Field Notes.
Thoughts, stories and ideas.
Muscle Preservation & Weight Management After 40
Muscle Preservation During Weight Management: Why Patients Over 40 Need a Different Strategy The scale rewards you for losing muscle. That is the uncomfortable truth I explain to nearly every patient in their forties and fifties who walks into our practice frustrated by a weight plateau. When you drop pounds
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Hormonal Fatigue in Women 35–55: Estrogen & Progesterone
Estrogen, Progesterone, and Energy: Understanding the Hormonal Drivers of Fatigue in Women 35–55 Most women I see in this age range have been told their fatigue is normal. They are working, raising children or caring for parents, sleeping poorly, and drinking more coffee than they used to. The exhaustion
Chronic Knee Pain: Non-Surgical Regenerative Options
Chronic Knee Pain and Regenerative Medicine: Exploring Non-Surgical Options for Active Adults Most of the patients who come to us for knee pain are not sedentary. They are runners in their forties who suddenly cannot tolerate a five-mile loop, tennis players who feel a grinding sensation on the stairs, cyclists
Peptide Protocol Consultation: What to Expect
What to Expect During a Peptide Protocol Consultation at a Concierge Hormone Optimization Practice Most patients arrive at their first peptide consultation with a mix of curiosity and skepticism. They've read something online, heard a podcast, or had a friend mention BPC-157 or a GLP-1 analog. What they
Peptide Protocols: A High-Performer's Guide
What Are Peptide Protocols? A High-Performer's Guide to How They Work and What to Expect Peptides have moved from niche biohacker forums into serious clinical conversations, and for good reason. When I sit down with a 45-year-old executive who sleeps six hours, travels three weeks a month, and
Metabolic Lab Tests Standard Physicals Miss
Metabolic Health Markers Your Primary Care Doctor May Not Be Checking, and Why They Matter for Weight Management Most annual physicals include a fasting glucose, a basic lipid panel, and maybe a hemoglobin A1c if you're over 45 or carrying extra weight. That's it. If those
Thyroid Function in Hormone Optimization Protocols
The Role of Thyroid Function in a Comprehensive Hormone Optimization Protocol Most conversations about hormone optimization start with testosterone or estrogen. In our practice, we often see patients who have already been down that road, feel somewhat better, and yet still complain of stubborn fatigue, cold hands, thinning hair, or
Regenerative Post-Surgical Wound Care for Active Patients
Regenerative Approaches to Post-Surgical Wound Care: Supporting Recovery in Active Patients Recovery from surgery has a rhythm most active patients find frustrating. You feel ready to move at week three, but the tissue underneath is still knitting itself together at its own pace. In our practice, we spend a lot
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
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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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