
I-OM Journal
The I-OM Journal will become my primary publication channel.
I will use it to publish:
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original articles
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research commentary
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clinical insights
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I-OM concepts and frameworks
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reviews of important new studies
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practical health discussions
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longer scientific papers when appropriate
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responses to current medical and nutritional controversies
Some articles will be highly technical.
Others will be written for the general public.
The Journal is intended to bridge those two worlds.
Readers will also be able to discuss each article directly within the Community rather than reading it on one platform and discussing it somewhere else.
I-OM.ai Health Coaches
Another major part of the Community is the integration of I-OM.ai.
Instead of a single general-purpose chatbot, we are developing specialized educational AI Coaches for different areas of health.
These include areas such as:
ASCVD / Cardiovascular Health
Cancer
Metabolic Health
Addiction Medicine
Women’s Health
Brain & Mental Health
Sleep & Recovery
Movement, Muscle & Bone
and others.
The Coaches are designed around the I-OM Systems Medicine framework and specialized knowledge standards.
They are educational tools — not substitutes for physicians or individualized medical care.
One Community, Multiple Languages
Medicine and science should not be limited by language.
The I-OM Community is being built as an international platform.
English will serve as the primary publishing language, while articles and Community content can progressively be made available in languages including:
中文 · 日本語 · Español · Deutsch · and others
Our goal is eventually to allow the same I-OM article or discussion to reach readers in many countries without having to maintain completely separate communities.
Discussion, Not Just Broadcasting
One of the biggest differences between this Community and a conventional newsletter is that communication does not have to stop when an article is published.
Readers can:
read → discuss → ask questions → explore related topics → use I-OM.ai Coaches
Professionals can exchange perspectives.
Members can learn from one another.
New ideas can evolve through discussion rather than remaining static on a webpage.
Bringing Everything Together
Over time, I plan to make this Community the central home for much of my public educational work.
Instead of distributing everything separately across Substack, WeChat, websites, social platforms, and other services, we can increasingly bring these activities together:
I-OM Journal
↓
Community discussion
↓
I-OM.ai Coaches
↓
Education and professional exchange
This will take time to build.
The Community is still young, and many features are under development.
But I believe the direction is important.
We need health education that is more integrated.
We need medicine that looks beyond isolated diseases.
We need better communication between scientists, clinicians, and the public.
And we need AI tools that help people understand complex health information without pretending to replace human medical judgment.
That is what we are building here.
Welcome
Whether you are a patient trying to understand your health, a reader interested in nutrition and longevity, a physician questioning conventional assumptions, or a scientist interested in systems biology and orthomolecular medicine:
Welcome to the I-OM Systems Medicine Community.
I invite you to register, explore the Community, read the I-OM Journal, ask questions, and participate in the discussions.
This is only the beginning.
Richard Z. Cheng, MD, PhD
Founder, I-OM Systems Medicine
I-OM.ai