Sarah Carson APRN, FNP-C, IFMCP

Sarah Carson APRN, FNP-C, IFMCP REBALANCE HORMONES • REGAIN ENERGY • RESTORE GUT HEALTH

My passion lies in investigating the ro

If gut symptoms flare when life feels busy, stressful, or overwhelming, this is not a coincidence.Digestion is one of th...
02/16/2026

If gut symptoms flare when life feels busy, stressful, or overwhelming, this is not a coincidence.

Digestion is one of the first systems to get deprioritized when the nervous system is in a constant state of high alert.

Even with “good” food, supplements, or protocols, the body still needs to feel safe enough to receive and process what you’re giving it.

✅ This is why we look at gut health through both a physiological and nervous system lens. 

➡️ Supporting digestion isn’t just about what you eat. It’s about the state your body is in when you eat.

Simple practices that support vagal tone can help shift the body back toward rest-and-digest, creating the conditions for digestion, absorption, and healing to happen.

Save this for later or share it with someone who’s working on their gut health 🤍

If you’re in Texas and want support looking at gut health more holistically, you can learn more about working with us at Wild Fig through the link in our bio.

Have you heard of the 5R framework?It’s a foundational model in functional medicine and one of the main ways we approach...
02/09/2026

Have you heard of the 5R framework?

It’s a foundational model in functional medicine and one of the main ways we approach gut healing in practice.

✨ We use this framework to understand what needs support first and how different layers of gut health connect.

👉🏼 For some clients, improving digestive efficiency is the starting point. For others, calming inflammation or supporting the gut barrier creates the stability needed for everything else to work.

✅ The 5Rs give structure to the process while still allowing care to be individualized. They help us move intentionally rather than layering in support without a clear plan.

If you’ve seen the 5Rs before but never understood how they actually apply to you, that’s often where working with a practitioner makes the difference.

If you’re in Texas and looking for functional medicine support for gut health, head to the link in our bio to learn more about working with us at Wild Fig 💙

You can do all the “right” things and still feel stuck when it comes to gut health.Not because you are missing disciplin...
02/02/2026

You can do all the “right” things and still feel stuck when it comes to gut health.

Not because you are missing discipline or willpower, but because symptoms are often downstream.

They are the result, not the full explanation.

When we look at the gut environment itself, patterns start to make sense.

Digestion, microbial balance, inflammation, and immune signaling all play a role in how the body feels day to day.

This is why stool testing is a foundational part of our approach at Wild Fig.

It helps us move away from guesswork and toward more intentional, personalized support!

As a bonus, GI-EFFECTS can often be run through insurance, which helps make comprehensive testing more accessible for many clients.

🎉 If you want to learn more about how stool testing works or whether it might be helpful for you, comment “GUT HEALTH” below.

💙 Virtual and in-person appointments available to Texas residents only.

Are you dealing with bloating that feels unpredictable, reflux that comes and goes, or food intolerances that do not mak...
01/26/2026

Are you dealing with bloating that feels unpredictable, reflux that comes and goes, or food intolerances that do not make sense no matter what you cut out?

➡️ Swipe through for a breakdown of some of the most common gut patterns we see in practice.

Keep in mind, this is not a complete list of gut conditions.

It is meant to be a starting point for understanding what could be contributing to your symptoms.

Many of these patterns can exist at the same time, and one can create the environment for another.

This is why guessing or treating symptoms in isolation often does not lead to lasting change.

🙌🏼 At Wild Fig, we take a root cause approach supported by advanced testing to understand what is actually driving symptoms and what needs to be addressed first.

This allows for more personalized, targeted, and effective support.

Save this as a reference or share it with someone who has been trying to make sense of their gut health! 💙

Comment “QUIZ” to take the free hormone quiz 🎉One of the first mistakes people make when focusing on hormone health is n...
01/19/2026

Comment “QUIZ” to take the free hormone quiz 🎉

One of the first mistakes people make when focusing on hormone health is not knowing which hormones need support.

Most conversations stop at estrogen, progesterone, or testosterone.

But symptoms are often driven by a much bigger network.

Stress hormones, blood sugar regulation, thyroid function, and circadian rhythm all influence how reproductive hormones behave.

That is why “balancing your hormones” is not about fixing one number or chasing a single lab value.

It is about understanding patterns and how your systems are communicating.

My free hormone quiz helps identify which hormones may be involved based on your symptoms, so you have a clearer starting point and better questions to ask moving forward.

Comment “QUIZ” and I will send it your way! 

Let’s talk supplements! Food and lifestyle remain the foundation for hormone health.At the same time, perimenopause can ...
01/12/2026

Let’s talk supplements! 

Food and lifestyle remain the foundation for hormone health.

At the same time, perimenopause can increase nutrient needs and place additional strain on hormone metabolism and clearance.

In these cases, targeted supplementation can be helpful when used thoughtfully and at the right time.

As with all functional medicine care, context matters.

The goal is not taking more supplements, but choosing support that aligns with your symptoms, timing, and overall health picture.

💫 If you are in Texas and want personalized, root-cause support through perimenopause, comment “WILD FIG” and we will share more information about working with our team.

And save this post if you want a clearer understanding of how supplementation can fit into perimenopause support 💙

When the body does not feel safe, it cannot rest, digest, reproduce, or heal.Chronic stress keeps the HPA axis activated...
01/05/2026

When the body does not feel safe, it cannot rest, digest, reproduce, or heal.

Chronic stress keeps the HPA axis activated and signals ongoing cortisol release.

