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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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SIBO Testing Is Unreliable – Here’s What to Assess Instead

If you work with patients who have bloating, abdominal discomfort, constipation, diarrhea, or a digestive system that never seemed to recover after food poisoning, the possibility of SIBO has probably crossed your mind And at some point, you may have thought that the logical test would be a lactulose or glucose breath test to confirm

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Ronda Nelson discussing the emotional weight and professional isolation of owning a wellness practice

Wellness Practitioner Burnout and Professional Isolation

Wellness practitioner burnout does not always begin with too many patients, a packed calendar, or an overflowing task list. Sometimes it begins much more quietly – with the realization that you are carrying every clinical question, staffing problem, financial concern, and business decision by yourself. A few weeks ago, I hit a wall. On paper,

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Mitochondrial dysfunction and fatigue in functional medicine patients

Mitochondrial Dysfunction and Fatigue: Why Your Tired Patient Isn’t Getting Better

Your patient is exhausted. She has worked on her sleep, taken the adaptogens, supported her adrenals, and made the recommended lifestyle changes. But she still feels like someone pulled the plug. When a patient presents with persistent fatigue, it is easy to assume that stress, cortisol, or adrenal dysfunction is the primary problem. Sometimes it

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Functional Medicine Patients Stop Coming

Why Your Functional Medicine Patients Stop Coming Back (And How a Clinical Roadmap Changes Everything)

Are your patients disappearing after just two or three visits, even though your clinical care is excellent? If so, the problem may not be your protocols, diagnostic skills, or treatment recommendations. It could be your practice model. In this episode of The Clinical Entrepreneur Podcast, Dr. Ronda Nelson explores one of the biggest reasons functional

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GLP-1 Side Effects Your Patients Aren’t Being Told About (And What You Can Do)

Your patient just told you she’s lost 40 pounds on Ozempic, and everyone around her is celebrating. I get it. But when I hear that number, the first thing I want to know is: did she protect her muscle? Did she protect her digestion? Is she actually eating protein, or is she surviving on crackers,

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