From the clinic

Notes from the workup.

Six pieces on what we test, why we test it, and how root-cause investigation differs from the standard 7-minute appointment. Written by our care team.

thyroid

TSH 4.0 is “normal.” Why we want it under 2.

Standard lab ranges flag a problem; functional medicine looks for the optimum. Here is why TSH 4.0 keeps you feeling tired, and what range you should actually be in.

approach

Root-cause medicine vs. disease-care medicine: the actual difference

Both kinds of medicine treat the same symptoms. What changes is what gets investigated, how long the visit is, and what you walk out with.

weight-loss

GLP-1 alone or GLP-1 with a workup: why the labs change the outcome

GLP-1 prescriptions without a metabolic workup leave money on the table – and weight on the patient. Here is what the labs reveal.

gut-health

SIBO: when “IBS” is not actually IBS

Up to 80% of IBS diagnoses are actually undiagnosed small intestinal bacterial overgrowth. The fix is targeted, the breath test is cheap, and the diagnosis is real.

hormones

Perimenopause hormones: what to test, what most doctors miss

By the time conventional care confirms menopause with an FSH, the protocol window has been open for years. Here is what to test, when, and what the numbers actually mean.

longevity

5 longevity biomarkers your annual physical does not run

ApoB, Lp(a), homocysteine, hs-CRP, and the omega-3 index are five markers that change real cardiovascular and metabolic outcomes – and almost none of them are in your annual labs.