Is It Time to Rethink Omega-3 Supplements?
Background I received lots of questions about recent headlines reporting an increased risk of atrial fibrillation in individuals taking omega-3 supplements. In the US alone, over $1.2 billion dollars is spent on the consumption of fish oil supplements. On an individual basis, many of my patients…
June 13, 2021
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
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
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…
December 14, 2019
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
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…
October 28, 2019
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…
August 5, 2019