Most chronic disease protocols fail because the body won’t heal until it feels safe - and that sense of safety starts with the vagus nerve.   Tracy Harrison takes a closer look at what it really means for the body to be ready to heal. Why do some patients follow every recommendation yet still struggle to make lasting progress? What if the real barrier isn’t what they’re missing, but how their nervous system is responding to the world around them? In this episode, Tracy breaks down how the vagus nerve acts as the body’s communication bridge (regulating inflammation, digestion, fertility, mood, and more) and why chronic stress or unresolved emotions can quietly keep patients in survival mode. She also shares ways to restore vagal tone through simple, accessible habits like diaphragmatic breathing, gratitude, laughter, and restorative rest. These aren’t surface-level stress tips; they’re science-backed tools for helping the body feel safe enough to shift from defense to repair. For practitioners, it’s a call to move beyond managing symptoms and start cultivating an internal environment where healing can actually take root.   Episode Breakdown: 00:00 Why Chronic Disease Persists 01:26 Safety as the Foundation for Healing 05:47 The Vagus Nerve and Whole-Body Regulation 23:07 Breathing as a Pathway to Healing 28:04 Gut Health and the Parasympathetic Connection 34:03 Rest and Recovery as Medicine 46:03 Heart Rate Variability and Resilience 49:00 Healing Is State Dependent   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

Functional medicine can only create real change when practitioners move beyond collecting information and start developing the confidence, efficiency, and teamwork that bring healing to life.   Tracy Harrison invites practitioners to think honestly about what it means to do this work well. How do you turn deep scientific knowledge into practical, lasting results for real people? How do you keep your passion alive without running yourself into the ground? Tracy explores what it looks like to move functional medicine from a niche movement into a more accessible, sustainable model of care - one that supports both the patient and the practitioner.   Tracy also takes an unfiltered look at the burnout so many practitioners face and why so many feel they have to do everything alone. She shares how collaboration, whether through hiring early, building a multimodality team, or integrating health coaches and pharmacists, can create more impact with less exhaustion. Along the way, she points out the power of group visits, shared education, and patient partnerships that make functional medicine more affordable and effective for everyone involved.   This episode is an honest, encouraging look at how practitioners can move past self-doubt and build a practice rooted in confidence, clarity, and genuine connection.   Episode Breakdown: 00:00 Confidence, Capability, and Impact for Practitioners 02:15 Knowledge vs Capability and Imposter Syndrome 09:10 Integrating Functional Medicine Into Managed Care 13:55 Efficiency and New Reimbursement Paths for Sustainability 16:18 Stop Doing It Alone: Build Your Team Early 35:20 Patient-Centered Care with SMART Goals and Accountability 44:50 Shared Medical Visits and Group Programs That Scale Results 54:13 Sustain Your Impact and Protect Practitioner Well-Being   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

Limiting beliefs have a way of sneaking into the work of functional medicine practitioners and Tracy Harrison is pulling them into the light. Have you ever felt like you had to do everything on your own to be credible, or that you should wait until you know absolutely everything before you start? Tracy makes the case for why those assumptions hold you back and how confidence is built through real practice, not endless preparation.   Tracy also looks closely at the practitioner-patient relationship and asks a hard question: what happens when we carry the weight of “fixing” our patients instead of helping them take ownership of their own choices? From moving past overreliance on labs and supplements to creating a true partnership based on education, accountability, and community, she shares a more sustainable way forward.   How much impact could you have if you let go of old assumptions and focused on wisdom, collaboration, and practical action? This episode is a reminder that the future of functional medicine depends on practitioners who are willing to rethink, adapt, and lead with both insight and courage.   Episode Breakdown: 00:00 Truth Telling on Limiting Beliefs in Functional Medicine 02:15 The Myth of Practicing Functional Medicine Alone 06:44 Stop Waiting Until You “Know It All” to Begin 13:50 Patient Responsibility and True Healing Partnerships 20:37 Rethinking Lab Work: Beyond “Within Normal Limits” 32:21 Medications, Myths, and Functional Wisdom 41:59 The Limitations of Stool Tests and Functional Gut Health 51:07 Parasympathetic Activation as the Foundation for Healing   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

