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Sarah Carson APRN, FNP-C, IFMCP

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Austin, TX
Sarah Carson APRN, FNP-C, IFMCP

REBALANCE HORMONES • REGAIN ENERGY • RESTORE GUT HEALTH

My passion lies in investigating the ro

06/01/2026

Here’s what’s happening underneath the surface 👇🏼

When cells become resistant to insulin, the body compensates by producing MORE insulin.

Over time, chronically elevated insulin changes how the liver processes and packages energy.

The liver starts converting excess circulating energy into triglycerides and packages them into particles called VLDL (very low-density lipoproteins).

As those particles circulate and break down, they contribute to:
→ elevated triglycerides
→ lower HDL
→ more small dense LDL particles
→ increased ApoB particle count

This is one reason why insulin resistance is so closely connected to cardiovascular disease risk.

And why looking at total cholesterol alone often misses the bigger picture.

It’s also why I care about markers beyond standard cholesterol labs.

Because metabolic dysfunction starts LONG before someone is diagnosed with diabetes.

The body gives clues early.

We just have to know how to read them.

05/18/2026

The menopause transition changes your cardiovascular profile in ways most women are never fully educated on.

Estrogen plays a significant role in protecting vascular health, regulating cholesterol metabolism, and supporting insulin sensitivity.

As estrogen declines, we often see shifts in lipid particles, changes in blood sugar regulation, disrupted sleep, increased visceral fat accumulation, and a higher overall cardiovascular risk profile.

At the same time, many women notice that the strategies that once worked for their body suddenly stop feeling effective.

This is not simply about aging or lack of discipline.

There are real physiological changes happening beneath the surface that influence metabolism, cardiovascular health, and long-term disease risk over time.

➡️ Swipe through this post for 5 evidence-based strategies that can help support cardiovascular health during the menopause transition!

05/11/2026

Most people think a normal cholesterol panel means they are not at risk for a heart attack.

But 75% of people who have heart attacks have LDL levels their doctor considered normal.

❌ Because a standard lipid panel tells us nothing about how atherogenic your cholesterol is.

❌ It does not tell you how many dangerous particles are circulating in your blood.

❌ It does not tell you whether those particles are the kind that pe*****te arterial walls.

And it tells you nothing about whether you have an inherited risk factor driving cardiovascular disease regardless of your diet or lifestyle.

At a minimum I check two markers that a standard panel completely misses.

➡️ Swipe through to learn what these two markers are and why they matter.

05/04/2026

This was not just a UC flare.

There was an active parasitic infection and significant bacterial dysbiosis that had never been identified, never been treated, and had been driving inflammation in his gut for over a year.

Nobody had looked for the root cause. So nobody had found it.

Eight months later, his symptoms are resolved, his parasite is gone, and he has gained 25 pounds.

He came in underweight with a gut that could not absorb or hold onto anything.

Now it can.

We are continuing to work on the remaining low-level dysbiosis and will be running a food sensitivity test to identify whether certain foods are contributing to his residual migraines.

➡️ Swipe through for the full case, the testing, and the protocol that changed everything.

If you have been diagnosed with an inflammatory gut condition and feel like you are running out of options, there is likely pieces that have not been explored.

And if you are a Texas resident and want a more comprehensive approach, you can book a complimentary discovery call through the link in bio.

04/27/2026

Most people with chronic gut inflammation have no idea that is what they are dealing with👇🏼

Bloating, fatigue, joint pain, brain fog, and skin flares can feel completely unrelated. But chronic intestinal inflammation is often the thread running through all of them.

The good news is that intestinal inflammation is addressable.

Diet, lifestyle, and targeted supplements all play a role.

But the most important step is identifying what is actively driving the inflammation in the first place, because no supplement protocol can heal a gut lining that is still under attack.

➡️ Swipe through for a full overview of what intestinal inflammation actually is, how it shows up, and what we use to address it.

If you are a Texas resident ready to find out what is driving your symptoms at the root, book a complimentary discovery call with me.

Link in bio.

04/20/2026

Most digestive symptoms are not just about what you eat.

They are about the environment your body is in when you eat.

The way you chew, breathe, move, and time your meals directly affects how well your gut breaks down and processes food.

And for patients dealing with SIBO, leaky gut, or chronic digestive symptoms, optimizing these basics often produces results that supplements alone cannot.

➡️ Swipe through for mealtime habits worth building into your daily routine!

If you are a Texas resident ready to find out what is driving your symptoms at the root, book a complimentary discovery call with me.

💫 Link in bio!

04/13/2026

Your gut lining is one cell thick. And it might be the reason behind symptoms you have never been able to explain 👇🏼

Leaky gut, or intestinal permeability, is one of the most overlooked drivers of chronic, whole-body symptoms.

If you have been dealing with bloat, skin issues, brain fog, food sensitivities that keep multiplying, or fatigue that sleep does not fix, your gut barrier is worth investigating.

The supplements in this carousel are some of the most researched tools for gut lining repair.

But they only work once we identify and remove what is breaking the barrier down in the first place.

✅ Save this post for the supplements worth knowing about, and drop a question below if you want to know where to start.

If you are a Texas resident ready to find the root cause, you can book a complimentary discovery call with me.

💫 Link in bio!

04/06/2026

If you have been dealing with eczema for years and nothing has actually fixed it, this case study is for you.

Not because the answer is the same for everyone. But because the approach is.

So many patients come to me after years of managing their skin from the outside.

Creams, steroids, antihistamines. And they work, until they stop working. Then the cycle starts all over again.

Nobody ever asked what was driving it in the first place.

That is the question that changes everything.

The skin does not flare up for no reason.

It is reacting to something. And in a lot of cases, that something has nothing to do with the skin at all.

➡️ Swipe through this case study to see exactly how we investigated, what we found, and what happened when we treated the actual cause.

Save this post if you have eczema or know someone who does. This is the kind of information that most appointments never get to.

If you are in Texas and are looking for a functional medicine provider who will actually investigate your symptoms and find the root cause, we are accepting new patients at Wild Fig.

Link in bio to book a call 🌿

03/30/2026

What are your thoughts on the new dietary guidelines?

They’ve sparked a lot of conversation, but the reality is, they don’t represent a dramatic shift.

They reinforce many of the same foundational principles we’ve seen before, with some refinement around protein intake, ultra-processed foods, and overall diet quality.

And while those updates matter, they still leave an important gap.

These recommendations are designed for the general population.

They are not built around individual physiology, which is where we see many people run into challenges.

Because in practice, nutrition is not just about what you eat.

➡️ It is about how your body processes, responds to, and adapts to what you eat over time.

Differences in blood sugar regulation, digestion, stress response, and hormone balance all influence how the body utilizes food.

This is often the missing piece when someone feels like they are doing everything “right” but still not seeing progress.

Guidelines can provide a useful foundation.

But they are not a substitute for understanding what your body specifically needs to function well.

03/23/2026

This is the piece most people never look at ⬇️

How well your intestines can move, contract, and clear.

Your gut isn’t just responsible for what’s in it, it’s responsible for how things move through it.

And when that movement is off?

Bacteria doesn’t get cleared.
It lingers.
It overgrows.
…and you end up stuck in the same cycle.

You treat it → it improves → it comes back.

Most SIBO protocols focus on the bacteria.

But if your body can’t move things through, you end up right back where you started.

This is exactly why I often recommend
visceral manipulation as a complement to protocols.

Swipe through to learn more about it!

And let me know in the comments if you've tried it before 💙

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Austin, TX

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 3pm

Website

http://wildfigfunctionalmedicine.com/

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