Field Notes.
Thoughts, stories and ideas.
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
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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,
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
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
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
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
The Cash-Pay Patient
# The Cash-Pay Patient *A field manual on what changes when insurance is not in the room — written by the person who designed the room that way.* — Matthew Koucky · Hew Health · Vol I, Issue 05 --- When we designed Hew Health, the first thing I wanted to change about a traditional
On Time Restoration
# On Time Restoration *The quiet logic of rotational optimization, and why we don't reach for the highest dose.* — The Editorial · Hew Health · Vol I, Issue 03 --- A patient asked recently why, after six months of feeling progressively better, we were pulling back on his protocol. He was
The 47-State Question
# The 47-State Question *How telemedicine actually works inside a concierge hormone optimization practice.* — The Editorial · Hew Health · Vol I, Issue 07 --- The map on our homepage says forty-seven states. It is not a marketing flourish — we mean it literally, and the number gets asked about often enough that it
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Editorial notes from the Hew Health team. Clinical perspective, patient stories, and field reports from our practice in Destin and Orlando. No promotional content. No referrals to other lists.
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