Food sensitivities often play a bigger role in chronic health problems than many practitioners realize.    In this episode, Tracy Harrison unpacks how foods that look perfectly healthy on the surface can still trigger immune responses that drive inflammation and dysfunction. She explains the differences between IgG and IgA mediated reactions, explores why intestinal permeability matters, and points out the impact of common medications, toxins, and microbial imbalances on immune tolerance.    How often do we assume patients without gut complaints can’t have food sensitivities? What if the clues show up instead as joint pain, skin issues, or fatigue? Tracy also talks through the limitations of food sensitivity testing and why context is everything when interpreting results.    Practitioners will walk away with a clearer sense of why most food sensitivities are acquired, how they can be reversed by addressing upstream dysfunction, and what it looks like to guide patients through elimination, reintroduction, and restoration of tolerance in a way that sticks.   Episode Breakdown: 00:00 Introduction to Food Sensitivities in Functional Medicine 02:07 Myth: Food Sensitivities Don’t Exist 03:02 Food Sensitivities vs. Allergies Explained 07:00 Limitations of Food Sensitivity Testing 10:07 IgA Antibodies and Gut Health 15:11 Intestinal Permeability and Chronic Disease 17:05 How Food Sensitivities Manifest Beyond the Gut 20:29 Gluten, Zonulin, and Leaky Gut 26:11 Addressing Root Causes of Food Sensitivities   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

So much of functional medicine celebrates the latest science, but how often does that knowledge actually change a patient’s life? Tracy Harrison invites us to look closer at the gap between information and transformation. Why do so many people collect new diagnoses, run more tests, or add another supplement yet still feel stuck? What gets in the way of real change, and how can practitioners guide patients through it?   In this episode, Tracy explores why lifestyle shifts are the real turning point in healing and how practitioners can become better partners in that process. She shares the simple power of telling a patient, “I believe you can get better,” the importance of setting clear and realistic expectations, and the hidden risks of overwhelming people with too many interventions at once. With stories and analogies, she points out how addressing root causes together, rather than chasing quick fixes, leads to lasting outcomes for both patient and practitioner.   Episode Breakdown: 00:00 The Limits of Endless Labs and New Diagnoses 01:05 Optimizing Clinical Outcomes in Functional Medicine 05:15 Why Science Alone Cannot Heal Patients 07:34 From Knowledge to Action: Breaking the Cycle of Permanent Patients 09:49 Mastering the Art of Facilitating Lifestyle Change 16:56 Placebo, Nocebo, and the Biochemical Power of Practitioner Engagement 20:28 The Healing Impact of Saying “You Can Get Better” 23:59 Setting Realistic Expectations and Avoiding Quick Fixes 35:28 Rapid Relief: Building Patient Trust and Confidence 44:54 Defining the Emotional Why Behind Sustainable Change 49:38 The Three Thumbtacks Analogy for Root Cause Healing 52:10 Moving from the Drama Triangle to the Empowerment Triangle 59:18 Facilitating Change Without Burning Out   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

The antioxidant trap challenges the assumption that more supplements always mean better health. Tracy Harrison explains how oxidative stress, often seen as harmful, is also essential for normal physiology and for activating the body’s innate antioxidant defenses. She shows why hormesis, the right amount of stress in the right context, builds resilience, while too much can tip the body into harm.   Tracy challenges common myths, including the belief that compounds like curcumin or sulforaphane are antioxidants in themselves, when in fact they work as mild pro-oxidants that stimulate adaptive pathways. She also points to why whole foods, with their hundreds of synergistic phytonutrients, can never be fully replaced by capsules. Supplements have value in short-term, targeted use, but lasting health depends on diet diversity, lifestyle, and reducing hidden drivers of oxidative stress such as sleep apnea, food sensitivities, and blood sugar imbalance.   