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

GLP-1 medications are everywhere right now and for good reason. They suppress appetite, support weight loss, and help manage type 2 diabetes. But what happens when we overlook the ripple effects they can have on the body?   In this first episode of Functional Medicine for Real-World Impact, host Tracy Harrison walks through four clinical “gotchas” every practitioner should keep in mind when patients are using GLP-1 agonists. She starts with one of the most common and disruptive complaints: nausea. For many patients, it’s not just the medication. It’s an underlying issue like histamine overload, subclinical hypothyroidism, or nutrient insufficiency that makes the symptoms worse.   Tracy also raises a critical question: Are we giving GLP-1s to patients who are already insulin resistant... or already hyperinsulinemic? If so, we may be increasing their risk for hypoglycemia, emotional reactivity, and unintended shifts in body composition.   Then there’s the issue of gallbladder health. Slowed motility may reduce appetite, but it can also make existing hepatic biliary congestion worse, especially for those with fatty liver or metabolic disease. Are we screening for this before starting treatment?   This episode challenges practitioners to look closer, ask better questions, and avoid assuming that symptom reduction equals success. Medications can be helpful, but only when paired with a deeper clinical lens and a commitment to long-term, real-world health.   Episode Breakdown: 00:00 Understanding GLP-1 Medications 01:02 Nausea and Dysmotility 05:01 Histamine Overload 08:04 Hypothyroidism and Dysmotility 10:01 Vitamin B6 and Magnesium Deficiency 11:27 Malnutrition Risks 17:00 Hypoglycemia Concerns 20:41 Hepatic Biliary Congestion 25:10 Responsible Use and Dosage 27:00 Importance of Empowering Patients    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

Most cases of type 2 diabetes could be predicted—and prevented—if we knew how to recognize the earliest metabolic red flags hiding in plain sight.   What if your patient’s “normal” labs are quietly pointing to dysfunction—and no one’s looking closely enough to catch it? In this episode, Tracy Harrison shares the story of Jane, a woman in her 40s who feels fine today but is on a predictable path to type 2 diabetes within the next decade. Her fasting glucose and A1C may look great now, but behind the scenes, rising insulin or C-peptide levels are already telling a different story.   Tracy walks through the subtle signs of early metabolic dysfunction and why standard lab markers often lull both patients and practitioners into a false sense of security. She pushes for a shift in perspective: What do we make of “optimal” labs when the patient’s diet, stress, or symptoms tell a different story? What can we catch early if we pay closer attention to things like reactive hypoglycemia, eating hygiene, and even overlooked contributors like toxin exposure and gut motility?   From the pancreas to the microbiome, Tracy connects the dots in a way that’s practical and actionable for real-world clinical practice. She also shares key tools that can support earlier intervention, from smarter lab assessments to supplements like inositol and berberine.   This episode is packed with clinical insights and reminders that prevention starts long before blood sugar goes up, and that patients like Jane are counting on us to see what others miss.   Episode Breakdown: 00:00 Introduction to Jane and the Roots of Metabolic Dysfunction 02:30 Why Fasting Insulin and C-Peptide Matter 05:10 Hypoglycemia as an Early Warning Sign 09:05 Glucose vs. A1C: What Labs Really Tell You 12:10 The Hidden Impact of Stress and Poor Eating Hygiene 15:10 Gut Motility and Its Role in Metabolic Health 22:10 Pancreatic, Thyroid, and Liver Function in Early Dysfunction 27:15 The Microbiome’s Influence on Insulin and GLP-1 32:05 Diet, Prebiotics, and Feeding the Microbiome 36:30 Supplements That Support Insulin Sensitivity   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

Chronic pain isn’t just a nuisance. It’s often a gut-driven signal that something deeper is out of balance.   In this episode, Tracy Harrison takes a practical look at how gut health shapes our experience of pain. She questions the default approach of reaching for medications and instead encourages practitioners to ask: what’s really driving the discomfort? Pain isn’t random. It often points to deeper issues like inflammation, nutrient deficiencies, and microbial imbalances, all of which are rooted in the gut.   Tracy breaks down how over-the-counter drugs like NSAIDs can quietly erode the gut lining, interfere with nutrient absorption, and set off a chain reaction that worsens the very symptoms they’re meant to relieve. She also shares why it’s worth paying closer attention to factors like sleep apnea, chronic stress, and low-grade infections that keep the body in a state of physiological alarm, and make pain more intense.   The conversation turns toward the gut-brain connection, where neurotransmitters like serotonin and GABA play a powerful role in pain perception. What happens when dysbiosis disrupts their production? How do nutrient shortfalls, especially in B12, magnesium, and tryptophan, shift the nervous system’s response to pain?   For practitioners, this is a clear reminder: if you’re not looking at gut health, you may be missing the source of your patient’s pain. Tracy lays out the case for why functional medicine must go beyond managing symptoms to uncovering the systems at play. It starts in the gut, and it can change everything.   Episode Breakdown: 00:00 The Gut-Brain-Pain Connection 02:30 Why Reframing Pain Matters 03:50 How NSAIDs and Common Medications Affect Gut Health 08:30 The Impact of Physiological Stress on Pain Perception 11:00 Dysbiosis, Inflammation, and Neurotransmitter Imbalance 18:30 The Role of Digestion, Nutrient Absorption, and Deficiencies in Chronic Pain 34:00 Food Sensitivities, Immune Complexes, and Joint Pain 37:00 Serotonin, GABA, and the Gut’s Influence on the Nervous System 40:30 Why Gut Health Is Central to Functional Medicine and Long-Term Pain Relief   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

