Metabolic
April 2026
ApoB, not LDL: the marker that actually predicts the next thirty years.
Standard lipid panels are a hold-over from when the lab equipment could not measure what mattered. Here is what we actually read.
9 min read
Insights
Field notes from the practice.
Members receive a monthly newsletter that goes deeper than the public archive. Everything below is the publicly readable subset.
Endocrine
March 2026
Why the annual physical misses everything a quarterly panel catches.
The systems we manage move on a quarter-to-quarter cadence. Reading them once a year is the same as reading the market once a year.
7 min read
Practice
March 2026
On retainer, not on demand: the case for a slower kind of medicine.
A short note on what changes when your physician does not start the clock the moment something goes wrong.
5 min read
Methodology
February 2026
Reference ranges are a starting point, not an answer.
Lab ranges are designed for population averages. They are not the right tool for tracking an individual over forty years. Here is what we use instead.
8 min read
Endocrine
February 2026
Reading the HPA and HPG axes together — and why most clinics do not.
Cortisol, DHEA, total and free testosterone, estradiol, and progesterone are one story. Splitting them across two visits loses half the signal.
10 min read
Structural
January 2026
Body composition belongs in the quarterly panel.
Visceral fat, lean mass, and bone density move slowly enough that a yearly reading lags real-life trajectory by twelve months.
6 min read
The newsletter goes deeper than the archive.
Become a member