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 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 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 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
Dispatch 03 Jul 2026

Cortisol Imbalance & Hormone Optimization | Hew Health

Why Cortisol Imbalance Undermines Your Hormone Optimization Goals (And What to Do About It) If you have started a hormone optimization protocol and feel like the results are stalling, cortisol is one of the first places I look. Patients arrive with a careful testosterone or estradiol plan, dialed-in dosing, clean

Matthew Koucky · 5 min read
Dispatch 01 Jul 2026

Hormone Optimization for Women in Perimenopause

Hormone Optimization for Women in Perimenopause: What to Expect From a Personalized Protocol Perimenopause rarely announces itself. Most women I see in their early forties describe it as a slow accumulation of small wrongnesses: sleep that used to be reliable now fractures around 3 a.m., periods that arrive ten

Matthew Koucky · 5 min read
Dispatch 30 Jun 2026

GLP-1 Protocols for Weight Management: What to Know

GLP-1 Protocols and Weight Management: What High-Performing Adults Should Know Before Starting The patients who walk into our practice asking about semaglutide or tirzepatide are rarely the people you see in the manufacturer's marketing. They are 42-year-old founders, partners at law firms, surgeons, parents of three who run

Matthew Koucky · 5 min read
Dispatch 30 Jun 2026

Cortisol, Sleep & Adrenal Health | Hormone Optimization

Cortisol, Sleep, and Stress: How Adrenal Health Fits Into Your Hormone Optimization Plan Most of the patients who come to us asking about hormone optimization have already read about testosterone, estrogen, progesterone, and thyroid. Fewer ask about cortisol. That's a problem, because in our practice, cortisol is often

Matthew Koucky · 5 min read
Dispatch 29 Jun 2026

Thyroid Testing Gaps in Hormone Optimization

Thyroid Function and Hormone Optimization: What Your Standard Bloodwork May Be Missing If you've been told your thyroid is "normal" but you still feel cold, tired, foggy, and twenty pounds heavier than you should be, you are not imagining things. In our practice, this is one

Matthew Koucky · 5 min read