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

A lot of women start noticing changes as they get older and assume they’re just supposed to live with them.Some of these...
09/14/2026

A lot of women start noticing changes as they get older and assume they’re just supposed to live with them.

Some of these symptoms do become more common with age, but that doesn’t mean age is the only thing worth looking at.

In my practice, I’m also thinking about hormone changes, thyroid function, insulin resistance and metabolic health, digestive health, nutrient status, sleep, medications, and how those pieces may be interacting.

Sometimes hormone support is part of the answer. Sometimes it isn’t.

The goal is to understand what may be contributing so we can choose treatment that makes sense for you.

If you’ve been told everything looks “normal” but you still don’t feel like yourself, there may be more worth investigating.

Book a free discovery call using the link in my bio.

📍 Now accepting new patients in Austin, San Antonio, and virtually across Texas.

There are a few things I come back to over and over when we’re talking about estrogen health, and most of them are not c...
09/08/2026

There are a few things I come back to over and over when we’re talking about estrogen health, and most of them are not complicated.

Fiber matters. Regular bowel movements matter. Cruciferous vegetables matter. Alcohol matters. Reducing certain everyday chemical exposures can matter too.

Not because any one of these is going to “fix your hormones,” but because estrogen has to be metabolized and cleared from the body, and these are some of the everyday factors that can influence that process.

You do not need to overhaul your entire life.

Start with the things you do most often:
what you eat, how regularly you’re going to the bathroom, what you’re heating food in, how often you’re drinking, and the exposures you can reasonably reduce.

Small changes are still useful when they are specific and consistent.

Save this one as a practical place to start 🤍

Most people hear “estrogen” and immediately think one thing:➡️ Is it high or is it low?But that’s not the only question ...
08/31/2026

Most people hear “estrogen” and immediately think one thing:

➡️ Is it high or is it low?

But that’s not the only question I’m asking.

Once your body has used estrogen, it still has to metabolize it. 

And the route it takes through metabolism can give us another layer of information that a standard estradiol level simply doesn’t show.

That’s one reason I often use the Dutch Test.

I’m not looking at a 2-OH, 4-OH, or 16-OH result in isolation and labeling it “good” or “bad.”

I’m looking at the overall pattern, how those metabolites relate to one another, and whether that information helps make sense of what you’re experiencing.

Because sometimes the question isn’t simply, “How much estrogen do you have?”

It’s also, “What is your body doing with it?”

If you’ve been dealing with persistent hormone-related symptoms and want a more personalized, root-cause approach, Wild Fig is accepting new patients in San Antonio and Texas, and virtually throughout Texas.

Book a complimentary discovery call through the link in bio 🤍

Well… I have some exciting news! 🤍My family and I recently made the move from Austin to San Antonio, and Wild Fig is gro...
08/24/2026

Well… I have some exciting news! 🤍

My family and I recently made the move from Austin to San Antonio, and Wild Fig is growing with me!

I’m so excited to start putting down roots here, get to know the San Antonio community, and continue growing this practice in a city we now get to call home.

And to my Austin patients, I’m not leaving you!

I’ll continue seeing patients in person in Austin one day per week, and virtual appointments will continue to be available for patients throughout Texas.

If you’re in San Antonio and new to Wild Fig, welcome! 👋

I take a personalized, root-cause approach to functional medicine, looking deeper at things like hormones, thyroid function, gut health, metabolism, and the other pieces that may be contributing to how you feel.

I’m really excited for this next chapter and can’t wait to meet more of you here in San Antonio.

If you know someone in the area who has been looking for this kind of care, send this post their way!

If we’ve never met, hi 👋This is probably the quickest way to figure out whether we’d get along.I believe medicine should...
08/17/2026

If we’ve never met, hi 👋

This is probably the quickest way to figure out whether we’d get along.

I believe medicine should be evidence-based and deeply personalized.

I believe your symptoms deserve to be taken seriously, even when the answer isn’t immediately obvious.

I believe women deserve thoughtful conversations about hormone therapy, not fear or one-size-fits-all recommendations.

I don’t think healing should rely on endless supplements or restrictive diets. And I don’t think feeling miserable in perimenopause is something women should simply accept.

Most of all, I believe the best medicine starts with listening.

If that resonates with you, welcome 🤍

If not, that’s okay too.

There’s room for different approaches, and I’m glad you’re here long enough to find the one that feels right for you.

📍Wild Fig Functional Medicine provides virtual care for Texas residents. If you’re looking for a root-cause, personalized approach to your health, I would love to meet you.