While this response is protective in the short term, prolonged activation disrupts normal communication between the brain, adrenal glands, and other hormone systems.

👉🏼 Over time, this can contribute to sleep disruption, blood sugar instability, slowed digestion, increased inflammation, and hormonal imbalances that feel difficult to resolve.

This is why stress physiology is a foundational focus in functional medicine.

Supporting the HPA axis helps restore regulation across multiple systems rather than addressing symptoms in isolation.

This diagram breaks down how the stress response works and why prolonged stress can have such widespread effects.

📌 Save this post if stress feels like a key part of your health picture and you want to better understand what’s happening beneath the surface.

And comment any questions you have below! 💙

Chronic stress doesn’t just make you feel tired.It changes how your hormones function.When stress is constant, the body ...
12/31/2025

Chronic stress doesn’t just make you feel tired.

It changes how your hormones function.

When stress is constant, the body prioritizes survival. Cortisol stays elevated, inflammation increases, sleep becomes disrupted, and communication between the brain, adrenal glands, and reproductive hormones becomes less efficient.

This is why hormone symptoms often persist even when nutrition and supplements are “dialed in.”

Supporting hormone health requires supporting stress capacity.
The tools in this post are free, accessible, and supported by research.

They work by calming the nervous system, improving cortisol rhythm, and restoring balance to the stress response.

You cannot supplement your way out of chronic stress.

But you can build resilience through daily, intentional practices.

If you’re experiencing fatigue, mood changes, irregular cycles, poor sleep, or persistent stress symptoms, this is often where the work needs to begin.

Save this post as a reminder that simple does not mean ineffective 💙

Which one made you laugh because it felt a little too accurate? 😅Perimenopause changes how the body handles stress, slee...
12/22/2025

Which one made you laugh because it felt a little too accurate? 😅

Perimenopause changes how the body handles stress, sleep, stimulation, and recovery.

This is driven by shifts in estrogen and progesterone, but also by how those hormones interact with cortisol, blood sugar regulation, and overall metabolic reserve.

That can show up as lighter sleep, lower tolerance for noise and small talk, stronger reactions to food, and a much shorter fuse in busy environments.

The holidays tend to amplify all of it.

From a functional medicine lens, this is less about willpower and more about total load. When the system has less reserve, the same inputs feel louder and more effortful.

Understanding what is changing makes it easier to adjust support instead of trying to push through the same way you always have 🩵

In perimenopause, gut healing IS hormone support.Hormone balance isn’t just about how much estrogen your body makes.
It’...
12/15/2025

In perimenopause, gut healing IS hormone support.

Hormone balance isn’t just about how much estrogen your body makes.

It’s about how efficiently it processes and clears it.

And one of the main systems responsible for that?

Your gut.

During perimenopause and menopause, it’s common to see functional shifts like:
👉🏼 slower digestion
👉🏼 reduced stomach acid
👉🏼sluggish bile flow
👉🏼 slower gut motility

These changes affect how estrogen moves through the body.

After estrogen is used, it’s sent from the liver into the gut to be eliminated.

But when digestion and elimination slow, that process can break down.

Instead of leaving the body, estrogen can be reabsorbed back into circulation, which is how hormone symptoms can worsen even when labs look “normal.”

This is why gut healing in perimenopause isn’t about throwing probiotics at the problem.

From a functional medicine perspective, the focus is on restoring digestive capacity, bile flow, motility, and microbial balance first.

When the gut works better, hormone clearance works better too 💙

If you feel like your old nutrition habits “stopped working,” nothing is wrong with your discipline.‼️ Your metabolism i...
12/08/2025

If you feel like your old nutrition habits “stopped working,” nothing is wrong with your discipline.

‼️ Your metabolism is responding to a new hormonal environment.

In your late 30s and 40s, progesterone declines first.

Ovulation becomes less predictable, and estrogen fluctuates before it eventually drops.

Those shifts change how your body uses glucose and stores energy.

Blood sugar swings faster, recovery takes longer, and late-night wake-ups become more common.

👉🏼 This is why “eat less and exercise more” backfires.

It increases cortisol, pulls more from your progesterone pathway, and can worsen symptoms like intense PMS, heavier cycles, bloating, mood swings, and fatigue.

✅ If you’re unsure where to start, personalized care is the most effective approach.

Your labs, symptoms, cycle changes, and metabolic patterns tell a clear story of what your body needs right now.

💫 Wild Fig specializes in root-cause treatment for perimenopause, including advanced hormone testing, nutrition strategy, and bioidentical therapy when appropriate.

Visit our website to learn more! 🩵

Most women don’t realize the earliest signs of perimenopause show up in the brain long before there are any changes in t...
11/24/2025

Most women don’t realize the earliest signs of perimenopause show up in the brain long before there are any changes in their cycle.

👉🏼 This is why so many women spend years feeling “off” without anyone connecting the dots for them.

As progesterone declines and estrogen begins to fluctuate, it affects the areas of the brain that regulate mood, memory, sleep, energy, and stress.

These shifts can happen even when your labs look “normal” and your cycle hasn’t changed yet.

When we take a functional medicine approach, we look deeper at what is driving these early changes.

We explore nervous system shifts, cortisol rhythms, nutrient status, inflammation, gut and liver function, and sleep patterns to understand the full picture.

If you’re experiencing these symptoms and want a true root-cause evaluation, Wild Fig offers comprehensive functional testing and personalized care to help you understand what your body is telling you.

💙 Click the link in my bio to get started! 

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Austin, TX

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