06/02/2026

Comment “PREQUEL” if you’ve treated SIBO multiple times and it keeps coming back.

I see this constantly: patients who’ve done multiple rounds of antimicrobials or antibiotics, followed protocols to the letter—sometimes protocols that worked for someone else—and still can’t get well long-term.

The SIBO clears. Then it comes back. Because nobody investigated what created the environment for overgrowth in the first place.

Was motility already compromised before SIBO developed? Was stomach acid chronically low? Was there an underlying nervous system dysregulation slowing gut function? Were opportunistic organisms already present that antibiotics made worse?

These aren’t afterthoughts. They’re the prequel. And if the prequel never changes, the sequel looks a lot like the original movie.

This is why I don’t use cookie-cutter protocols. I don’t care what worked for your friend. I care about YOUR terrain, YOUR history, YOUR prequel. Because that’s the only way to create a lasting outcome instead of a temporary one.

If you’re tired of treating SIBO without actually resolving it, link in bio to schedule a free 15-minute call with us.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

05/26/2026

Depression isn’t a Prozac deficiency 💊

I know that’s controversial, but hear me out.

SSRIs work for some people. But for many, they don’t—or they work temporarily and then stop. And you’re left feeling stuck.

Here’s what I see clinically: depression is rarely just a serotonin problem. It’s often driven by inflammation 🔥, nutrient deficiencies, gut dysfunction, hormone imbalances, or chronic stress dysregulating your entire system.

So before jumping straight to pharmaceuticals (or if you’ve tried them and they didn’t work), these are research-backed options worth exploring:

SAM-e & L-methylfolate → support methylation and neurotransmitter production. If you have MTHFR gene variants, you might not process regular folate well.

Omega-3s (EPA specifically) → reduce brain inflammation. Depression is increasingly being understood as an inflammatory condition.

St. John’s Wort & Saffron → both have clinical trials showing they work as well as SSRIs for mild-moderate depression. Saffron especially is underrated.

5-HTP → direct serotonin precursor. Helps if you’re actually low in serotonin.

Vitamin D & Magnesium → deficiencies in both are strongly linked to depression. Most people are low in both.

Rhodiola → adaptogen that helps with stress-induced depression and fatigue.

Low-dose naltrexone (LDN) → modulates the immune system and reduces inflammation. Game-changer for some people.

The point isn’t to DIY this.

The point is to work with someone who understands that depression is multifactorial and tests for what’s actually driving your symptoms—not just throws an SSRI at you and hopes it works.

If you’re interested in exploring root causes of depression and want to see if we can help, link in bio to work with us 🌱

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

05/24/2026

Here’s what most doctors miss: when estrogen drops in perimenopause, histamine accumulates.

High histamine causes the same symptoms everyone blames on low hormones—flushing, sleep disruption, anxiety, brain fog.

Add in gut bacteria producing excess histamine and chronic inflammation, and you’re in constant histamine overload.

HRT addresses hormones. But if histamine and gut dysfunction aren’t addressed, you’ll never feel optimal.

This is why we take a comprehensive approach to perimenopause—not just hormone replacement, but addressing gut health, histamine regulation, and inflammation.

LINK IN THE BIO TO WORK WITH US 💪

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

04/26/2026

If you’re reacting to nearly everything you eat, the problem isn’t food sensitivities, it’s digestive dysfunction.

Low stomach acid, insufficient enzymes, poor bile flow, slow motility, microbiome imbalances, and more.

When your digestive system can’t break down food properly, everything becomes a trigger.

When we restore digestive capacity, food sensitivities disappear. Not from elimination but from fixing what’s broken.

Message me TERRAIN if you’re reacting to nearly everything you eat and want to see if we can help.

04/20/2026

If you’ve been told you have SIBO but know there’s more to it—schedule a free 15-minute call with me. Link in bio.

The issue isn’t that the treatment didn’t work. The issue is you’re treating a symptom, not the cause.

