Functional Medicine for Real-World Impact

• The Most Common Reason Patients Don’t Get Well | E26

  Most chronic disease protocols fail because the body won’t heal until it feels safe - and that sense of safety starts with the vagus nerve.   Tracy Harrison takes a closer look at what it really means for the body to be ready to heal. Why do some patients follow every recommendation yet still struggle to make lasting progress? What if the real barrier isn’t what they’re missing, but how their nervous system is responding to the world around them? In this episode, Tracy breaks down how the vagus nerve acts as the body’s communication bridge (regulating inflammation, digestion, fertility, mood, and more) and why chronic stress or unresolved emotions can quietly keep patients in survival mode. She also shares ways to restore vagal tone through simple, accessible habits like diaphragmatic breathing, gratitude, laughter, and restorative rest. These aren’t surface-level stress tips; they’re science-backed tools for helping the body feel safe enough to shift from defense to repair. For practitioners, it’s a call to move beyond managing symptoms and start cultivating an internal environment where healing can actually take root.   Episode Breakdown: 00:00 Why Chronic Disease Persists 01:26 Safety as the Foundation for Healing 05:47 The Vagus Nerve and Whole-Body Regulation 23:07 Breathing as a Pathway to Healing 28:04 Gut Health and the Parasympathetic Connection 34:03 Rest and Recovery as Medicine 46:03 Heart Rate Variability and Resilience 49:00 Healing Is State Dependent   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

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• The Secret to Making Functional Medicine Sustainable? | E25

  Functional medicine can only create real change when practitioners move beyond collecting information and start developing the confidence, efficiency, and teamwork that bring healing to life.   Tracy Harrison invites practitioners to think honestly about what it means to do this work well. How do you turn deep scientific knowledge into practical, lasting results for real people? How do you keep your passion alive without running yourself into the ground? Tracy explores what it looks like to move functional medicine from a niche movement into a more accessible, sustainable model of care - one that supports both the patient and the practitioner.   Tracy also takes an unfiltered look at the burnout so many practitioners face and why so many feel they have to do everything alone. She shares how collaboration, whether through hiring early, building a multimodality team, or integrating health coaches and pharmacists, can create more impact with less exhaustion. Along the way, she points out the power of group visits, shared education, and patient partnerships that make functional medicine more affordable and effective for everyone involved.   This episode is an honest, encouraging look at how practitioners can move past self-doubt and build a practice rooted in confidence, clarity, and genuine connection.   Episode Breakdown: 00:00 Confidence, Capability, and Impact for Practitioners 02:15 Knowledge vs Capability and Imposter Syndrome 09:10 Integrating Functional Medicine Into Managed Care 13:55 Efficiency and New Reimbursement Paths for Sustainability 16:18 Stop Doing It Alone: Build Your Team Early 35:20 Patient-Centered Care with SMART Goals and Accountability 44:50 Shared Medical Visits and Group Programs That Scale Results 54:13 Sustain Your Impact and Protect Practitioner Well-Being   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

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• What’s Really Holding You Back? Hidden Beliefs Sabotaging Your Clinical Impact | E24

  Limiting beliefs have a way of sneaking into the work of functional medicine practitioners and Tracy Harrison is pulling them into the light. Have you ever felt like you had to do everything on your own to be credible, or that you should wait until you know absolutely everything before you start? Tracy makes the case for why those assumptions hold you back and how confidence is built through real practice, not endless preparation.   Tracy also looks closely at the practitioner-patient relationship and asks a hard question: what happens when we carry the weight of “fixing” our patients instead of helping them take ownership of their own choices? From moving past overreliance on labs and supplements to creating a true partnership based on education, accountability, and community, she shares a more sustainable way forward.   How much impact could you have if you let go of old assumptions and focused on wisdom, collaboration, and practical action? This episode is a reminder that the future of functional medicine depends on practitioners who are willing to rethink, adapt, and lead with both insight and courage.   Episode Breakdown: 00:00 Truth Telling on Limiting Beliefs in Functional Medicine 02:15 The Myth of Practicing Functional Medicine Alone 06:44 Stop Waiting Until You “Know It All” to Begin 13:50 Patient Responsibility and True Healing Partnerships 20:37 Rethinking Lab Work: Beyond “Within Normal Limits” 32:21 Medications, Myths, and Functional Wisdom 41:59 The Limitations of Stool Tests and Functional Gut Health 51:07 Parasympathetic Activation as the Foundation for Healing   Links Take SAFM’s 10 CME course - The Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