For practitioners, the takeaway is a more nuanced framework for clinical care. Oxidative stress is not simply something to eliminate but something to understand and work with. The key lies in knowing when to protect the body, when to challenge it, and how to identify the hidden imbalances that push patients into overload. When clinicians learn to see stress as both a risk and a tool, they can guide patients toward true resilience that extends beyond symptom management and into long-term vitality.   Episode Breakdown: 00:00 Introduction to Oxidative Stress and Antioxidants 01:16 The Antioxidant Trap: Five Myths for Practitioners 05:06 Hormesis and the Body’s Antioxidant Pathways 06:45 Bioindividuality in Oxidative Stress and Health 10:18 Why Antioxidant Supplements Act as Pro-Oxidants 15:25 Why Supplements Can’t Replace a Poor Diet 20:22 Whole Foods vs Supplements in Clinical Practice 25:05 The Role of Minerals in Antioxidant Defense 29:19 Lifestyle and Hidden Drivers of Oxidative Stress 38:16 Blood Sugar and Redox Imbalance 43:06 Key Markers for Assessing Redox Balance   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

Infertility can be one of the most painful challenges a person faces, yet it’s often the body’s way of signaling that something deeper is out of balance. Could the struggle to conceive be pointing to hidden metabolic issues, hormone imbalances, or stress patterns that have been building for years?   Tracy Harrison looks at infertility through the lens of functional medicine and shares how five common but often overlooked imbalances can quietly undermine fertility. She talks about the early signs of insulin resistance that can interfere with ovulation, the impact of estrogen dominance driven by poor detoxification and everyday exposure to endocrine-disrupting chemicals, and the surprising ways gut health shapes reproductive outcomes. Tracy also examines how toxic load, oxidative stress, adrenal function, and subclinical thyroid issues can create an environment where conception and full-term pregnancy are harder to achieve.   For practitioners, this episode is a reminder to step back and consider the whole picture. Are we catching the subtle signs before they become bigger problems? Are we helping patients address the underlying conditions that set the stage for lasting reproductive health? Tracy offers insight and direction for identifying the true root causes and guiding patients toward solutions that support both conception and long-term well-being.   Episode Breakdown: 00:00 Infertility as a Multisystem Dysfunction 01:16 Insulin Resistance and Blood Sugar Imbalance 07:05 Estrogen Dominance and Endocrine Disrupting Chemicals 13:12 Gut Health’s Role in Fertility 17:01 Toxicity and Miscarriage Risk 22:29 Adrenal Thyroid Imbalance and Chronic Stress   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

Most thyroid labs look fine on paper, but your patient’s cells may be screaming for help you can’t see.   Tracy Harrison offers a wake-up call for healthcare practitioners: long-term healing can’t happen without addressing the hidden hormone dynamics that standard labs often miss. In this episode, she explores why persistent symptoms in chronically ill patients, especially post-pandemic, may be tied to unrecognized dysfunction in the adrenal-thyroid axis. These are the patients doing “everything right” yet still cycling through flare-ups, fatigue, and stalled progress. Tracy names what many clinicians sense but can’t always explain: a revolving door of disease driven by intracellular hypothyroid function, subclinical adrenal imbalances, and unresolved stress physiology.   At the core is one foundational principle – all healing is a parasympathetic activity. Tracy challenges practitioners to see beyond lab panels and protocols, reminding us that the nervous system listens to lived experience, not positive thinking. She connects the dots between sympathetic dominance, chronic inflammation, micronutrient deficiencies, estrogen excess, insulin resistance, and hormone conversion issues that derail recovery even when test results look perfect.   Through clear clinical insight, examples, and research-backed nuance, Tracy reframes how we evaluate thyroid and adrenal patterns in practice. This episode is an invitation to slow down, listen more deeply, and upgrade your lens on what healing truly requires. If you’ve been trained to trust the labs first, this conversation will change how you see everything.   