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…


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…


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…


What’s the Best Cooking Oil?

Background There’s a ton of conflicting advice and confusion on cooking oils and I will not claim that I am the subject matter expert on this topic.  The advice I share in this post is based on a combination of what I think are higher quality studies, common sense given the manufacturing process…


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…


Will An Aspirin A Day Really Keep Heart Attacks Away?

Background Taking a baby aspirin daily to reduce the risk of a heart attack and even colorectal cancer has been standard practice for years.  As time goes by and the number of trials accumulate, we often get a better snapshot of whether a medication truly offers its intended benefit, and whether…


Understanding Heart Scans, Stress Tests and Heart Disease Risk

Background I have had numerous requests from doctors, patients and my readers for a thorough explanation of heart scans and their significance.  In an effort to appease both sides of the exam table, I have written this post with enough depth to inform clinicians and hopefully enough explanation to…


In Defense of Eggs

Background After being acquitted for causing high cholesterol and heart disease and even making it onto the nutrition guidelines as a safe food to eat, the latest study that has been piped out to every major news outlet is back to saying eggs increase the risk of heart disease. Instead of writing a…


Why Women Must Worry About Heart Disease

Background Despite all of the awareness around heart disease prevention, it's troubling that women are still viewed differently than men, even though heart disease remains the number one killer in women.  Women generally still perceive breast cancer as a greater threat to their health despite the…


Stress Management Tools and Resources

Updated September 2020 Background I know stress can be an abstract concept which isn't as easily measurable as your weight, blood pressure, or blood glucose.  This is a key reason most individuals have very poor stress awareness and make stress management a much lower priority than nutrition and…


Optimal Health and Performance for the Entire Family

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