Hormone protocols fail when the gut and immune system are still inflamed — and functional health coach Erin Trier learned it the expensive way. She spent years with good functional practitioners who all started with hormones while her body stayed stuck: 40 pounds gained with no habit change, fatigue she describes as a weighted blanket, libido gone, skin flaring. Nobody had run gut testing. Liz Roman and Becca Chilczenkowski walk through what changed when the sequence changed — MRT results, MCAS, immune over-activation, and how a mom of four with a medically complex child actually adheres to a hard protocol.
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