11/24/2025
Hear me out, the GI-MAP is a great gut test.
It can show microbes, pathogens, yeast, and digestive markers.
But here’s what most practitioners don’t realize:
Microbes are only allowed to stay when bile isn't flowing.
And the GI-MAP cannot measure bile flow or liver clearance.
It's like trying to determine how many kids came to a wild house party that was only allowed to happen because mom and dad were out of town! You can chase the kids out of the house, but they will eventually come back to party if the parents don't return.
After 20+ years in hormone medicine, here’s what I’ve seen thousands of times:
➡️ When bile is sluggish, microbes multiply.
➡️ When bile is sluggish, pathogens stick around.
➡️ When bile is sluggish, estrogen recirculates.
➡️ When bile is sluggish, thyroid hormones don't convert or clear out.
➡️ When bile is sluggish, detox stalls and everything you “kill” has nowhere to go.
This is why so many women stay stuck even after:
✨ DUTCH
✨ GI-MAP
✨ SIBO protocols
✨ Candida cleanses
✨ AIP or Paleo
✨ Dozens of supplements
Because most practitioners go micro:
❌ Kill the bug
❌ Kill the yeast
❌ Fix the dysbiosis
❌ Take more antimicrobials
❌ Retest GI-MAP
But none of it works long-term if the EXIT doors through the liver + bile system aren't open.
You can kill microbes all day,
but they can only EXIT the body through bile.
And for women without a gallbladder this step becomes even more essential!
Here’s the truth:
Your thyroid does not heal without your liver.
Your liver converts thyroid hormone.
Your bile carries used hormones OUT.
Your gallbladder (or lack of one) determines how well you clear toxins.
Your detox pathways determine how well your thyroid responds.
You’re not stuck because you didn’t kill the right microbe.
You’re stuck because your body didn’t have the FLOW to clear anything.
The GI-MAP shows WHAT is happening.
The liver + bile show WHY it happening.
If you’ve already been down the functional medicine road and still feel stuck,
send me a DM and I'll show you the missing liver + bile piece that has to shift before any thyroid protocol can work.