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…


Beware of the Covesity Pandemic

Background Covesity is a slang term found in the Urban dictionary here that references the common weight gain arising from our pandemic lifestyle habits.  I'm going to elevate this term from urban slang to a public health crisis that refers to the mechanism by which obesity, particularly abdominal…


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…


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…


Case Files: Why Alcohol is Not “Low Carb” or Keto

Case Study A 45-year-old woman came to see me in the clinic for difficulty losing weight.  She has been on a low carb, ketogenic diet for 6 months but has lost very little weight and feels tired and sluggish.  She thinks she has a prolonged case of the "keto flu." She consumes between 30-50 grams…


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…


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…


Top Health Goals and How to Stick to Them

Background A key reason resolutions and rigid goal setting fail is because they typically involve some form of austerity or discipline: "I need to exercise harder" "I need to quit alcohol or tobacco" "I need to cut out sugar" "I need to start fasting" "I need to start meditating" Might work…


How to Prevent and Reverse Hypothyroidism

Background My clinic focuses on preventing and reversing diabetes and heart disease, but I've been struck with how prevalent thyroid disease has become in my practice.  In particular, hypothyroidism (underactive thyroid) due to an autoimmune condition called Hashimoto's thyroiditis.  Unfortunately…


Optimal Health and Performance for the Entire Family

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