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Welcome to the Peer Community — How It Works
An introduction to the community, how to post, the moderation process, and the guidelines for case discussions. If you're new, start here.
Event
Monthly Case Review — Thursday 29 May, 7:30pm (Zoom)
Next month's case review session is open for registration. Bring a complex or challenging case — or just come to listen and learn. Facilitated by Gina Donnery. Link sent to registered members by email.
Recent Discussions
Case Discussion
Persistent bloating post-antibiotics — dysbiosis or SIBO? Seeking input on differential
Female, 38, persistent bloating and early satiety 6 months following a 10-day course of amoxicillin. Calprotectin 95 μg/g, breath test pending. Wondering if colleagues have experience distinguishing post-antibiotic dysbiosis from SIBO functionally before breath test results are back...
Question
Recommended HRV biofeedback protocol for autonomic dysregulation — what are you using?
Following the vagal tone wearables article, I've had several patients ask about HeartMath specifically. Interested to know what protocols colleagues are actually using in practice — duration, frequency, and any particular apps or devices you've found reliable.
Question
Fee structures for functional medicine in Ireland — what is considered reasonable?
Setting up independently after completing IFM training. Would genuinely appreciate any guidance from experienced practitioners on fee structures — initial consultation length and fee, follow-up fee, testing charges. Happy to share what I'm considering if useful.
Resource
Sharing: DUTCH test interpretation template I've been using with patients
I've put together a one-page patient-facing summary template for DUTCH hormone results that I use to walk patients through their results in consultation. Happy to share the Word template with anyone who would find it useful — just reply below and I'll email it over.
Case Discussion
Male, 58, post-COVID fatigue with significantly blunted cortisol awakening response — management thoughts?
Presenting 18 months post-infection with fatigue, word-finding difficulties, and significantly blunted CAR (salivary cortisol). No obvious adrenal pathology on standard testing. Has tried B12, vitamin D, magnesium with minimal improvement. Looking for input on whether anyone has explored specific HPA axis support protocols in this population...
