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The Hormone Clarity Guide

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The Hormone Clarity Guide

As a functional medicine practitioner, I spend a lot of time looking at gut microbiome test results. And lately, the picture is troubling. Across the board, I’m seeing a lack of diversity and the loss of ancestral keystone species in Western gut biomes.
In fact, not a single patient I’ve tested this year has scored in the optimal range.
This isn’t just an interesting scientific observation—it’s a red flag. When we lose these key species, the ripple effects show up in metabolism, immunity, neurological health, and inflammation. Let me give you three examples.
Every patient I’ve tested is either extremely low in this species—or it has gone completely extinct in their biome.
Akkermansia is essential for:
But Akkermansia is finicky—it thrives only when the gut environment is “just right.” That’s why it’s often the first species to disappear in Western biomes.
Tip: Akkermansia should make up 1–5% of your biome.
These beneficial microbes are coming up low in both variety and overall percentage. Out of the 50+ known species, most people I test are missing the majority.
Bifidobacteria play major roles in:
Tip: Aim for 2–5% Bifidobacteria, and ideally 12 different species.
This should be the single most abundant microbe in a healthy gut. Instead, I see it consistently depleted.
Why it matters:
Faecalibacterium produces butyrate, a short-chain fatty acid that strengthens the gut lining and cools inflammation throughout the body. No wonder chronic inflammation is rampant.
Tip: Faecalibacterium should make up 10–15% of your biome.
The extinction of beneficial species isn’t random—it’s a result of modern life. Here are the main culprits:
Diet
Medication
Natural Medicine
Environment
Enough doom and gloom—what do we do about it?
As microbiome medicine specialists, we’re not focused on just prescribing probiotics or recommending more sauerkraut. While those can be helpful, they don’t resuscitate these dying species.
Here’s what works:
This last step—feeding the right microbes—is the most powerful way to rebuild your ancestral microbiome.
Practical strategies you can start using today.


Do you have any questions about this article or about root cause functional medicine?
Dr. Laura Paris is a women’s health specialist who provides integrative, holistic Functional Medicine care and Acupuncture at her two clinics in Capitola and Monterey, California. She also works with women remotely in the United States through telehealth appointments.
Her unique approach to root-cause medicine includes a whole-body view including hormones, digestion, microbiome and gut health, nutrition, autoimmunity and inflammation, blood sugar regulation, and energy metabolism. Learn more about Dr Laura Paris here, and message her directly here.
Click the button to talk to Dr Laura on a 20-minute discovery phone call ($70)