Functional Medicine Case Study: Anxiety, Digestion & the Power of Simplicity

If you’ve ever second-guessed your protocols or felt like you needed to order a test so you could be double, triple, quadruple sure…. this one’s for you. In today’s episode of The Clinical Entrepreneur, I’m sharing a real patient story that will remind you of what matters most in clinical practice: sticking with the low-hanging fruit.

Meet the Patient

He came to me overwhelmed, anxious, and exhausted.

  • He couldn’t sleep.
  • He took Xanax every time he flew (which was frequent)
  • He had bloating, heart palpitations, and a mystery “lump” in his throat.
  • And he had no idea how much of it was connected to his diet, stress, and digestion.

What I Didn’t Do

I didn’t order a single lab.

I didn’t run a stool test, hormone panel, or food sensitivity profile.

I didn’t give him 14 supplements or overhaul his lifestyle

What I Did Do

I looked for low-hanging fruit:

  • 🧘‍♂️ Stress → Calm Restore + Ashwagandha
  • 🍽️ Digestion → Bitters before dinner (and yes, Angostura works)
  • 😴 Sleep → Gentle support with Sleep Maintenance + mouth taping
  • 🥑 Blood sugar → A small bedtime snack with protein, fat, and fiber
  • 📉 Observation over restriction → Invited him to notice how he felt after eating gluten

What Happened Next

He began to unwind.

➡️ He was sleeping better.

➡️ His anxiety dropped.

➡️ He stopped needing Xanax before flying.

➡️ He even lost the craving for alcohol – just from adding bitters!And the best part? He felt empowered because he connected the dots. I didn’t have to force a thing.

Surprise Symptom: The Throat Lump

Weeks later, he casually mentioned a lump in his throat and constant mucus.

💡 That’s when it clicked:

This wasn’t allergies. It was silent reflux – likely worsened by grains, poor digestion, and stress.

So I added Sinus Forte + Goldenseal and gave him salt for mineral support. No big overhaul. Just another layer peeled back, one symptom at a time.

The Takeaway

When you address the low-hanging fruit first – stress, digestion, sleep, and diet – patients get better.

You don’t need a test to validate what your clinical instincts already know. When in doubt: simplify.

And if you want help building protocols like this, Clinical Academy is the place to be. We break down cases just like this every single month.


👉 Join Clinical Academy here

Ronda Nelson Smiling

Hi, I’m Ronda Nelson and I help wellness practitioners grow thriving, profitable practices that allow them to work with ease, live a life they love and make an income they can be proud of.

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