Why I Always Begin With the Gut

Functional Medicine and Conventional Medicine - Why You Need Both

Every symptom is a data point. And when you connect them all, one place comes up again and again.

In my practice, I work with some of the most complex cases you can imagine: clients who have seen multiple providers, tried multiple protocols, and are still searching for answers. Clients who carry a long list of symptoms and have been told they are unrelated.

But here is what I have learned after years of working in functional medicine: nothing in the body is unrelated.

Every symptom is a data point. Every data point tells part of a story.

Over time, I have developed a clinical thinking process that allows me to see how all those pieces connect; how what is happening in one system influences, disrupts, or drives what is happening in another.

When I look at the full picture, one place keeps coming up: the gut.

Not because the gut is the only thing that matters, but because when we support the gut, everything else begins to move. The immune system calms. The brain clears. Hormones regulate. Metabolism shifts. Energy returns.

Key Numbers

  • 70–80% of your immune system lives in the gut
  • 90% of serotonin is produced in the gut, not the brain
  • One organ influences immunity, mood, hormones, and metabolism

The Gut-Brain Axis

The gut and brain are in constant communication through a bidirectional signaling highway via the vagus nerve.

Because roughly 90% of the body’s serotonin is produced in the gut, gut dysfunction does not stay in the gut; it can show up as anxiety, depression, and poor sleep. Chronic stress then loops back, manifesting in the gut as bloating, cramping, and digestive discomfort.

The two systems are inseparable.

Hormones and the Estrobolome

A specific collection of gut bacteria called the estrobolome is responsible for metabolizing and regulating estrogen.

When the microbiome is imbalanced, estrogen metabolism can be disrupted, contributing to hormonal imbalances, irregular cycles, and conditions such as endometriosis.

The gut also plays a critical role in thyroid hormone conversion and cortisol regulation. For clients navigating hormonal concerns, gut health is always part of the conversation.

Metabolism and the Microbiome

Your microbiome directly influences how you extract energy from food, store fat, and respond to insulin.

This is one reason two people can eat the same diet and experience completely different metabolic outcomes. Their microbiomes may be doing very different things with the same food.

So, Where Does This Leave You?

If you have been struggling with fatigue, brain fog, bloating, mood changes, hormonal imbalances, or autoimmunity, these are not separate problems. They form a pattern.

And that pattern often leads back to the gut.

When we begin to understand how the gut influences immunity, hormones, mood, metabolism, and the nervous system, we can start looking beyond symptom management and uncovering the root causes of dysfunction.

Ready to start supporting your gut health? Reach out. I would love to help. Book a call today.

References

Cryan et al. (2019). The microbiota-gut-brain axis. Physiological Reviews, 99(4), 1877–2013.

Plottel & Blaser (2011). Microbiome and malignancy. Cell Host & Microbe, 10(4), 324–335.

Turnbaugh et al. (2006). An obesity-associated gut microbiome with increased capacity for energy harvest. Nature, 444(7122), 1027–1031.

Vighi et al. (2008). Allergy and the gastrointestinal system. Clinical & Experimental Immunology, 153(Suppl 1), 3–6.

Yano et al. (2015). Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell, 161(2), 264–276.

Meet Jess

Hi there, I’m Jess Sorci, Certified Nutrition Specialist and Functional Medicine Practitioner. I help people with chronic illness and autoimmune conditions uncover the root causes of their symptoms and heal the whole person, body and mind. My approach weaves together functional medicine, nutrition, lab testing, and grief-informed care.

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About Jess Sorci

Jess Sorci, MS, CNS®, LDN, is a Certified Nutrition Specialist® and Functional Medicine Practitioner with over a decade of clinical experience. She specializes in chronic illness, autoimmune conditions, and grief-informed care, combining advanced lab testing, nutrition, and compassionate coaching to uncover root causes and restore balance.

When she’s not not working in her practice, Jess can be found biking, hiking, and camping with her husband Nathan and their two chocolate labs.

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