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

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 03 Sep 2026

Testosterone, Estrogen & Cortisol: Energy & Body Comp

Testosterone, Estrogen, and Cortisol: The Three Hormones Behind Your Energy, Focus, and Body Composition Most patients who walk into our practice in their forties and fifties describe some version of the same complaint. They are sleeping less well, thinking less sharply, and carrying weight in places they never used to.

Matthew Koucky · 5 min read
Dispatch 03 Sep 2026

Thyroid Function & Hormone Optimization: T3 and T4

Thyroid Function and Hormone Optimization: Why T3 and T4 Levels Matter More Than You Think Most of the fatigue, weight gain, brain fog, and low mood I see in my exam room traces back to hormones behaving badly. And when we go looking, the thyroid is often part of the

Matthew Koucky · 5 min read
Dispatch 02 Sep 2026

CJC-1295 & Ipamorelin: What to Know Before Starting

CJC-1295 and Ipamorelin Peptide Protocols: What High-Performing Adults Should Know Before Getting Started The question I hear most often from patients in their forties and fifties goes something like this: "My labs are fine, my training is dialed in, my sleep is decent. Why do I still feel a

Matthew Koucky · 5 min read
Dispatch 02 Sep 2026

Sleep, Stress & Hormones Affecting Weight Management

Sleep, Stress, and the Hormones That Make Weight Management Harder Than Willpower If you have ever kept a food journal, hit your step count, stayed under your calorie target, and still watched the scale refuse to move, you already know something the "eat less, move more" crowd tends

Matthew Koucky · 5 min read
Dispatch 01 Sep 2026

5 Biomarkers Your Hormone Optimization Provider Should Check

Beyond Fatigue: Five Biomarkers Your Hormone Optimization Provider Should Be Evaluating Most people who walk into our practice asking about hormone optimization have already had a testosterone level checked somewhere. Sometimes an estradiol. Occasionally a TSH. The workup usually stops there, and the treatment plan is built on a single

Matthew Koucky · 5 min read
Dispatch 31 Aug 2026

Hormone Optimization for Energy, Focus & Body Composition

How Hormone Optimization Protocols Support Energy, Focus, and Body Composition Most of the people who walk into our practice asking about hormones don't lead with the word "hormones." They lead with a story. They tell me they used to hit the gym four mornings a week

Matthew Koucky · 5 min read
Dispatch 31 Aug 2026

Sleep, Stress & Hormone Optimization for Weight Management

Beyond the Scale: How Sleep, Stress, and Hormone Optimization Shape Weight Management Outcomes Most people who walk into our practice frustrated with their weight have already tried the obvious things. They've counted calories, joined a gym, cut carbs, tried intermittent fasting. Some have lost twenty pounds only to

Matthew Koucky · 5 min read
Dispatch 30 Aug 2026

Peptides & Hormone Optimization for Adults Over 35

How Peptide Protocols May Support Hormone Optimization Goals in Adults Over 35 By the time someone walks into our office in their early forties asking why they feel "off," the labs usually tell part of the story. Testosterone drifting into the low 300s. Free T even lower. IGF-1

Matthew Koucky · 5 min read