Why Am I So Tired When My Blood Work Is Normal? What Standard Testing Misses — What this means in practical terms

If you are reading this article because you have been told your labs are normal while you continue to feel terrible, the most useful next step depends on where you are in the process. If you have not yet had a comprehensive workup, the first step is comprehensive testing of the layers the standard panel does not capture. A functional medicine practitioner with experience in chronic illness, an integrative gastroenterologist, or a Biomelogic consultation can help identify which testing would be most informative. If you have had functional medicine testing but the results have not produced a coherent picture, the limitation may be in the interpretation rather than the testing. The same lab results often look different when read through the Host Capacity Model lens than through the standard functional medicine interpretation. A Biomelogic consultation is specifically designed for this re-reading. If you have specific symptoms that suggest one of the dominant patterns, the condition-specific resources are useful. The recurrent SIBO article addresses the gut bioenergetic pattern. The MCAS four-patterns article addresses the mast cell patterns. The framework page addresses the broader synthesis. In all cases, the goal is to move from &ldquo;my labs are normal but I feel terrible&rdquo; to &ldquo;I understand which mechanism is producing my symptoms and what the appropriate interventi