The limits are published alongside the reasoning.
- Evidence tiers
Every article carries an explicit evidence tier, so established biology is never presented as if it were clinical proof.
Read the claim ledger - What this does not prove
Mechanistic pieces are required to state their own limits and the competing explanations that would fit the same data.
See the counterarguments - Published corrections
Where the reasoning has been revised, the revision is recorded rather than quietly edited away.
Review the standards
Pick the sentence that sounds like your situation.
- Why does my SIBO keep coming back?
- Are SIBO breath tests actually reliable?
- Why don't antihistamines settle my symptoms?
- Can I have mast cell activation with normal tryptase?
- Why won't my Long COVID symptoms resolve?
- Why did COVID trigger this in me and not others?
- Why are my labs normal when I feel terrible?
- Why doesn't my stool test match my symptoms?
- Why does every protocol stop working after two weeks?
- Why did butyrate or probiotics make me worse?
- What do bile acids have to do with my gut symptoms?
- Can gut health affect my hormones and egg quality?
Educational mechanistic writing. It does not diagnose, and it does not replace the clinician treating you.
Seven mechanistic threads run through this library.
Recurrent SIBO & breath-test interpretation
16 articles · recurrent SIBO
Mast-cell activation, tryptase & histamine
23 articles · mast cell activation
Long COVID, post-viral gut–immune & POTS
18 articles · Long COVID gut symptoms
Colonocyte bioenergetics, butyrate & oxygen
20 articles · colonocyte bioenergetics
Bile acids, TUDCA & C. difficile ecology
7 articles · bile acid dysfunction
Gut–hormone axis, fertility & estrobolome
8 articles · gut microbiome and fertility
Lab-pattern interpretation
6 articles · lab pattern interpretation
10 articles
- SIBO· September 30, 2026· 29 min· Mechanistic inference
10 Things I Have Learned About Long COVID From Client Data and Research
I have not written in depth about Long COVID for a while, although it has continued to appear repeatedly in the complex cases I analyze.
#long-covid#sibo#pots - Mitochondria· September 15, 2026· 15 min· Mechanistic inference
The Pathogen Is Only the Beginning: 10 Things My Research Into Lyme and Bartonella Is Changing About How I Understand Chronic Illness
The deeper I go into Lyme disease and Bartonella, the more convinced I become that identifying the organism is only the first layer of the problem.
#mast-cells#pots#mitochondria - SIBO· September 7, 2026· 35 min· Mechanistic inference
The Histamine Problem Nobody Explains: Why Some People Suddenly Start Reacting to Everything
The more I research histamine, and the more I work through complex cases involving MCAS, POTS, dysautonomia, SIBO, food reactions, gastrointestinal dysfunction, hormonal changes, medication sensitivities, flushing, itching, headaches
#sibo#mcas#histamine - SIBO· September 5, 2026· 6 min· Mechanistic inference
The Rifaximin Trap: Killing SIBO Without Fixing Why It Keeps Coming Back
The more I research SIBO and work through complex gastrointestinal cases, the more I think we are asking the wrong question.
#sibo#pots#dysautonomia - MCAS & Mast Cells· August 31, 2026· 20 min· Mechanistic inference
The Post-COVID Ciprofloxacin Injury Neuroimmune Trap: Bladder Dysfunction, Small-Fiber Neuropathy, MRGPRX2 Mast Cells, HLA Genetics, Mitochondria and the Gut-Brain Axis
I recently had a discovery call with a complex post-COVID client whose case made me look much more deeply at how the bladder, peripheral nervous system, autonomic nervous system, mast cells, mitochondria, vascular system, immune tolerance
#mcas#ciprofloxacin#hla - Case Reasoning· August 21, 2026· 13 min· Clinical pattern observation
The Gut–Catecholamine Connection in POTS: How HPHPA May Disrupt Norepinephrine, Vascular Tone, and Methylation
A mechanistic reading of why a microbial aromatic metabolite (HPHPA) may sit upstream of catecholamine handling, vascular tone and methylation load in POTS and dysautonomia. Hypothesis-generating, anchored in organic-acid and microbiome patterns seen in complex cases.
#hphpa#pots#dysautonomia - Case Reasoning· August 3, 2026· 12 min· Clinical pattern observation
The Microbial Metabolites That May Be Rewiring the Brain: The Hidden Link Between SIBO, IBS, MCAS, Autism, ADHD, Glutamate, and Catecholamine Dysfunction
HPHPA, hydrogen sulfide, D-lactate and ammonia are microbial metabolites that may pressure catecholamine regulation through dopamine β-hydroxylase, COMT and mitochondrial ATP. A case-anchored look at the hidden link between SIBO, IBS, MCAS, POTS, ADHD-like symptoms and autism-spectrum features — a metabolite-driven mechanism rather than a purely compositional dysbiosis.
#hphpa#clostridia#dopamine-beta-hydroxylase - Frameworks· July 30, 2026· 11 min· HCM interpretation
SIBO, MCAS, POTS and Food Intolerance May Be One Self-Sustaining System
For years, SIBO, MCAS, POTS, dysautonomia, food intolerance, chronic fatigue, neurological symptoms, and mitochondrial dysfunction have been treated as separate diagnoses.
#sibo#mcas#pots - Frameworks· May 28, 2026· 19 min· HCM interpretation
What May Be Driving POTS? A Mechanistic Reading of Postural Orthostatic Tachycardia Syndrome
POTS may not be one disease. At least four candidate mechanistic pathways — post-viral autonomic ganglion dysfunction, gut-driven vagal dysregulation, connective-tissue-mediated venous pooling, and primary deconditioning — produce the same phenotype. Each needs different intervention. A Host Capacity Model stratification of why standard POTS treatment helps some patients and not others, and how to tell which pathway is dominant in a given case.
#pots#postural-orthostatic-tachycardia-syndrome#dysautonomia - Host Capacity Model· May 14, 2026· 28 min· Mechanistic inference
Why hEDS, POTS, and MCAS Almost Always Come Together: The Mechanistic Triad and the Upstream Lesion Standard Medicine Doesn't Treat
Why hEDS, POTS, and MCAS cluster as one integrated illness — three faces of a structural vulnerability decompensating against a shared bioenergetic capacity ceiling.
#heds#pots#mcas
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