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 21 Jul 2026

Hormone Optimization for Men Over 40: Lab Testing

Hormone Optimization for Men Over 40: What Comprehensive Lab Testing Can Reveal Most men who come to see me in their 40s and 50s don't lead with the word "hormones." They lead with fatigue that coffee no longer touches, a midsection that won't respond

Matthew Koucky · 5 min read
Dispatch 21 Jul 2026

Peptide Therapy: A High-Performer's Guide

What Is Peptide Therapy? A High-Performer's Guide to Today's Most Talked-About Protocols Peptides are short chains of amino acids, typically fewer than 50, that act as biological signaling molecules. Your body already makes thousands of them. Insulin is a peptide. So is oxytocin. What we call

Matthew Koucky · 5 min read
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 14 Jul 2026

Why the Scale Lies About Your Weight

Why the Scale Lies: How Hormone Optimization Supports Sustainable Weight Management Beyond Calorie Counting The scale is a blunt instrument. It measures your gravitational pull toward the earth, nothing more. It cannot distinguish muscle from fat, water from bone, or a stressful Tuesday from a well-slept Sunday. And yet patients

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

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