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• Food Sensitivities: Myths and Truths for Practitioners | E23

  Food sensitivities often play a bigger role in chronic health problems than many practitioners realize.    In this episode, Tracy Harrison unpacks how foods that look perfectly healthy on the surface can still trigger immune responses that drive inflammation and dysfunction. She explains the differences between IgG and IgA mediated reactions, explores why intestinal permeability matters, and points out the impact of common medications, toxins, and microbial imbalances on immune tolerance.    How often do we assume patients without gut complaints can’t have food sensitivities? What if the clues show up instead as joint pain, skin issues, or fatigue? Tracy also talks through the limitations of food sensitivity testing and why context is everything when interpreting results.    Practitioners will walk away with a clearer sense of why most food sensitivities are acquired, how they can be reversed by addressing upstream dysfunction, and what it looks like to guide patients through elimination, reintroduction, and restoration of tolerance in a way that sticks.   Episode Breakdown: 00:00 Introduction to Food Sensitivities in Functional Medicine 02:07 Myth: Food Sensitivities Don’t Exist 03:02 Food Sensitivities vs. Allergies Explained 07:00 Limitations of Food Sensitivity Testing 10:07 IgA Antibodies and Gut Health 15:11 Intestinal Permeability and Chronic Disease 17:05 How Food Sensitivities Manifest Beyond the Gut 20:29 Gluten, Zonulin, and Leaky Gut 26:11 Addressing Root Causes of Food Sensitivities   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

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• Lackluster Case Results Even After You’ve Mastered FxMed Science? Here’s Why | E22

  So much of functional medicine celebrates the latest science, but how often does that knowledge actually change a patient’s life? Tracy Harrison invites us to look closer at the gap between information and transformation. Why do so many people collect new diagnoses, run more tests, or add another supplement yet still feel stuck? What gets in the way of real change, and how can practitioners guide patients through it?   In this episode, Tracy explores why lifestyle shifts are the real turning point in healing and how practitioners can become better partners in that process. She shares the simple power of telling a patient, “I believe you can get better,” the importance of setting clear and realistic expectations, and the hidden risks of overwhelming people with too many interventions at once. With stories and analogies, she points out how addressing root causes together, rather than chasing quick fixes, leads to lasting outcomes for both patient and practitioner.   Episode Breakdown: 00:00 The Limits of Endless Labs and New Diagnoses 01:05 Optimizing Clinical Outcomes in Functional Medicine 05:15 Why Science Alone Cannot Heal Patients 07:34 From Knowledge to Action: Breaking the Cycle of Permanent Patients 09:49 Mastering the Art of Facilitating Lifestyle Change 16:56 Placebo, Nocebo, and the Biochemical Power of Practitioner Engagement 20:28 The Healing Impact of Saying “You Can Get Better” 23:59 Setting Realistic Expectations and Avoiding Quick Fixes 35:28 Rapid Relief: Building Patient Trust and Confidence 44:54 Defining the Emotional Why Behind Sustainable Change 49:38 The Three Thumbtacks Analogy for Root Cause Healing 52:10 Moving from the Drama Triangle to the Empowerment Triangle 59:18 Facilitating Change Without Burning Out   Links Take SAFM’s 10 CME course - the Essential Gut Deep Dive Get weekly Clinical Tips in your inbox  Learn more about SAFM’s practitioner training Subscribe to our YouTube channel Access daily quick tips on Facebook  Podcast production and show notes provided by HiveCast.fm

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