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A thyroid lab panel showing positive thyroid antibodies, including TPO and TSI, alongside TSH, T4, and T3 results.

Positive Thyroid Antibodies Don’t Always Mean Hashimoto’s

You’re looking at a thyroid panel with a positive TPO, maybe a positive thyroglobulin antibody, maybe even a positive TSI, and the word Hashimoto’s is already rumbling around in your head. With a positive thyroid antibody, one practitioner might definitely call it Hashimoto’s, and another looks at the same panel and wonder if it might

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Episode image for a conversation on how to tell if a patient has parasites, from her exposure history to the limits of a single stool test.

How to Tell If a Patient Has Parasites and Why a Negative Test Isn’t the Final Answer

Your patient is already convinced she has parasites. She saw a video on Instagram, bought the recommended product, and now you’re the one who needs to break the news that what she paid for might not work, even if she does have parasites. Brushing her off isn’t going to work either.   You can’t blame her

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A functional medicine practitioner comparing a patient's cardiovascular, kidney, and metabolic lab results side by side to identify CKM syndrome staging.

CKM Syndrome: The Collection of Symptoms Practitioners Can’t Ignore

I’ve been doing this long enough to recognize the exact moment symptoms stop being one problem and start being four problems, all of them leading back to the same root cause. That’s exactly what CKM syndrome is – the new cardiovascular kidney metabolic syndrome, collectively approved by four major medical organizations. If you’ve got a

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Methylene Blue for Mitochondrial Health: Mechanism, Risks and the Questions Practitioners Should Ask

Methylene blue has had quite the career. It began as a synthetic textile dye, became a laboratory stain, entered medicine as an early antimalarial and is now being promoted online for energy, cognition, mood, sleep and longevity. That history is fascinating. It is not, however, proof that every patient with fatigue or brain fog needs

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