Episode Breakdown: 00:00 The Revolving Door of Chronic Illness 03:45 Healing Requires Parasympathetic Dominance 07:15 Intracellular Hypothyroid Function Explained 14:10 Nutrient Deficiencies Driving Thyroid Dysfunction 21:05 How Chronic Stress Suppresses Thyroid Function 28:15 Inflammation, Reverse T3, and Long COVID 39:55 Insulin Resistance and Thyroid Hormone Resistance 47:05 Running a Complete Thyroid Panel 54:05 Rethinking Thyroid Hormone Replacement 1:00:55 Hidden Physiological Stressors That Disrupt Healing   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Perimenopause isn’t a syndrome to treat. It’s a complex, shifting transition that most women in their 40s are already navigating, whether they realize it or not. For practitioners working in functional medicine, failing to recognize and address the nuances of this phase can mean missing the real root of your clients’ symptoms.   In this episode, Tracy Harrison lays out five critical practitioner blind spots that lead to frustration and subpar outcomes. She challenges the idea that a fixed protocol can support women through perimenopause, reminding us that the only constant in this life stage is change. Hormones don’t decline in a straight line. Progesterone drops early and steadily, while estrogen tends to spike and swing before it ever goes down. This hormonal chaos can trigger anxiety, insomnia, mood swings, migraines, and even histamine-related issues that are too often misdiagnosed or ignored.   Tracy explains how common symptoms such as poor sleep, bloating, mood instability, hot flashes are often driven by overlooked mechanisms like GABA depletion, serotonin fluctuations, or impaired histamine clearance. She breaks down why alcohol can sabotage sleep and worsen hot flashes, why estrogen dominance is more common than we think, and how mindset and chronic stress directly influence hormone symptoms through the nervous system.   This episode is a call to meet women where they are, not with a standard protocol, but with a dynamic, personalized approach that accounts for the biochemical, emotional, and environmental complexity of perimenopause. If you want to truly support midlife women, you need more than hormone labs and supplements. You need to understand the full picture, and be prepared to shift with it.   Episode Breakdown: 00:00 Understanding Perimenopause: A Natural Transition 05:02 Why Protocols Fail in Perimenopause Care 08:06 How Progesterone Drop Triggers Mood and Sleep Issues 11:22 Alcohol’s Hidden Role in Anxiety, Insomnia, and Hormone Disruption 12:29 The Overlooked Link Between Histamine and Perimenopause Symptoms 16:21 Estrogen Dominance in Early Perimenopause: What Practitioners Miss 21:48 The Estrogen-Serotonin Connection and Its Impact on Mood 26:10 What Really Causes Hot Flashes and Night Sweats 30:00 How Stress Hormones Worsen Perimenopause Symptoms 32:09 Why Mindset and Thought Patterns Matter in Symptom Management 33:45 Partnering with Patients Through Perimenopause   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM’s practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

What happens in the gut doesn’t stay there. It can quietly ignite inflammation, disrupt immune balance, impair cognition, and set off chronic conditions that leave practitioners chasing symptoms instead of causes.   In this episode, Tracy Harrison delivers a call to action for practitioners to look beyond surface-level symptoms and trace chronic dysfunction back to the digestive system. She breaks down the often-missed connections between low stomach acid, impaired enzyme activity, compromised bile flow, and damaged intestinal lining, and how each of these can block nutrient absorption, trigger systemic inflammation, and create a breeding ground for disease. From medication-induced gut damage to the misunderstood role of histamine overload, Tracy illustrates how even everyday interventions like NSAIDs and antibiotics can have far-reaching consequences for the brain, hormones, immune system, and more.   Through vivid metaphors and practitioner-tested insights, Tracy exposes the pitfalls of removing “problem” body parts without resolving the upstream dysfunctions that caused them. She urges practitioners to shift from managing symptoms to restoring core physiological balance, using functional medicine to address root causes and rebuild long-term resilience. This episode challenges conventional thinking and invites a deeper, more strategic approach to healing, one that begins in the gut and ripples outward into every system of the body.   Episode Breakdown: 00:00 The Gut as the Root of Systemic Disease 01:42 Why “You Are What You Eat” Is Misleading 04:46 How Low Stomach Acid and Enzyme Deficiency Fuel Disease 07:09 Bile Flow, Estrogen, and Gallbladder Dysfunction 11:48 NSAIDs, Ibuprofen, and the Hidden Cost to Gut Health 14:05 Histamine Overload and the Brush Border Breakdown 18:30 Leaky Gut and Immune System Overexposure 23:15 Lipopolysaccharides and the Gut-Brain Axis 28:03 How Medications Disrupt Gut Integrity 32:50 The Rise of Food Sensitivities and Systemic Inflammation 38:28 Oral Health as the Starting Point of Gut Dysfunction 43:08 The Critical Role of Bile in Digestion and Immune Defense 47:45 Don’t Treat the Victim, Address the Root Cause   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM’s practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

