Dr. Max Dula, Digestive Functional Medicine

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If you’re on thyroid medication but still don’t feel right 👉 Link in bio to work with me.I can’t tell you how many Hashi...
03/02/2026

If you’re on thyroid medication but still don’t feel right 👉 Link in bio to work with me.

I can’t tell you how many Hashimoto’s patients come to me already on Synthroid or Levothyroxine—medicated for years—and they still have fatigue, brain fog, weight issues, hair loss.

Their doctor keeps adjusting the dose but nothing changes.

Here’s why: their liver isn’t converting T4 to T3 efficiently. The medication is going in, but it’s not being activated.

And when the liver is also struggling to clear estrogen, that estrogen dominance drives more thyroid antibody production. So the autoimmune attack gets worse even while you’re being “treated.”

This is the piece almost every endocrinologist and P*P misses.

I test liver enzymes, bile acid metabolism, and estrogen clearance in every Hashimoto’s case. When we support liver function, patients finally start feeling the way their medication is supposed to make them feel.

Ready to figure out what you’re missing? 👉 Link in bio.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

02/26/2026

If you’ve been told your thyroid labs are “normal” but you’re still exhausted, losing hair, dealing with brain fog and weight gain—this is for you.

Most doctors only check TSH and maybe T4. They say “you’re fine” when you clearly aren’t. What they’re missing: Hashimoto’s antibodies can be attacking your thyroid every single day while your hormone levels still look normal on paper.

Here’s the problem: Hashimoto’s isn’t just a hormone issue—it’s an immune system problem. Your immune system is mistaking your thyroid for a threat because of gut dysfunction, viral reactivation (like Epstein-Barr), gluten cross-reactivity, environmental toxins, or chronic stress.
Replacing thyroid hormones doesn’t stop the attack. It just masks the damage until your thyroid is destroyed enough to “officially” need medication.

When I work with Hashimoto’s patients, we address what’s actually triggering the immune dysfunction. We heal the gut barrier, address viral reactivation, remove environmental triggers, and regulate the nervous system. When we do this, I consistently see antibody levels stabilize or improve—and more importantly, they get their energy back, the brain fog lifts, hair stops falling out, and weight normalizes.
We’re not waiting for your thyroid to fail. We’re stopping the attack before permanent damage occurs.

👉 If this sounds like you, drop a comment below and tell me: Have you had your thyroid antibodies checked?

I’ll send you the full list of labs I run for Hashimoto’s patients.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

02/17/2026

📝Comment PERIODS if you’re ready to stop planning your life around debilitating cramps and heavy bleeding.

Here’s what I see clinically:

You’ve been dealing with this for years. You’ve tried every painkiller, heating pad, supplement from Instagram. Your doctor either put you on birth control to “regulate” things or told you this is just normal for some women.

But you know in your gut something’s wrong. The issue isn’t that your uterus is broken—it’s that nobody’s looking at what’s driving the hormone chaos and inflammation in the first place.

When I address gut dysbiosis, systemic inflammation, and nutrient deficiencies, I consistently see women go from calling in sick every month to having completely manageable cycles.

It’s not about masking symptoms. It’s about fixing what’s actually broken.

Link in bio to work with me.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

02/11/2026

🚨Have methane SIBO and all you’ve been given are antibiotics? DM me “METHANE” and let’s talk about what actually works.

Methane SIBO has a high rate of poor clearance and reinfection because most protocols miss two critical things: methanogens aren’t bacteria—they’re archaea with different cell walls that resist standard antibiotics.

And methane slows gut motility, creating the perfect environment for them to thrive even after treatment.

You need combination therapy that targets archaea specifically AND fixes the motility dysfunction.

Most doctors don’t address both. Link in bio to work with me.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

02/09/2026

Here’s what I see clinically: You took rifaximin or another antibiotic. Felt amazing for 2-4 weeks. Then everything came back—bloating, brain fog, constipation, diarrhea.

You go back to your gastroenterologist and they say “let’s do another round of antibiotics” or “we should schedule a colonoscopy to rule out other things” or they prescribe something for the symptoms like Linzess or a PPI.

But none of that addresses why you still feel terrible.

Or maybe you’ve been working with a functional medicine doctor. You’ve done the breath test three times, tried every herbal protocol they recommended, spent thousands on supplements, and they’re running out of ideas.

They keep adding more tests, more protocols, more products—but you’re not actually getting better.

This is the pattern I see constantly. The issue isn’t that antibiotics or herbs don’t work. It’s that nobody’s addressing why the overgrowth happened, what else is contributing to your symptoms, and how to prevent the collateral damage these treatments cause.

Link in bio to work with me.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

DM me “SYSTEMS” if you’ve tried everything and nothing’s working. Let’s figure out what’s actually broken.I’ve worked wi...
02/04/2026

DM me “SYSTEMS” if you’ve tried everything and nothing’s working. Let’s figure out what’s actually broken.

I’ve worked with hundreds of patients who tried supplements that weren’t bad ideas—they just used them wrong. Non-therapeutic doses. Wrong duration. Missing key combinations. Wrong order.

