Seeking Optimal Journal

Clear thinking for better health decisions.

Practical, evidence-aware articles from Brent Cosnett on health, nutrition, and sustainable performance.

Blood Work

Your Blood Tests Are 'Normal' but You Still Feel Awful

Being 'in range' answers one narrow question. It doesn't prove your body works well. Here's what a reference range means and why symptoms sit inside it.

12 September 2026 · Brent Cosnett

blood testsfunctional rangesreference rangesfatiguethyroidnutrient deficiencies
Thyroid & Autoimmune

Hashimoto's and the Gut: The Drivers That Often Get Missed

Hashimoto's is a thyroid diagnosis, but the gut is often part of the picture. What the evidence supports, what it doesn't, and how the drivers get assessed.

12 September 2026 · Brent Cosnett

Hashimoto'sthyroidgut healthautoimmunityintestinal permeabilitySIBO
Gut Health

Why SIBO Keeps Coming Back After Treatment

SIBO relapse is common because treatment lowers the bacteria without fixing what let them grow. Here's what actually drives recurrence, and how to prevent it.

12 September 2026 · Brent Cosnett

SIBOgut motilitydigestive healthrelapse preventionmicrobiome