09/18/2026
Some patients don’t fit neatly into a diagnosis.
Sarah came to Dr. Tiffany Mullen with fatigue, weight gain, insomnia, mood changes, and worsening metabolic markers. On the surface, it looked like menopause.
But the deeper picture told a more complicated story.
Her cortisol was profoundly low. Her metabolism was shifting. She had experienced significant grief. And her family history carried generations of trauma and survival.
Could those experiences have left biological echoes? The science around intergenerational epigenetic inheritance is fascinating — and still evolving. What we know for certain is that the body is shaped by far more than a single hormone, symptom, or lab value.
At Vytal Health, we look at the whole picture.
Hormones. Metabolism. Stress physiology. Nutrition. Sleep. Nervous system regulation. Genetics and epigenetics. And, importantly, the story of the person sitting in front of us.
Because treating the symptom without understanding the system underneath it can leave the most important part of the story untold.
Dr. Mullen explores Sarah’s story — and what it taught her about the body as an archive — in her latest Substack, Beneath the Surface.
Read the full story at the link in bio. https://substack.com/