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

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
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 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
Dispatch 26 Jun 2026

Thyroid Function and Hormone Optimization

Thyroid Function and Hormone Optimization: Understanding the Connection When a patient comes to us exhausted, gaining weight despite eating less, and convinced their hormones are "off," the conversation almost always turns to the thyroid eventually. And it should. The thyroid sits at the center of metabolic regulation, and

Matthew Koucky · 5 min read
Dispatch 24 Jun 2026

Cortisol, Testosterone & Estrogen for Performance

Cortisol, Testosterone, and Estrogen: Understanding the Hormone Trio That Drives High Performance Most of the high-functioning patients I see in our practice don't walk in complaining about hormones. They complain about sleep that doesn't restore them, workouts that used to build muscle and now just hurt,

Matthew Koucky · 5 min read
Dispatch 22 Jun 2026

What Is Hormone Optimization? A Guide for Adults 35–58

What Is Hormone Optimization? A Guide for High-Performing Adults 35–58 Most of the patients who walk into our practice asking about hormones are not in crisis. They are accomplished, busy, and frustrated. Sleep is shallower than it used to be. Recovery from a hard workout takes three days instead

Matthew Koucky · 5 min read
Dispatch 19 Jun 2026

The Conversation We Don't Have Often Enough

# The Conversation We Don't Have Often Enough *On the clinical questions that arrive late in the visit, and what changes when we ask them early.* — The Editorial · Hew Health · Vol I, Issue 09 --- The conversation usually starts with "oh, one more thing." It is the

Matthew Koucky · 5 min read
Dispatch 17 Jun 2026

EBOO and the Limits of Inflammation Science

# EBOO and the Limits of Inflammation Science *An honest accounting of a therapy that has more story than literature, and what we keep and discard from each.* — The Editorial · Hew Health · Vol I, Issue 08 --- Extracorporeal blood oxygenation and ozonation — EBOO — has a story problem. The patients who come

Matthew Koucky · 4 min read
Dispatch 15 Jun 2026

Reading Your Own Bloodwork

# Reading Your Own Bloodwork *A short primer for patients who want to understand what they are looking at before the visit, rather than after.* — The Editorial · Hew Health · Vol I, Issue 06 --- A patient comes in with a folder. The folder has six months of labs in it — quarterly

Matthew Koucky · 4 min read