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 30 Aug 2026

Concierge Hormone Optimization: Personalized Protocols

What the Concierge Standard Means for Hormone Optimization: Personalized Protocols Over One-Size-Fits-All Care Most of the hormone care I see arriving on my desk from other practices follows a script. A man in his late 40s gets a total testosterone level, lands somewhere under 400 ng/dL, and walks out

Matthew Koucky · 5 min read
Dispatch 29 Aug 2026

Peptide Protocols and Hormone Optimization

Peptide Protocols and Hormone Optimization: Understanding How They May Work Together Most patients who come to us asking about peptides have already spent a year or two on hormone optimization. They feel better than they did. Sleep improved. Body composition shifted. Libido returned. But something plateaued, and they want to

Matthew Koucky · 5 min read
Dispatch 28 Aug 2026

Cortisol and Sex Hormones: Stress & Optimization

How Cortisol and Sex Hormones Interact: What You Need to Know About Stress and Hormone Optimization One of the more frustrating conversations I have in my office goes something like this: a patient in her mid-forties has done everything right. She's eating well, lifting three times a week,

Matthew Koucky · 5 min read
Dispatch 27 Aug 2026

Metabolic Testing & RMR for Weight Management

Metabolic Testing at Hew Health: How Knowing Your Resting Metabolic Rate Shapes a Smarter Weight Management Plan Most Weight Management plans start with a guess. Someone plugs your age, height, weight, and sex into an equation from 1990, subtracts 500 calories, and hands you a number. That number might be

Matthew Koucky · 5 min read
Dispatch 21 Aug 2026

GLP-1 & Hormone Optimization for Weight Management

GLP-1 Medications and Hormone Optimization: How Balancing Both May Support Sustainable Weight Management The patient in front of me had lost 34 pounds on semaglutide over eight months. She was thrilled, then frustrated. The scale had stalled for six weeks. Her energy was lower than before she started. Sleep felt

Matthew Koucky · 5 min read
Dispatch 19 Aug 2026

Hormone Optimization & Intimate Wellness After 40

Intimate Wellness and Hormone Optimization: How Shifting Levels Affect Connection and Confidence After 40 Somewhere in the fifth decade, a lot of accomplished people start noticing that the machinery has changed. Sleep gets shallower. Recovery from a hard workout takes an extra day. And the private parts of life, desire,

Matthew Koucky · 5 min read
Dispatch 18 Aug 2026

PRP & Prolotherapy for Joint Pain | Hew Health

Regenerative Medicine for Joint Pain: What High-Performing Adults Should Know Before Exploring PRP or Prolotherapy If you're in your forties or fifties and still training hard, running your business, chasing your kids around a tennis court, joint pain is not a minor annoyance. It's the thing

Matthew Koucky · 5 min read
Dispatch 17 Aug 2026

CJC-1295 & Ipamorelin: What Patients Should Know

CJC-1295 and Ipamorelin: What Patients Should Know Before Starting a Growth Hormone-Releasing Peptide Protocol Growth hormone-releasing peptides sit in an odd corner of modern medicine. Patients hear about them from friends, podcasts, and gym conversations long before they ever hear about them from a physician. By the time someone books

Matthew Koucky · 5 min read