Notes from the clinic.
Slow-take essays on functional medicine, longevity, hormone health, and the conversations we keep having with patients.
Why Your Doctor Said Your Labs Are 'Normal' But You Still Feel Like Hell
The reference range is a population average — not a wellness target. Here's what we look at instead, and why it matters.
NAD+ Therapy: What the 2026 Research Actually Says
Cutting past the hype: what the latest peer-reviewed studies show — and where the evidence is still thin.
Low T at 35? Why It's Happening Younger Than Ever (And What To Do About It)
Sleep debt, microplastics, sedentary work — modern testosterone decline isn't a coincidence. Here's the workup.
Perimenopause Isn't a Disease. But It Deserves a Protocol.
What changes in the decade before menopause — and the lab markers that actually move things forward.
GLP-1s, Muscle Mass, and the Resistance-Training Mandate
If you're on Wegovy or Zepbound, lifting heavy is non-negotiable. Here's why — and the simple protocol we recommend.
BPC-157: What It Does, What It Doesn't, and How We Use It
A grounded look at one of the most over-hyped and most-useful peptides in our clinic.