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

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 15 Aug 2026

Peptide Protocols for Cellular Recovery | Hew Health

How Peptide Protocols May Support Cellular Recovery in High-Performing Adults The executives, surgeons, litigators, and founders I see in our practice share a common frustration. They recover from workouts more slowly than they did at 35. Sleep feels less restorative. A tweaked shoulder that used to resolve in a week

Matthew Koucky · 5 min read
Dispatch 14 Aug 2026

Peptide Protocols & Hormone Optimization Together

Peptide Protocols and Hormone Optimization: How These Approaches May Work Together for Peak Performance In our practice, the patients who ask about peptides are almost always the same people already thinking about hormones. They've read something, a friend mentioned it, or they've noticed their recovery from

Matthew Koucky · 5 min read
Dispatch 13 Aug 2026

Regenerative Medicine for Wound Healing | Hew Health

Wound Care Innovation: How Regenerative Medicine Supports the Body's Natural Healing Response A wound that refuses to close is one of the more humbling problems in medicine. You can have the right dressing, the right antibiotic, the right offloading strategy, and still watch a diabetic foot ulcer or

Matthew Koucky · 5 min read
Dispatch 12 Aug 2026

Muscle Preservation & Weight Management After 40

Muscle Preservation During Weight Management: Why Patients Over 40 Need a Different Strategy The scale rewards you for losing muscle. That is the uncomfortable truth I explain to nearly every patient in their forties and fifties who walks into our practice frustrated by a weight plateau. When you drop pounds

Matthew Koucky · 5 min read
Dispatch 11 Aug 2026

Hormonal Fatigue in Women 35–55: Estrogen & Progesterone

Estrogen, Progesterone, and Energy: Understanding the Hormonal Drivers of Fatigue in Women 35–55 Most women I see in this age range have been told their fatigue is normal. They are working, raising children or caring for parents, sleeping poorly, and drinking more coffee than they used to. The exhaustion

Matthew Koucky · 5 min read
Dispatch 11 Aug 2026

Chronic Knee Pain: Non-Surgical Regenerative Options

Chronic Knee Pain and Regenerative Medicine: Exploring Non-Surgical Options for Active Adults Most of the patients who come to us for knee pain are not sedentary. They are runners in their forties who suddenly cannot tolerate a five-mile loop, tennis players who feel a grinding sensation on the stairs, cyclists

Matthew Koucky · 5 min read
Dispatch 10 Aug 2026

Peptide Protocol Consultation: What to Expect

What to Expect During a Peptide Protocol Consultation at a Concierge Hormone Optimization Practice Most patients arrive at their first peptide consultation with a mix of curiosity and skepticism. They've read something online, heard a podcast, or had a friend mention BPC-157 or a GLP-1 analog. What they

Matthew Koucky · 5 min read
Dispatch 09 Aug 2026

Peptide Protocols: A High-Performer's Guide

What Are Peptide Protocols? A High-Performer's Guide to How They Work and What to Expect Peptides have moved from niche biohacker forums into serious clinical conversations, and for good reason. When I sit down with a 45-year-old executive who sleeps six hours, travels three weeks a month, and

Matthew Koucky · 5 min read