Book a complimentary discovery call through the link in my bio.

One thing I’ve noticed over the years is how quickly women blame themselves.“I just need to be more motivated.”“I need t...
08/10/2026

One thing I’ve noticed over the years is how quickly women blame themselves.

“I just need to be more motivated.”
“I need to push harder.”
“I need more willpower.”

But when someone is experiencing persistent fatigue, slower recovery, declining strength, and low libido, I’m not thinking about motivation.

I’m thinking about patterns.

Is there a hormone pattern that could be contributing?

Is there chronic stress, nutrient depletion, thyroid dysfunction, inflammation, or something else we need to investigate?

That’s the heart of functional medicine.

Not assuming.
Not guessing.

Getting curious enough to ask why.

If you’ve been told your labs are “normal” but still don’t feel like yourself, I would love to help. 

Book a complimentary discovery call through the link in my bio! 💙

Hormone-related symptoms are rarely as simple as “high” or “low” hormones ❌One of the biggest mindset shifts in function...
08/03/2026

Hormone-related symptoms are rarely as simple as “high” or “low” hormones ❌

One of the biggest mindset shifts in functional medicine is recognizing that hormone health isn’t just about the amount of hormone your body produces.

➡️ It’s also about how those hormones are converted, metabolized, and ultimately interact with your tissues.

This is why two women can have similar testosterone levels and experience completely different symptoms.

The DUTCH Test is one tool we may use to look beyond hormone levels alone. It can provide additional insight into hormone production and metabolism, helping us better understand patterns that may be contributing to your symptoms.

When used in the right clinical context, that information can support a more personalized approach to care.

The goal is not to chase “perfect” hormone levels.

It is to understand how your hormones are functioning together and why symptoms may be occurring in the first place.

Did you know the timing of your hormone test can completely change how it’s interpreted?One of the biggest mistakes we s...
07/20/2026

Did you know the timing of your hormone test can completely change how it’s interpreted?

One of the biggest mistakes we see isn’t ordering the wrong hormone tests.

It’s ordering the right tests at the wrong time.

Your hormones aren’t meant to stay the same throughout the month.

Estrogen, progesterone, LH, and FSH naturally rise and fall during your menstrual cycle.

That means a hormone level that is completely normal in one phase of your cycle could raise concerns if it’s measured in another.

Timing provides context, and context is what makes hormone testing meaningful.

The right testing strategy also depends on your symptoms, cycle regularity, medications, health history, and goals.

Someone with PCOS, irregular cycles, or perimenopause may need a completely different testing approach than someone with predictable monthly cycles.

✨ Save this post for the next time you’re getting hormone labs.

📩 If you’ve been struggling with hormone symptoms and aren’t sure whether you’ve had the right testing or the right timing, I’d love to help. Visit the link in our bio to learn more.

How often do you stop and think about what your hormones are doing throughout the month?Most of us were taught that a me...
07/13/2026

How often do you stop and think about what your hormones are doing throughout the month?

Most of us were taught that a menstrual cycle starts with a period and ends with the next one. But there’s so much more happening in between.

➡️ Every month, your body moves through four distinct phases, each driven by natural shifts in hormones.

Some changes are completely expected. You may feel more energized during one phase and crave extra rest during another.

Learning these patterns can help you better understand your body and what is normal for you.

At the same time, symptoms like debilitating cramps, heavy bleeding, severe PMS, or missing periods should not be brushed off simply because they are common.

Common does not always mean normal.

At Wild Fig, we view the menstrual cycle as an important indicator of overall health. Rather than simply asking, “How do we manage the symptoms?” we ask, “Why are they happening in the first place?”

✨Save this post to reference throughout your next cycle and let me know in the comments 👇🏼

Which phase do you feel your best in?

When it comes to hormone testing, the DUTCH Test is my preferred starting point in most of my cases.Not because blood wo...
07/06/2026

When it comes to hormone testing, the DUTCH Test is my preferred starting point in most of my cases.

Not because blood work isn’t valuable, but because it answers different questions.

While blood work measures hormone levels circulating in the bloodstream, the DUTCH Test provides a more comprehensive picture by evaluating how hormones are being produced, metabolized, and cleared.

That additional information is often what helps explain why someone is still struggling with fatigue, PMS, acne, irregular cycles, or other hormone symptoms despite “normal” blood work.

Blood work still has an important role in diagnosing certain endocrine conditions and monitoring hormone replacement therapy.

But when I’m trying to understand the bigger picture of hormone function, the DUTCH Test is far superior.

➡️ Swipe through to learn why.

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