More exercise. Extra supplements. Cleaner eating. Sometimes the advice we rely on most can quietly work against the people we’re trying to help.   In this episode, Tracy Harrison discusses why functional medicine demands more than just protocols and good intentions. She shares real clinical scenarios where common strategies like high-intensity workouts or high-dose vitamin D can actually worsen symptoms when underlying issues like adrenal fatigue or oxidative stress are at play.   Tracy also challenges how we interpret lab markers. Is a high HDL level always a good sign? What do low liver enzymes really tell us? She connects the dots between nutrient status, metabolic patterns, and the subtle red flags that can get lost in standard lab reviews.   This episode moves through supplements, lab work, diet trends, and minerals with one constant thread: context matters. This is a practical, case-based reminder to pause, ask better questions, and treat the person, not the lab result or the trend.   Episode Breakdown: 00:00 When “Healthy” Advice Makes Patients Worse 01:04 The Hidden Risks of Over-Exercising 10:10 Vitamin D, Magnesium, and Supplement Missteps 14:08 How to Read Lab Markers with More Precision 24:00 Metabolic Dysfunction Beyond Blood Sugar 29:02 Green Smoothies, Oxalates, and Gut Health 36:26 Recognizing Histamine Intolerance in Your Patients 41:06 Why More Iron Isn’t Always the Answer 45:34 Understanding Magnesium Forms and Deficiency   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM’s practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Flow might not be something you measure on a lab panel, but when it’s blocked, your patients feel it.   Tracy Harrison unpacks seven places where flow gets disrupted in the body, often in ways that go unnoticed in clinical care. What happens when oxygen doesn’t circulate well because of poor posture or undiagnosed sleep apnea? Could chronic symptoms trace back to something as basic as hydration, or a lymphatic system that isn’t moving waste effectively? Tracy walks through the quiet impact of circadian misalignment, synthetic hormone use, and even tight clothing that impairs detox and digestion. And she makes the case for taking joy seriously, not as a bonus, but as a core element of physiological health. Could mindset, laughter, and forgiveness be just as important as nutrition and supplements?   This episode is a reminder to look beyond protocols and ask what might be getting in the way of the body’s natural flow and its capacity to heal.   Episode Breakdown: 00:00 Flow in Health 01:14 The Importance of Oxygenation 03:42 Subclinical Anemia and Oxygen Flow 04:47 Hydration: The Overlooked Blockage 06:46 The Role of Lymph in Circulation 08:55 Circadian Rhythms and Health 10:35 Hormonal Flow in Women’s Health 18:08 Physical Blockages and Detoxification 21:34 The Flow of Joy and Emotional Health 25:35 Embracing Flow for Vitality   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM’s practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most detox advice does more harm than good unless you understand how toxicity really works in the body.   Tracy Harrison takes on one of the most misunderstood topics in functional medicine: why detox protocols often backfire, especially in patients with chronic illness. Should detox ever be the first step in care? What happens when you mobilize years of stored toxins without first making sure the body can handle it?   This episode challenges the common urge to “cleanse” as a quick fix and instead offers a deeper look at how biotransformation actually works. Tracy walks through the difference between acute exposure and chronic overload, the risks of aggressive detox, and the science behind supporting phase two detox pathways from a place of strength. She also highlights the toxins hiding in plain sight, from dryer sheets to personal care products, and the role of nutrient depletion in keeping patients stuck.   For practitioners who want to move past protocol-driven care and into true partnership with their patients, this episode is a reminder: real change happens when people understand what’s happening in their body and feel confident enough to do something about it.   