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

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
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
Dispatch 14 Jul 2026

Hormone Optimization & Metabolic Health After 35

The Role of Hormone Optimization in Supporting Metabolic Health for Adults Over 35 Somewhere in your late thirties, the math changes. The same diet that kept you lean at 28 now leaves an inch around the middle. Sleep gets thinner. Recovery from a hard workout stretches from one day to

Matthew Koucky · 5 min read
Dispatch 14 Jul 2026

Cortisol and Sex Hormones: Balance for Energy & Focus

How Cortisol and Sex Hormones Interact, and Why Balance Matters for Energy and Focus Most patients who walk into our office complaining of brain fog and fatigue have already had their thyroid checked. Some have had a testosterone level drawn, or an estradiol. What almost none of them have had

Matthew Koucky · 5 min read
Dispatch 14 Jul 2026

Why the Scale Lies About Your Weight

Why the Scale Lies: How Hormone Optimization Supports Sustainable Weight Management Beyond Calorie Counting The scale is a blunt instrument. It measures your gravitational pull toward the earth, nothing more. It cannot distinguish muscle from fat, water from bone, or a stressful Tuesday from a well-slept Sunday. And yet patients

Matthew Koucky · 5 min read