11/11/2026
You’ve explained this before.
You explained the bloating to one person. The exhaustion to someone else. The crying that comes out of nowhere, you mentioned once, to somebody who was looking at a screen.
Each of them got a piece. Nobody got the part where all of it started in the same year. That’s the part that would have told them something.
A first appointment here is ninety minutes and most of it is questions. Digestion, elimination, where your energy goes across the day, whether your joints ache. And then: what were the last few years like, what was happening when this started, and does your body settle after a hard conversation or stay switched on for hours.
Those two sets of questions belong to two different professions. I’m licensed for both, so they happen in the same room.
And the thing that most often cracks a case open isn’t a test result. It’s a timeline: what started when, and what else changed around the same time.
Only then does anything get ordered. I have lab ordering authority as a registered dietitian in California, so I order what the pattern calls for and read it myself against everything you told me.
And if you’ve been told this is anxiety: sometimes that’s the right answer, and when it is, that’s a real finding. I’m a therapist and I take it seriously. I just won’t conclude it without checking the physical causes that look identical from the outside.
Full piece in bio.