Field Notes: An Exploration of Functional Medicine

Doing Everything 'Right' but Still Feel Off? This Gut Insight Changes Everything with Jacqui Meehan


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What if the missing link behind stubborn hormone issues, mood swings, fatigue, and digestive chaos isn't your hormones at all—but your gut? In this powerful Field Notes conversation, Dr. Rob Downey sits down with nutritionist and gut-health expert Jacqui Meehan to unpack the deeply personal story that led her from chronic illness to healing, and why the microbiome is the true cornerstone of vibrant health.

Learn more about Jacqui here: https://www.jacquimeehannutrition.com/about

Together, they explore the gut-brain-hormone connection, why so many people "do everything right" and still feel awful, and how simple, overlooked shifts in digestion, lifestyle, and nutrient absorption can unlock dramatic changes in energy, mood, and hormonal balance—especially for women. If you've ever felt dismissed, stuck, or frustrated by surface-level health advice, this episode may completely change how you understand your body—and where real healing begins.

Key Takeaways:

  • Gut health is foundational—not secondary. The microbiome influences digestion, immunity, hormones, and mood. You cannot fully heal or optimize health without first stabilizing gut function.
  • You're not just what you eat—you're what you absorb. Many people eat well but still feel depleted because poor digestion and low stomach acid block nutrient assimilation. Fixing absorption often unlocks rapid improvements.
  • Stress directly disrupts digestion and hormones. Chronic stress shifts the nervous system into fight-or-flight, suppressing stomach acid, bile flow, and gut motility—setting the stage for inflammation and imbalance.
  • The gut and brain are in constant two-way communication. Through the vagus nerve and microbial metabolites, gut health shapes mood, stress resilience, and emotional regulation—sometimes even more than mindset alone.
  • Hormonal balance depends on the microbiome. Certain gut bacteria can recycle excess estrogen instead of eliminating it, contributing to estrogen dominance, PMS, PMDD, and PCOS—making gut repair essential for hormone health.
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Field Notes: An Exploration of Functional MedicineBy Rob Downey, MD, IFMCP

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