Dr. Stephanie Dunlop

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Things that would get me fired if I said them on hospital rounds: autoimmune edition. 4 in 5 people with an autoimmune disease are women, and the standard plan is still to wait until something breaks. P.S. DM me LABS below and I will send you access to my top labs guide, so thyroid antibodies, RDW and vitamin D are on your next panel by name. When I worked in the ER, I would not have run most of these either. Nobody was trained to look for an immune system that is irritated but has not broken anything yet. Thyroid antibodies can sit positive for years under a perfect TSH. RDW, a number on the blood count you already had, shows up above 14.3 in more than half of newly diagnosed celiac in one adult study. Vitamin D was linked to about 22 percent fewer new autoimmune diagnoses over 5 years in a large randomized trial. And most of your immune tissue lives around your gut. None of that is a diagnosis. All of it is a reason to look sooner. Send this to the friend whose mom and sister both have thyroid problems and who has only ever had a TSH. DM me LABS and I will send you the guide, so your next panel looks for the early signals and not only the damage. Educational purposes only. Not medical advice. #functionalmedicine #hormonebalance #guthealth #testnotguess

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She took an over-the-counter sleep aid every single night for 3 years, nobody asked her why she needed it, and the first lab marker I wanted had never been on her panel. P.S. DM me MASTERCLASS below and I will send you the link to save your seat for my free training this Wednesday, where I walk through how I read labs like hers in order. This is a pattern I see regularly. Asleep by 10, wide awake at 3, and a blue pill from the pharmacy aisle that worked for a while. Most PM sleep aids run on diphenhydramine, an antihistamine that also blocks a brain chemical you use for memory. The sleepy effect often fades with nightly use, sleep guidelines do not recommend it for long-term insomnia, and a large study of adults 65 and older linked heavy long-term use of this drug class with higher dementia risk. An association, not proof, and still worth knowing. Her RBC magnesium was 4.4, normal on paper and near the bottom. That was the first question. Her cortisol rhythm and her cycle were the next ones. Please do not stop anything on your own. Bring this to whoever recommended it. Send this to the friend with a bottle of PM pills on her nightstand. DM me MASTERCLASS and I will send you the link, so you can watch how I read a pattern like this from start to finish. Educational purposes only. Not medical advice. #functionalmedicine #hormonebalance #guthealth #testnotguess

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Hills I will die on as a board certified ER physician turned functional medicine specialist when it comes to hormone therapy, and Hill #5 is the one nobody wants to hear P.S. DM me MASTERCLASS below and I will send you the link to save your seat for my free training, where I walk through what has to be in place before hormones can do their job. I am not anti-hormone and I am not pro-hormone. I am pro-foundation. Here is the sentence to bring to your next appointment: "Before we choose a dose, can we get a baseline on my thyroid, iron, insulin and ApoB, so we know what we are treating." DM me MASTERCLASS and I will send you the link, so you walk into that conversation knowing your foundation first. Educational purposes only. Not medical advice. #functionalmedicine #hormonebalance #guthealth #testnotguess