Clinical Resources
Hormonal Health
Q: What is adrenal fatigue and how does it differ from HPA axis dysfunction?
Practice Efficiency
The one thing no one warns you about before opening a functional medicine practice? Your EHR will fight you.
You got into functional medicine because you wanted to actually help people. Dig into root causes, spend real time with patients, do the work that...
Lab Interpretation
How to interpret cortisol patterns on the DUTCH test — the CAR, four cortisol rhythm types, and clinical implications for HPA axis dysfunction.
If you've ever written something like that — or just thought it at 9 PM while still charting — this article is for you.
If you've already decided a DUTCH test is the right move, the next question is which panel. This article walks through the practical difference between...
What do the different cortisol patterns mean on DUTCH tests, and how do they guide your treatment approach?
Guide to interpreting DUTCH test estrogen metabolites including 2/16 ratio, perimenopause patterns, and DUTCH Complete vs Plus differences
If you're still on the fence about switching EMRs — or wondering whether your current system is worth saving — start with our Best EMR for Functional...
Dysbiosis detected on GI-MAP doesn't have to feel like decoding a foreign language. Whether you're interpreting your own results or explaining them to...
You just ran a GI-MAP and the 6-page report is staring back at you. This guide walks through interpretation section by section, in clinical priority order, with the context you need to connect findings to symptoms.
A practitioner-to-practitioner breakdown of GI-MAP vs comprehensive stool testing — methodology, accuracy, head-to-head with Genova GI Effects, and how to choose by clinical question.
What's the difference between LDL Pattern A and Pattern B?
Gut Health
Leaky gut syndrome — also called increased intestinal permeability — is increasingly recognized as a contributor to systemic inflammation, autoimmune...
Metabolic Health
A Root-Cause Approach to Insulin Resistance, Inflammation, and Metabolic Dysfunction
Folic acid and methylfolate are not interchangeable for MTHFR patients. Learn why B-vitamin form matters, how to dose methylfolate correctly, and what to watch for when initiating methylation support.
Why B12 form and functional testing matter in MTHFR patients — and how to get it right when serum B12 looks normal but homocysteine won't budge.
The MTHFR C677T homozygous mutation reduces enzyme activity to approximately 25% of normal — meaning patients are working with about a quarter of the...
My patient had a "normal" LDL-C on their standard lipid panel, but I'm seeing signs of metabolic syndrome. Should I order an NMR lipoprofile?
When a patient comes in with brain fog, anxiety, and chronic bloating after years of antibiotic use, it's tempting to go straight to a stool test. But the...
Mitochondrial function markers on the Organic Acids Test (OAT) give us a window into how well our patients' cells are producing energy. Unlike conventional...
The Organic Acids Test offers two windows into patient health that standard blood panels consistently miss: how much oxalate is accumulating — and whether...
You're a family medicine physician. You didn't sign up for a second job — one that pays nothing and steals your evenings.
How to interpret hydrogen and methane SIBO breath tests, and which diet to use — low FODMAP, elemental, bi-phasic, or specific carbohydrate diet.
The cornerstone of hydrogen-dominant SIBO treatment is rifaximin, a non-absorbable antibiotic that stays in the gut. The standard protocol is 550mg three...
A functional medicine guide to tight junction repair — key supplements, mechanisms, dosing, and what actually works for intestinal permeability.
A functional medicine approach to weight loss resistance — metabolic, hormonal, and gut-based drivers beyond calories. Clinical protocols for pre-diabetes and insulin resistance.
Generic EMRs were built for 15-minute sick visits, not 90-minute root-cause workups. Here is why they fail functional medicine practitioners and what actually works.