Most practitioners run a breath test, see positive results, prescribe antimicrobials or antibiotics, and send you on your way.

But they never ask: why is bacteria overgrowing in the first place? What’s upstream? When we run comprehensive testing and address all the layers, SIBO doesn’t come back.

04/04/2026

Real-time update from a SIBO and MCAS patient.

This is what happens when you address root causes—not just manage symptoms with restrictive diets and antihistamines forever.

SIBO and MCAS are connected. Gut dysbiosis drives mast cell activation. When you heal the gut barrier, support motility, and reduce microbial overgrowth, mast cells calm down.

This patient is getting their life back. Not from avoiding everything. From fixing what was broken.

Link in bio to work with us.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

03/05/2026

DM me “HASHIMOTOS FIX” if you’re tired of being told your labs are “fine” while you feel terrible.

This is the approach your endocrinologist isn’t using. When you treat Hashimoto’s as an immune problem instead of just a hormone problem, everything changes.

I work with patients who’ve been on thyroid medication for years and still don’t feel right.

We identify what’s driving the autoimmune attack, address the root causes, and watch antibodies stabilize while symptoms resolve.

Link in bio to work with me.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

03/05/2026

DM me “HASHIMOTOS FIX” if you’re tired of being told your labs are “fine” while you feel terrible.

This is the approach your endocrinologist isn’t using. When you treat Hashimoto’s as an immune problem instead of just a hormone problem, everything changes.

I work with patients who’ve been on thyroid medication for years and still don’t feel right.

We identify what’s driving the autoimmune attack, address the root causes, and watch antibodies stabilize while symptoms resolve.

Link in bio to work with me.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

03/02/2026

If you’re on thyroid medication but still don’t feel right 👉 Link in bio to work with me.

I can’t tell you how many Hashimoto’s patients come to me already on Synthroid or Levothyroxine—medicated for years—and they still have fatigue, brain fog, weight issues, hair loss.

Their doctor keeps adjusting the dose but nothing changes.

Here’s why: their liver isn’t converting T4 to T3 efficiently. The medication is going in, but it’s not being activated.

And when the liver is also struggling to clear estrogen, that estrogen dominance drives more thyroid antibody production. So the autoimmune attack gets worse even while you’re being “treated.”

This is the piece almost every endocrinologist and P*P misses.

I test liver enzymes, bile acid metabolism, and estrogen clearance in every Hashimoto’s case. When we support liver function, patients finally start feeling the way their medication is supposed to make them feel.

Ready to figure out what you’re missing? 👉 Link in bio.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

02/26/2026

If you’ve been told your thyroid labs are “normal” but you’re still exhausted, losing hair, dealing with brain fog and weight gain—this is for you.

Most doctors only check TSH and maybe T4. They say “you’re fine” when you clearly aren’t. What they’re missing: Hashimoto’s antibodies can be attacking your thyroid every single day while your hormone levels still look normal on paper.

Here’s the problem: Hashimoto’s isn’t just a hormone issue—it’s an immune system problem. Your immune system is mistaking your thyroid for a threat because of gut dysfunction, viral reactivation (like Epstein-Barr), gluten cross-reactivity, environmental toxins, or chronic stress.
Replacing thyroid hormones doesn’t stop the attack. It just masks the damage until your thyroid is destroyed enough to “officially” need medication.

When I work with Hashimoto’s patients, we address what’s actually triggering the immune dysfunction. We heal the gut barrier, address viral reactivation, remove environmental triggers, and regulate the nervous system. When we do this, I consistently see antibody levels stabilize or improve—and more importantly, they get their energy back, the brain fog lifts, hair stops falling out, and weight normalizes.
We’re not waiting for your thyroid to fail. We’re stopping the attack before permanent damage occurs.

👉 If this sounds like you, drop a comment below and tell me: Have you had your thyroid antibodies checked?

I’ll send you the full list of labs I run for Hashimoto’s patients.

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

Dr. Max Dula, Digestive Functional Medicine

06/02/2026

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