Hew Health Field Notes
Vol. I July 2026
Published from Destin & Orlando
Read in 47 states

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 14 Jul 2026

Hormone Optimization & Metabolic Health After 35

The Role of Hormone Optimization in Supporting Metabolic Health for Adults Over 35 Somewhere in your late thirties, the math changes. The same diet that kept you lean at 28 now leaves an inch around the middle. Sleep gets thinner. Recovery from a hard workout stretches from one day to

Matthew Koucky · 5 min read
Dispatch 14 Jul 2026

Cortisol and Sex Hormones: Balance for Energy & Focus

How Cortisol and Sex Hormones Interact, and Why Balance Matters for Energy and Focus Most patients who walk into our office complaining of brain fog and fatigue have already had their thyroid checked. Some have had a testosterone level drawn, or an estradiol. What almost none of them have had

Matthew Koucky · 5 min read
Dispatch 10 Jul 2026

Comprehensive Hormone Optimization: Beyond Testosterone

Testosterone, Estrogen, and Beyond: How Comprehensive Hormone Optimization Addresses the Full Hormonal Picture Most of the patients who walk into our practice asking about hormones have already had a testosterone level checked, or perhaps an estradiol. They've been told the number is "normal" or "low&

Matthew Koucky · 5 min read
Dispatch 08 Jul 2026

Peptide Protocols: What Individualized Care Looks Like

Peptide Protocols and the Concierge Advantage: What Individualized Care Actually Looks Like When a patient asks me about peptides, the first thing I want to know is what they've already tried, what their labs look like over the past two years, and what they actually want their body

Matthew Koucky · 5 min read
Dispatch 07 Jul 2026

Orthopedic Regenerative Medicine: What to Know First

Orthopedic Pain and Regenerative Medicine: What Patients Should Know Before Their First Consultation Most patients who come to us about a stubborn knee, a shoulder that won't quiet down, or a low back that has outlasted two rounds of physical therapy have already done their homework. They'

Matthew Koucky · 5 min read
Dispatch 07 Jul 2026

CJC-1295 & Ipamorelin: What You Need to Know

CJC-1295 and Ipamorelin: What High-Performing Adults Should Know Before Starting a Peptide Protocol Most of the executives, founders, and physicians I see in our practice are not looking for a magic bullet. They want a considered plan, honest data, and someone who will tell them when a protocol is a

Matthew Koucky · 5 min read
Dispatch 07 Jul 2026

Regenerative Medicine for Pain & Joints | Hew Health

What Is Regenerative Medicine? A Patient's Guide to Orthopedic and Pain-Management Protocols at Hew Health Regenerative medicine is a category of treatment that aims to support the body's own repair processes rather than mask symptoms or cut tissue out. In an orthopedic and pain-management context, that

Matthew Koucky · 5 min read
Dispatch 06 Jul 2026

Thyroid Function and Hormone Optimization: T3 & T4

Thyroid Function and Hormone Optimization: Why T3 and T4 Levels Matter More Than You Think A patient came in last month convinced she was losing her mind. Forty-three years old, runs a small architecture firm, used to swim a mile three mornings a week. Now she was sleeping nine hours

Matthew Koucky · 5 min read