Episode Breakdown: 00:00 Missteps in Detox Protocols 01:05 Chronic Toxic Overload vs. Acute Exposure 04:10 Safe and Targeted Detoxification 06:08 Why the Body Stores Toxins 09:02 Detoxing from a Place of Strength 12:04 Weight Loss and Mobilized Toxins 18:11 Dose-Response Myths and Toxic Synergy 21:05 Everyday Sources of Toxic Exposure 25:06 Transdermal Absorption and Beauty Products 30:06 Individual Toxin Overload and Nutrient Needs 34:08 Hormonal and Cellular Damage from Toxins 36:06 Helping Patients Understand and Commit 43:02 Glutathione, COVID, and Detox Capacity 46:04 Personalized Support for Long COVID 54:01 Early Life Exposure and Toxic Burden   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most patients think losing their gallbladder solved the problem. Functional medicine practitioners know it was only the first clue.   Tracy Harrison takes a closer look at what’s actually driving gallbladder dysfunction, and why removing the organ doesn’t remove the risk. Too often, upstream issues go unaddressed, allowing the same hidden dynamics to continue affecting the body. She walks through six of the most common contributors to hepatic biliary congestion: estrogenic overload, metabolic dysfunction, subclinical hypothyroidism, dehydration, toxic burden, and GLP-1 agonist medications. These factors can thicken bile, impair flow, and quietly disrupt other systems long after the gallbladder is gone.   You’ll hear strategies for identifying these patterns early, plus a case study that shows how easy it is to miss them, especially when the patient doesn’t fit the usual mold. For clinicians, this episode is a reminder that gallbladder disease is rarely an isolated issue and that upstream thinking is what leads to real progress.   Episode Breakdown: 00:00 The Gallbladder Crisis 01:18 What Causes Hepatic Biliary Congestion 03:04 Why the Gallbladder Isn’t Optional 03:46 Estrogenic Overload and Hormone Imbalance 08:36 Metabolic Dysfunction and Fatty Liver 12:34 Dehydration as an Overlooked Factor 14:42 Subclinical Hypothyroidism and Bile Flow 18:19 Toxic Burden and Everyday Chemical Exposure 20:32 GLP-1 Agonists and Gallbladder Risk 24:02 Case Study: Gallbladder Risk in a Young Male Patient 27:04 Why We Still Need Bile (and Gallbladders)   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most autoimmune protocols fail because they chase symptoms while the real problem simmers quietly underneath.   Tracy Harrison offers an honest take on what’s often missing from autoimmune care. What if the immune system isn’t broken at all, but just responding exactly as it was designed to, in a world it no longer recognizes? This episode challenges the idea that symptom relief is the same as healing and urges practitioners to look further upstream.   Tracy makes the case for mindset as a starting point. Before tossing out protocols or supplements, are we helping patients believe that change is possible? Are we preparing them for the discipline and patience required to truly shift their health trajectory? Using the thumbtack analogy, she illustrates why single interventions rarely work, and why lasting progress comes from building habits that stick.   Tracy also unpacks the problem with focusing only on the tissue under attack. When autoimmune disease shows up in one place, how long before it shows up somewhere else? She explains why polyautoimmunity is common and why protocols must be tailored, not templated.   This episode is a reminder for practitioners that clinical knowledge is only part of the equation. Sustainable results require education, empathy, and a clear-eyed view of what healing really takes.   Episode Breakdown: 00:00 Understanding Autoimmune Disease Through Functional Medicine   01:04 Challenging Myths About the Immune System   09:18 Why Protocols Fail Without Personalization   12:24 Patience, Discipline, and the Thumbtack Analogy   21:31 The Practitioner’s Role in Patient Belief and Behavior   29:30 Gluten, Molecular Mimicry, and Cross-Reactivity   35:00 NF-kappa B, Lifestyle Stressors, and Immune Priming   38:02 Preventing Flares Through Long-Term Support   44:05 The Four-Legged Stool of Autoimmunity   49:05 Gut Integrity, Gallbladder Function, and Clinical Precision     Links Learn more about SAFM’s accredited practitioner training: https://schoolafm.com/our-program Take SAFM’s 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most lab results lie, unless you know how to read between the lines, accounting for context, cofactors, and the body’s adaptive responses.   