When your labs are normal but you still feel sick

Your blood pressure is fine. Your cholesterol looks great. So why do you still feel exhausted, wired, and unwell? Internal medicine and functional medicine physician Shiv K. Goel returns to explain what standard lab panels miss when chronic stress quietly reshapes the body. This episode is based on his article "Normal labs miss what most patients are living through," published on KevinMD. You will hear how sustained stress ripples through your hormones, gut, and immune system, and why a patient can be genuinely sick while every routine result comes back normal. Shiv walks through the targeted tests he uses, from salivary cortisol to the Dutch test, and is candid that not all of it is covered by insurance or backed by the usual evidence. He also makes the case for listening longer and treating the root cause, with real ways to do it inside a packed schedule. You will come away with practical ways to hear more in a short visit and follow the clues standard labs leave behind.

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