Kresser Institute

Tools, Training & Community for Functional Health Professionals

HPA Axis

I have a client who has PTSD from a dog attack three years ago. Nightmares are an issue. Wondering how she can get a good night’s sleep. She wakes up noticeably stressed. Anything specific you can suggest?

Dr. Amy Nett:  PTSD, I would think about doing some therapies like EMDR, which is eye movement desensitization and reprocessing....

A 60-year-old female on bioidentical hormones. Last year had high TPO antibodies and went gluten-free, still ate dairy not Paleo. This year came back for fungal overgrowth on an organic acids test, decided to treat yeast with caprylic acid and RN Microbinate. But her vitamin A, D, and K came back deficient on SpectraCell, but her antibodies are normal. Do you frequently see when treating the yeast, TPO antibodies get better and with not absorbing fat-soluble vitamins? Any recommendations for gut to help absorption?

Dr. Amy Nett:  TPO antibodies can fluctuate quite a bit, so I absolutely do see changes in thyroid antibodies with...

Do you have any information on Meridian Valley Lab? What does Chris look for in a lab to ensure high-quality testing? And who do you prefer for hair mineral toxic element analysis?

Amy Nett: Okay, so breaking these down a little bit. In terms of Meridian Valley Lab, they offer a few...

Woman coming in wants to prep herself for getting pregnant—35, birth control since 16. A few months ago, she went off birth control, experienced very bad acne, and so she went back on. Says the acne was the reason she went on when she was 16. This is a very common story of course, and I’m sure many of you have seen this lots of times. Done comprehensive blood. She looks pretty good outside of some functional iron deficiency, lack of protein in her diet, possible HCl, and electrolyte imbalances. Advised Paleo reset and then hormone testing. What tests do you suggest, and should they be done when on birth control or at some point went off the pills? I want to prep well before she goes off BCs so she can have less symptoms and then regulate her conception.

Chris Kresser: Yes. Definitely like a DUTCH test what are you going to be learning about shortly after hormones and...

Do you have any experience using maca for low testosterone based on DUTCH test results? Patient has low libido, and his cortisol results are high free cortisol and low metabolized cortisol.

Kelsey Kinney: In terms of the maca, I have had some people that I’ve had on maca just for help...
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