The Glycemic Impact of Stress
Background Many of you have probably read or heard about the impact of stress on glucose. Despite this, most people are only partially convinced about the connection. Unlike the impact of something concrete and tangible like food and physical exercise, it's often difficult to accept that…
April 16, 2021
Insulin Training and Glucose Variability
Background I know in prior writings I mentioned how I've been tracking my health less and living more spontaneously by intuition. Wearing trackers and doing frequent blood tests for over a decade has given me a strong sense of when my metabolism and energy are off, so now I just mostly pay…
December 26, 2020
The Fallacy of Fasting Blood Glucose
Background If there is one "abnormal" blood test that I get the most questions on, it has to be the fasting blood glucose. As a result of implementing stringent lifestyle changes, often patients see their waistlines shrink, their lipids improve, but that stubborn fasting blood glucose often…
November 6, 2020
Is Intermittent Fasting Overrated and Harmful to Health?
Background I got a ton of questions from patients and readers about the recent UCSF study on a form of fasting called time-restricted feeding (TRF), being ineffective for weight loss. This is a perfect opportunity for me to dig deeper into how fasting can either be a powerful tool that potentially…
October 4, 2020
VO2 Max and Other Key Markers of Fitness and Longevity
Background There is no doubt that improving diet is a powerful way to shift metabolism and reverse conditions like insulin resistance and chronic inflammation. In fact, in my early days, simply changing the diet in patients led to such significant changes in metrics like body weight, triglycerides…
July 30, 2020
The Continuous Glucose Monitor (CGM) Guide
Background A continuous glucose monitor (cgm) is a wearable sensor that tracks you blood glucose 24/7 in real time and transmits it to a receiver which can either be a separate unit or your smartphone. It's time for doctors and practitioners to get comfortable ordering cgms for their patients. We…
March 1, 2020
Burning Body Fat With Cold Exposure
Background I have many patients who get the impression that staying healthy is not a year round responsibility. They tend to focus on physical activity and healthy eating when the weather warms up, but during the fall and winter months, they think they can magically transform into a hibernating…
February 12, 2020
Case Files: Elevated LDL Fixed
Background I'll be sharing some occasional cases from my clinic to help you learn about some of my approaches to helping my patients. I'll make some minor changes to the history and possibly tweak the labs a bit to protect the patient's identity. My goal for doing these case files is so my…
November 19, 2019
Why Muscle Really Matters
Background I consider the preservation and enhancement of muscular strength to be one of the most important goals a human being should set at any stage of life. Lack of adequate muscle mass and function is one of the single greatest contributors to poor quality of life and accelerated aging. This…
July 5, 2019
Why Women (and Men) Struggle with Weight Loss and Health
Background This blog post is applicable to both women and men, but I am going to focus a bit more on women since in my practice women struggle so much more with weight loss than men. For many women it has become a 24/7 obsession that takes over their life, or is at the very least a constant…
June 17, 2019