In this episode, Tracy Harrison breaks down how even the most routine labs can mislead if practitioners don’t account for timing, stress, hydration, or recent supplement use. She introduces the concept of “lab-draw hygiene” and explains why educating patients on when and how to get tested is just as important as the tests themselves.   From biotin skewing thyroid panels to iron panels that contradict hemoglobin levels, Tracy offers strategies to avoid common clinical missteps. She warns against defaulting to medications like statins or iron supplements without fully understanding what the data reveals or conceals, and calls for routine use of expanded thyroid panels and insulin markers to catch hidden dysfunction early.   This episode is a reminder that lab values don’t exist in a vacuum, and truly impactful care requires asking the right questions before interpreting the numbers.   Episode Breakdown: 00:00 Introduction 00:33 What Is Lab-Draw Hygiene? 03:26 How Stress and Fasting Habits Skew Results 07:12 Supplements That Interfere with Labs 08:06 Biotin and Thyroid Panel Accuracy 13:08 When Iron Supplementation Backfires 17:05 LDL, Statins, and Missed Thyroid Clues 23:24 The Link Between Vitamin D and Magnesium 28:22 Medications That Disrupt Nutrient Absorption 32:39 Why “Low” Lab Values Aren’t Always Good 41:00 Insulin Resistance Hidden in “Normal” Glucose 54:04 What to Include in an Annual Lab Panel   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM’s practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most chronic conditions linger or return because no one’s asking the right questions or looking in the right places.   In this episode, Tracy Harrison gets specific about why so many patients with autoimmune issues or recurrent health problems struggle to truly get better. She walks through four critical areas that are often missed in clinical practice and explains how each one can quietly block progress toward meaningful disease regression.   Is gut health playing a bigger role than you think? Tracy breaks down how digestion, microbiome diversity, and gut barrier function influence everything from mood and energy to inflammation and autoimmunity. Even patients with no digestive complaints may be stuck because of what’s happening in their gut.   From there, the focus shifts to nervous system balance. Why are so many people stuck in a state of sympathetic overdrive? And what are the ripple effects of that stress on healing, immune regulation, and long-term outcomes? Tracy shares specific ways to help patients return to a parasympathetic state, one where the body feels safe enough to recover.   Tracy also challenges the way most clinicians interpret lab data. Just because a number falls within the reference range doesn’t mean it’s serving the patient. What if a “normal” value is actually masking nutrient depletion, inflammation, or liver dysfunction? Tracy also makes a case for asking better questions during intake. So many patients are holding clues they don’t even know matter.   Whether you’re supporting someone with autoimmune disease, chronic fatigue, or any pattern of recurrent illness, this episode offers a sharper lens and a better path forward.   Episode Breakdown: 00:00 Functional Medicine Overview 01:15 The Gut’s Role in Chronic Disease 03:03 Digestion and Nutrient Absorption 06:06 Microbiome Disruption and Antibiotics 09:00 Gut Barrier Function and Inflammation 17:00 Nervous System Imbalance and Stress 23:28 Vagus Nerve and Parasympathetic Healing 28:10 Long COVID and Immune Dysregulation 34:08 Rethinking Lab Data Interpretation 39:02 Nutrient Deficiencies Behind Lab Results 44:03 Ferritin, Iron, and Inflammation 48:00 Why Better Questions Change Outcomes 50:00 The Power of a Thorough Intake   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most supplement mistakes happen when we forget to ask the simplest questions: Why this? Why now? And for how long?   In this episode, Tracy Harrison breaks down why even the most well-intentioned supplement plans can miss the mark. She explains the three core reasons to use supplements (relief, reversal, and maintenance), and how overlooking these distinctions can lead patients to stay on products long after they’ve served their purpose.   Tracy also unpacks the hidden consequences of common medications, like how statins and beta blockers drain CoQ10 or how birth control pills deplete vitamin B6, creating new issues that are often misunderstood or missed entirely. Are your patients feeling better because of what you recommended or despite it?   