Then they conclude “supplements don’t work” when the real issue was the approach.

When your symptoms come from systems failure, you need systems therapy—not random products from Instagram ads. There’s a sequence. There’s a strategy. And there’s a reason some practitioners get results while others don’t.

Link in bio if you’re ready to stop guessing.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

If you’re struggling with recurrent SIBO or aren’t even sure you have it anymore but still feel sick—DM me “SIBO BYSTAND...
02/01/2026

If you’re struggling with recurrent SIBO or aren’t even sure you have it anymore but still feel sick—DM me “SIBO BYSTANDER” and let’s figure out what’s actually going on.

A study found SIBO in nearly 30% of people who had zero symptoms.

So if you tested positive and treated SIBO but nothing changed—SIBO might not actually be your problem. It could just be a bystander.

The real drivers are usually emotional trauma, chronic stress affecting your digestion, and unresolved infections your immune system is still fighting.

That’s why I spend considerable time with each of my patients to exhaust all possible options. It’s easy to just find something on paper and focus only on that. Treating the whole person works much better.

Source: Systematic review of SIBO prevalence in IBS vs. control populations (breath testing meta-analysis)



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

SIBO keeps coming back because you’re treating symptoms, not root causes. DM “SIBO FIX” to learn how I approach it diffe...
01/28/2026

SIBO keeps coming back because you’re treating symptoms, not root causes.

DM “SIBO FIX” to learn how I approach it differently.

These are the 5 mistakes I see in every failed SIBO case.

If you’ve tried antibiotics, herbs, or low-FODMAP and it came back—one of these is why.

Link in bio for a free connection call.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

Motility agents are a band-aid, not a solution.If your gut isn’t moving, bacteria builds back up. Simple.But WHY isn’t i...
01/26/2026

Motility agents are a band-aid, not a solution.

If your gut isn’t moving, bacteria builds back up. Simple.

But WHY isn’t it moving?

That’s the question most practitioners skip.

Low stomach acid, poor gallbladder function, chronic stress, hidden infections - these all slow motility.

Until you address the root cause, you’re just managing the cycle.

Save this. Share it with someone stuck in SIBO relapse.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with a qualified healthcare provider before making changes to your health regimen.

Bara came to me after years of acid reflux and GERD. Conventional treatment had her dependent on PPIs with no end in sig...
01/26/2026

Bara came to me after years of acid reflux and GERD.

Conventional treatment had her dependent on PPIs with no end in sight.

We took a different approach - customized protocols, adjusted as her body responded.

A few months later? Reflux gone. No more PPIs. She feels like herself again.

This is what root-cause work looks like.

If you’re tired of managing symptoms and ready to actually resolve them, link in bio to book a free 15-minute call.

Phone scrolling isn’t just wasting your time. It’s dysregulating your neurotransmitters.**What are neurotransmitters?**C...
01/02/2026

Phone scrolling isn’t just wasting your time. It’s dysregulating your neurotransmitters.

**What are neurotransmitters?**

Chemical messengers that regulate mood, focus, sleep, digestion, and libido. The main ones: dopamine, serotonin, GABA, norepinephrine.

**Dopamine** controls motivation, pleasure, and s*xual desire. Every scroll gives you a dopamine hit. Do it 200 times a day and you desensitize your dopamine receptors. Result? Nothing feels rewarding anymore—including s*x.

**Serotonin** regulates mood and sleep. Imbalanced = depression, anxiety, insomnia, IBS.

**GABA** calms your nervous system. Low GABA = constant anxiety, can’t relax.

**Common conditions when neurotransmitters are imbalanced:**

Depression, anxiety, ADHD, insomnia, low libido, brain fog, IBS, chronic fatigue.

**How I help:**

I assess what’s depleting your neurotransmitters: chronic stress, gut dysbiosis (90% of serotonin is made in the gut), nutrient deficiencies, excessive screen time.

Then I create protocols to restore balance: amino acid precursors, adaptogenic herbs, gut repair, lifestyle modifications.

Your brain chemistry affects everything. Fix the imbalance, fix the symptoms.

Link in bio to work with me.

*xualhealth

This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

I get SIBO patients who’ve already tried everything.Antibiotics, herbs, low-FODMAP diet. Felt better for a few months, t...
12/28/2025

I get SIBO patients who’ve already tried everything.

Antibiotics, herbs, low-FODMAP diet. Felt better for a few months, then it came back.

Here’s what I’ve learned: most SIBO treatments are close. They just miss the critical pieces that prevent relapse.

The missing pieces are different for everyone:

For some, it’s motility issues that were never addressed.
For others, it’s low stomach acid or impaired bile flow.
Sometimes it’s hormonal—thyroid affecting transit time, or cortisol disrupting the gut barrier.
Often it’s multiple systems failing at once.

That’s why I don’t just kill bacteria. I assess the entire digestive ecosystem and identify what’s broken in YOUR specific case.

Cookie-cutter protocols don’t work for SIBO. Individualized assessment does.

DM “SIBO READY” to learn about working with me.



This content is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Always consult with your healthcare provider before starting any new treatment protocol.

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San Diego, CA

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+18582471018

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