Hello, Korie

Korie reports her main complaint of digestive dysfunction began Janaury-February of 2026. This coincided with acute stressors in personal life.

She also reports a severe rash began in June 2026, extreme itching to the point of pain, that spread to hips, backs of knees, elbows, forearms, hands. Most of the rash has gone away but still experiencing small patches on hands and forearms.

Current SX:

• 2-3 day constipation

• low appetite

• more frequent undigested food in stool (corn, quinoa, beans)

• constant stuffy nose

• bendy nails

• craves chocolate often

• difficulty falling and staying asleep, night sweats

• 2x UTI in past 12 months

• feet always cold

• urine dark, stronger urine odor

• headaches 2-3x week

• rash on hands/forearms

• progressive disruptive anxiety (worse at home)

• dizzy upon standing

• heart pounds

• noise sensitivity, easily startled

• cold/heat intolerant

• joint pain (chronic left hip/knee) and popping

She has seen a Gastroenterologist twice in the last three months, and is currently on prescription Linzess. Experiencing diarrhea and would like to come off the medication.

She was referred to a rheumatologist (for 09.30.2026) after a positive (+320) ANA test.

Former testing includes Everlywell food sensitivity screening, showing high dairy intolerance.

Relevant family history includes paternal grandmother (uterine cancer) and maternal grandmother (breast cancer).

Relevant personal history includes mold exposure a few years ago. Major secondhand smoke as a child. Eating disorder 2014-2021 (restriction, bulimia, compulsive exercise). Covid 2x, vaccinated plus two boosters.

Korie is currently eating a diet that does not include meat or seafood. She does consume dairy and eggs and is considering the addition of bone broth. She has been primarily plant based for 8-9 years. She is open to supplement recs that include animal ingredients.

Korie is currently on HBC Nexplanon and has been for the last 7 years. Amenorrhea until replacement, now regular monthly cycles. Some cramping and breast tenderness noted.

Korie is currently having a very hard time sleeping, both falling asleep and staying asleep. She has moved her mattress to a different location to try to help. Sleep disturbances present for the last 4-5 months.

Rheumatology Apt. Prescribed Cyclobenzaprine 5mg 2-3 weeks for joint pain and sleep. Korie asked for clarification around the medication’s purpose.

• Muscle relaxer that works on CNS to relax muscles. Does not work directly on joints but rather on muscles which may ease joint pain. Drowsiness is a possible side effect but the medication is not approved as a sleep aid.

Labs drawn and urine sample collected, follow up scheduled for 10.28.2026. Korie has decided not to go forward with taking the prescription.