This explains why so many “good FM cases” now plateau.

Dear Colleagues, Students, and Friends,

If you’ve been practicing Functional Medicine for any length of time, you’ve likely seen a pattern that can be both confusing and frustrating:

• You do excellent FM 1.0 work.
• The patient improves.
• Then progress stalls… or symptoms flare… or tolerance collapses.
• This doesn’t mean FM 1.0 was wrong.
   

It means modern chronic illness has changed—and the physiology driving today’s patients often operates at a deeper regulatory layer than the original model was designed to address.

I recorded a short video that explains this clearly: