What Root-Cause Work Actually Does

Case Studies

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Below are six of my patients. Different bodies, different histories, different presentations. What they share is the kind of clinical work that brought each one back. 

There Is Hope For What You're Experiencing

If you're considering one of our programs, you should be able to see what kind of work we actually do, and what kind of changes our patients walk away with. 

Somebody reading this is going to see their own labs in one of these stories, their own symptoms, their own version of "everything looks fine while nothing feels fine." If that somebody is you, I want you to stop wondering whether you're the only one carrying it, and know that there is hope for what you are experiencing. 

A Few Of Our Patient Stories

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She had been nauseous for months, daily. The nausea had gotten bad enough that she was skipping dinner with her family and going to bed early just to escape feeling it. Her appetite was gone, her digestion had stopped working, and the parts of her day she actually wanted to do had slowly disappeared from her schedule.

Chronic GI Distress

42-year-old nurse

Months of daily nausea. Missing dinner with her family. Tested everywhere and told nothing was wrong.

The struggle

Stool studies, imaging, colonoscopy, endoscopy, and a gastric emptying study had all come back "normal". Anti-nausea meds and acid suppression gave temporary relief but did nothing for the underlying picture.

What she had been told

Functional microbiome testing turned up what the prior workups had missed: Candida overgrowth, opportunistic bacterial overgrowth, elevated mucosal immune activity, and markers of gluten sensitivity. Gut dysbiosis with inflammation and immune dysregulation.


What we found

A structured gut-restoration protocol over several months: targeted antimicrobials, digestive support, gut-repair nutrients, probiotics, and elimination of gluten and other inflammatory triggers. Hormonal and metabolic support layered in as the gut quieted.



The strategy

Nausea resolved. Appetite is back. Energy and sleep stabilized. Over time, she lost more than 40 pounds and returned to a full life with her family. The piece her conventional workup couldn't find turned out to be the entire story.




The outcome

She came to us genuinely afraid of her family history. A career in cardiac nursing meant she had seen, up close and repeatedly, what happens when high blood pressure, weight gain, and a strong family history of heart disease are left alone. Now those same patterns were converging in her own body. She wanted them stopped before her labs became something worse.


Cardiovascular Risk

48-year-old former cardiac nurse

Already saw what happens when family history is left alone. Came in wanting it stopped.

The struggle

Labs already showed extremely elevated cholesterol and evidence of coronary artery plaque. The conventional plan was medication management and serial monitoring — wait, watch, adjust. Nothing was being done about the metabolic environment driving the numbers.


What she had been told

Insulin resistance. Systemic inflammation. Severe dyslipidemia. Hormonal and stress-response patterns quietly making the cardiovascular risk worse year over year. The labs told one coherent story once the right ones were ordered.



What we found

Anti-inflammatory dietary framework, intermittent fasting, targeted supplementation for lipid metabolism and inflammation, structured exercise, and direct work on insulin sensitivity and hormone balance.




The strategy

More than 35 pounds lost. Insulin resistance reversed. Cholesterol and blood pressure stabilized. She is no longer monitoring her family history from the passenger seat. She's doing the work that changes which seat she's in.





The outcome

She told me she felt like she was constantly standing on a boat. The vertigo had been daily for months. Bending over had become unsafe. Cleaning her own house had become impossible. She was pushing through it as a teacher and crashing every afternoon, and somewhere along the way she had quietly decided this was probably going to be her life from now on.



Vertigo & Chronic Fatigue

43-year-old teacher

Felt like she was standing on a boat. ENT, vestibular therapy, no answers. Quietly resigned.

The struggle

Multiple specialists. ENT evaluations. Vestibular therapy that helped temporarily and then stopped. No clear root cause was ever named, so she had accepted that managing the symptoms was the goal.



What she had been told

Hashimoto's thyroid disease. Insulin resistance. Vitamin D deficiency. Inflammation patterns known to amplify fatigue and neurological symptoms. Her work environment was also layering on chronic stress that was driving hormone disruption.




What we found

Thyroid hormone management. Metabolic support for insulin resistance. Targeted nutritional supplementation. Stress and lifestyle work, and we discussed transitioning out of a workplace that was making her worse.





The strategy

Vertigo episodes resolved. Energy returned. Weight came down steadily. Thyroid and metabolic labs normalized. She is functioning fully in her daily life, in a healthier environment, in a body she trusts again.






The outcome

He walked into the office weak and dehydrated. As a self-employed contractor running power tools all day, his decline was not just a health crisis, it was a livelihood crisis. The symptoms had been building for weeks: blurred vision, constant thirst, frequent urination, weight he hadn't been trying to lose. By the time he sat down with me, he could barely make it through a workday.




