Field Notes.
Thoughts, stories and ideas.
Peptides & Hormone Optimization for Adults Over 35
How Peptide Protocols May Support Hormone Optimization Goals in Adults Over 35 By the time someone walks into our office in their early forties asking why they feel "off," the labs usually tell part of the story. Testosterone drifting into the low 300s. Free T even lower. IGF-1
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Thyroid Function and Hormone Optimization: T3 & T4
Thyroid Function and Hormone Optimization: Why T3 and T4 Levels Matter More Than You Think A patient came in last month convinced she was losing her mind. Forty-three years old, runs a small architecture firm, used to swim a mile three mornings a week. Now she was sleeping nine hours
Cortisol Imbalance & Hormone Optimization | Hew Health
Why Cortisol Imbalance Undermines Your Hormone Optimization Goals (And What to Do About It) If you have started a hormone optimization protocol and feel like the results are stalling, cortisol is one of the first places I look. Patients arrive with a careful testosterone or estradiol plan, dialed-in dosing, clean
Hormone Optimization for Women in Perimenopause
Hormone Optimization for Women in Perimenopause: What to Expect From a Personalized Protocol Perimenopause rarely announces itself. Most women I see in their early forties describe it as a slow accumulation of small wrongnesses: sleep that used to be reliable now fractures around 3 a.m., periods that arrive ten
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
Cortisol, Sleep & Adrenal Health | Hormone Optimization
Cortisol, Sleep, and Stress: How Adrenal Health Fits Into Your Hormone Optimization Plan Most of the patients who come to us asking about hormone optimization have already read about testosterone, estrogen, progesterone, and thyroid. Fewer ask about cortisol. That's a problem, because in our practice, cortisol is often
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
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
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,
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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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