Functional medicine rejects symptom-chasing and asks a better question: why did the body stop working the way it’s designed to?   In this episode, Tracy Harrison explains what functional medicine really is through the lens of systems engineering. What if we approached the human body like a complex system, where every piece plays a role in either promoting health or driving dysfunction?   Using the image of a bonsai tree, Tracy illustrates how we miss the bigger picture when we focus only on the problem we can see. She then takes it a step further with three real-world examples of people who all have hypertension, but for completely different reasons. One person is dealing with blood sugar issues. Another is struggling with nutrient metabolism. A third is unknowingly affected by toxic exposure from decades ago.   So how do we help someone heal if we don’t first understand why they’re sick? This episode is an invitation to think differently. It challenges listeners to stop asking what to fix and start asking what’s interfering with the body’s ability to function. Through a systems engineering lens, Tracy shows how personalized assessment and targeted intervention can help restore balance without relying solely on symptom management.   Episode Breakdown: 00:00 Introduction to Functional Medicine 01:57 Systems Engineering Approach 03:01 Functional Medicine Lens 04:06 Hypertension Example 06:05 Case Study: Mary and Blood Sugar 08:05 Case Study: Bill and Homocysteine 10:17 Case Study: Sue and Lead Exposure 13:20 Customizing Interventional Plans 14:38 Exploring Diagnoses and Root Causes   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

Weight gain isn’t always a result of overconsumption; it’s often the body’s natural response to imbalances that go undetected for years.   In this episode, Tracy Harrison breaks down four functional imbalances commonly at the root of overweight and obesity, starting with insulin resistance that often hides behind “normal” labs. How many patients are told they’re fine when their metabolism is anything but?   Tracy explains how stress, subclinical hypothyroidism, hormone disruption, and environmental toxins can all push the body to hold onto weight, even when someone is doing everything “right.” Could that daily fatigue or bloating be tied to something deeper?   This episode leaves practitioners with a challenge: stop chasing symptoms and start identifying the early signs of imbalance. Because when we address the real root causes, weight loss becomes a natural outcome, and patients finally feel seen, supported, and in control.   Episode Breakdown: 00:00 Four Functional Imbalances Behind Weight Gain   03:27 Hidden Early Stages of Insulin Resistance   12:06 Why Standard Labs Miss Metabolic Dysfunction   15:10 Gut Health and Its Role in Metabolism   18:12 The Clinical Cost of Over-Relying on GLP-1 Medications   26:06 Subclinical Hypothyroidism and Overlooked Thyroid Markers   38:06 Estrogen Dominance and Endocrine Disrupting Chemicals   43:06 Adiposity, Hormone Synthesis, and Toxin Storage   48:00 Constipation, Retoxification, and Hormone Clearance   54:03 Sympathetic Dominance and Chronic Stress   52:00 Building Sustainable Weight Loss Through Root-Cause Care   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

Most cases of recurring IBS aren’t about the gut bugs. They’re about what’s upstream and overlooked.   Why do so many patients feel better at first, only to end up right back where they started? Tracy Harrison shares the real reasons IBS, type 2 diabetes, and other chronic conditions often come roaring back. She highlights two patterns that get missed far too often: maldigestion caused by low pancreatic enzyme output (which is closely tied to blood sugar issues) and sluggish gut motility linked to subclinical hypothyroidism, vagus nerve dysfunction, or past trauma.   Tracy also breaks down how poor sleep and internal stress quietly derail healing, even when a patient’s lifestyle looks “healthy” from the outside. Is someone really sleeping well, or are they just used to feeling tired? Is their blood sugar problem coming from diet, or from the constant background noise of stress?   Tracy connects the dots between oral health, immune dysfunction, and metabolic disease, showing how inflammation in the mouth can ripple through the whole system. She explains why high-dose vitamin D can backfire, how common medications like ibuprofen or PPIs might be sabotaging progress, and what to watch for when a patient’s improvement stalls without a clear reason.   At the heart of it all is a question every practitioner needs to ask: Am I offering too much, too fast? Tracy reminds us that real change comes from partnership, not overwhelm. The smartest plan in the world won’t help if it leaves your patient behind.   Episode Breakdown: 00:00 Introduction 01:30 Why IBS Often Recurs Despite Initial Improvements 03:20 Maldigestion, Dysmotility, and Blood Sugar Dysregulation 08:03 The Hidden Impact of Sleep and Stress on Immune and Gut Health 15:26 Overlooked Connections Between Oral Health and Metabolic Disease 17:50 The Role of Patient Engagement and Expectation-Setting in Lasting Outcomes 23:27 Risks of High-Dose Vitamin D and Common Supplement Pitfalls 26:30 Medication Use That May Be Stalling Patient Progress   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