Uncontrolled Type 2 Diabetes

43-year-old contractor

Blood sugar over 500 mg/dL. Refused hospitalization because his family couldn't absorb the bill.

The struggle

He had already seen another holistic provider without getting clear answers. By the time he got to us, his blood glucose was over 500 mg/dL with signs of early metabolic acidosis — the kind of presentation that typically results in immediate hospitalization. He could not imagine adding the cost of a hospital stay to his expenses. He asked us to manage it safely, out of the hospital.




What He had been told

Severe insulin resistance. Uncontrolled type 2 diabetes. Significant systemic inflammation. Vitamin D deficiency. His body was still producing insulin — meaning a lifestyle-led recovery was actually possible if we could keep him safe through stabilization.





What we found

A structured outpatient stabilization plan with daily glucose monitoring and frequent check-ins. Rapid dietary changes. Strategic small doses of medication for safety. Education and accountability as the primary engine. He understood the stakes and he showed up.






The strategy

A1C stabilized into the prediabetic range with minimal medication. Inflammation calmed. Energy back. He is working full days again and grateful for care that met him where he actually was — clinically, financially, and personally.

The outcome

After her husband died, her body felt like it had forgotten how to function.  The fatigue was relentless. The brain fog was new. Panic episodes, those were the part that frightened her the most, because she had never had them before, and now they were showing up often. She had stopped recognizing herself, and after years of high stress on top of acute grief, she was running on empty.





Fatigue, Brain Fog, Panic

41-year-old widow

After her husband died, her body stopped doing what it used to do. She was told it was "just grief."

The struggle

Her labs were "normal." What she was experiencing was probably grief, stress, or aging. The deeper physiology underneath the symptoms had never been investigated.





What she had been told

Insulin resistance. Thyroid signaling dysfunction with poor T4-to-T3 conversion. Low-grade inflammation. Hormone fluctuation affecting metabolism, cognition, and emotional regulation. A nervous system stuck in chronic activation from unresolved trauma stacked on top.






What we found

Stabilize blood sugar and metabolism. Support thyroid and hormone balance. Reduce inflammation. Regulate the nervous system. Trauma-informed care woven through every part of the plan, because her grief was part of the physiology.







The strategy

Approximately 40 pounds lost. Energy restored. Brain fog cleared. Migraines now rare. Metabolic markers significantly improved. Most importantly, she has stepped into a new chapter where she is parenting with presence, building the life she wants, and prioritizing herself in a way she hadn't allowed before.


The outcome

A sudden, alarming rise in blood pressure that had built over six months. Systolic readings frequently in the 170–180 range and climbing past 200 despite multiple antihypertensives. Blurry vision. Genuine fear in him and his wife about an impending stroke or heart attack.






Resistant Hypertension

60-year-old man

Multiple meds, BP still climbing past 200. Cardiology, internal medicine, no cause found.

The struggle

His primary care provider and an internist had run cardiac imaging and vascular studies. Nothing showed the cause. Medications had been adjusted multiple times without effect. His wife, a Holiatry patient herself, encouraged him to come in.






What He had been told

Targeted laboratory testing during his initial evaluation pointed clearly toward primary hyperaldosteronism — a condition where the adrenal glands overproduce aldosterone, causing the body to retain sodium and fluid and driving dangerously high blood pressure. Unrecognized, this condition substantially raises the risk of stroke, heart disease, and long-term vascular damage.







What we found

Within a week he was connected to cardiology and endocrinology for confirmatory testing. Medication was adjusted to specifically target the aldosterone pathway. Alongside that, lifestyle and nutrition strategies focused on metabolic health and cardiovascular protection.








The strategy

Blood pressure under safe control on a single medication. Weight down, energy back, fear gone. He and his wife are planning their retirement now instead of bracing for an emergency.



The outcome

The same handful of patterns shows up over and over in our practice — different bodies, different ages, different presenting symptoms. When the right testing finds the right pattern, symptoms across multiple systems often resolve together. That is what root-cause medicine actually is.


On the surface, these six cases look unrelated. Underneath, they aren't.

The common thread

Hormone signaling that conventional panels weren't built to catch

Gut-driven inflammation showing up as symptoms in completely different systems

Nervous system stuck in chronic activation, often paired with unprocessed trauma

Thyroid conversion problems hidden behind a "normal" TSH

Blood sugar instability driving fatigue, weight, mood, and cognition

Cardiovascular risk patterns that the metabolic environment has been quietly worsening for years

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What Our               Say

Patients

If you saw your own labs in one of these stories, you are not alone, and you are not imagining what your body has been doing.

If you saw yourself here

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