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

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 04 Aug 2026

Regenerative Medicine for Chronic Joint Pain

Regenerative Medicine for Chronic Joint Pain: What High-Performing Adults Should Know About Orthopedic Applications Most of the patients I see in their forties and fifties are not looking for permission to slow down. They want their knee to stop clicking on the third mile of a run, their shoulder to

Matthew Koucky · 5 min read
Dispatch 04 Aug 2026

Thyroid Function & Hormone Optimization | Hew Health

How Thyroid Function Fits Into Your Hormone Optimization Plan When patients come to us frustrated by fatigue, stubborn weight, thinning hair, or a mood that feels one shade off, they often expect the conversation to center on testosterone, estrogen, or progesterone. Those matter. But in my experience, if we skip

Matthew Koucky · 5 min read
Dispatch 28 Jul 2026

Cortisol, Testosterone & Estrogen: Energy & Focus

Cortisol, Testosterone, and Estrogen: How Hormonal Imbalances May Be Undermining Your Energy and Focus Most of the fatigue I see in my exam room is not a sleep problem. It looks like one on the surface. You get seven hours, maybe eight, and still drag through your afternoon. You blame

Matthew Koucky · 5 min read
Dispatch 28 Jul 2026

GLP-1 Weight Management Guide for Professionals

GLP-1 Protocols and Weight Management: What High-Performing Adults Should Know Before Starting If you're a busy professional considering semaglutide or tirzepatide, the calculus is different than it is for the average patient. You're not trying to hit a number on a scale before a wedding. You&

Matthew Koucky · 5 min read
Dispatch 28 Jul 2026

7 Subtle Signs Your Hormones Hurt Performance

Beyond Fatigue: 7 Subtle Signs Your Hormones May Be Working Against Your Performance Goals Most patients who come to us suspecting a hormone issue lead with the same complaint: they're tired. Fatigue is the headline symptom, the one that finally pushes a busy executive or a competitive masters

Matthew Koucky · 5 min read
Dispatch 21 Jul 2026

Cortisol Imbalance: Energy, Sleep & Focus Effects

How Cortisol Imbalance May Be Undermining Your Energy, Sleep, and Focus Cortisol gets a bad reputation it doesn't fully deserve. The hormone your adrenal glands release in response to stress is also what pulls you out of bed in the morning, sharpens your thinking before a difficult meeting,

Matthew Koucky · 5 min read
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