This episode is a call to slow down, think critically, and move beyond protocol checklists. Tracy shares practical ways to educate patients so they feel like partners, not bystanders, in their own care. If you’ve ever wondered how to improve outcomes without overcomplicating your practice, Tracy offers a smart, grounded place to start.   Episode Breakdown: 00:00 Introduction to Supplement Use 01:16 Three Reasons to Use Supplements 02:11 The Power of Rapid Relief 05:24 Interventions to Reverse Disease 07:00 Educating Patients for Long-Term Success 09:06 Nutrient Depletions from Medications 12:09 Rethinking Maintenance Supplements 25:25 Beyond Protocols: The Devil in the Detail 27:01 Nutrient Interactions and Overlooked Risks 34:04 Post-COVID Supplement Challenges 42:09 Quercetin, Stress, and Individualized Care 47:02 5-HTP and SSRI Contraindications 50:47 Methylation and Common Misconceptions   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Most people assume that eating healthy food is enough. But the real issue is often not what’s on the plate. It’s whether the body can actually use it.   In this episode, Tracy Harrison questions the idea that nutrition starts and ends with food choices. She breaks down why so many patients fail to thrive despite eating well and how digestion quietly plays a much bigger role than we give it credit for.   Tracy walks through four patient groups that often struggle with maldigestion: those with acid reflux, diabetes, hypothyroidism, and chronic aches and pains. Could common medications like PPIs or NSAIDs be interfering with nutrient absorption? Could sluggish bile flow or low enzyme output be blocking access to critical micronutrients? These are the kinds of questions she urges practitioners to ask more often.   Along the way, she explains why foundational functions—stomach acid, bile, enzyme activity, brush border integrity—deserve just as much attention as the more complex topics in functional medicine. Because when those basics are overlooked, even the best nutrition plans can fall flat.   This is a call to shift your focus back to the basics and to recognize that restoring digestive function may be the most powerful clinical move you can make.   Episode Breakdown: 00:00 Introduction  01:03 The Importance of Micronutrition 02:18 The Role of Digestion in Nutrient Absorption 03:46 Focus on Digestion: Acid Reflux and GERD 07:01 Hypochlorhydria and Its Impact 10:02 Eating Hygiene and Its Importance 13:24 Diabetes and Digestive Enzyme Insufficiency 18:07 Hypothyroidism and Bile Function 22:22 Chronic Aches, Pains, and NSAIDs 26:07 The Interconnectedness of Health Issues   Links Take SAFM's 10 CME course - the Essential Gut Deep Dive: https://schoolafm.com/gut-course Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our YouTube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm

Medications your patients trust most may be the very ones quietly driving their disease.   How often do we stop to question the long-term impact of the most common prescriptions? Tracy Harrison takes a close look at the unintended consequences of medications like beta blockers, diuretics, antibiotics, and high-dose vitamin D. These are drugs patients often take for years, sometimes decades, without realizing they could be fueling nutrient depletion, sleep disruption, gut dysfunction, or immune imbalance.   What happens when a beta blocker meant to lower blood pressure also suppresses melatonin and CoQ10? Or when a prescribed vitamin D dose leaves someone more magnesium-deficient than before? Tracy connects the clinical dots and urges practitioners to think beyond the prescription pad. She makes the case for a more nuanced approach, one that questions assumptions, looks for root causes, and sees medications as tools, not permanent solutions.   If you’ve ever wondered why a patient plateaus despite doing “everything right,” this episode offers perspective that could shift your clinical lens.   Episode Breakdown: 00:00 How Common Medications Can Drive Disease 02:17 Hypertension Drugs and Nutrient Depletion 05:08 The Hidden Cost of Beta Blockers 08:02 Diuretics, Electrolytes, and Blood Pressure 10:10 Vitamin D Dosing Mistakes and Magnesium Loss 13:03 Interactions Between Vitamins D, A, and K 16:08 Immunosuppressants and Autoimmune Progression 25:10 Antibiotics, Gut Health, and Immune Dysregulation 30:13 NSAIDs and Pain Relief at a Cost 34:45 Metformin and Silent B12 Deficiency   Links Get weekly Clinical Tips in your inbox: https://schoolafm.com/clinical-tips  Learn more about SAFM's practitioner training: https://schoolafm.com/our-program Subscribe to our Youtube channel: https://www.youtube.com/@safmchannel Access daily quick tips on Facebook: http://www.facebook.com/AppliedFunctionalMedicine/  Podcast production and show notes provided by HiveCast.fm