Field notes from a working physician.
Essays on integrative medicine, mental health, longevity, and what we're learning in the practice. Two to four pieces a month, written between visits.
The Journal launches soon. The pieces below are what is being written first.
What I tell patients before their first ketamine session.
A long letter to the patient who is brave enough to consider this, and unsure what to ask. The questions that matter, and the ones that don't.
Publishing soonWhy your TSH alone isn't telling the whole story
A standard thyroid panel often misses the bigger picture. What functional endocrinology adds.
Allergy season in the Conejo Valley
A practical guide for residents, what's blooming, what's working, and when to come in.
Three labs I run on every patient over 40
Beyond the standard physical. The markers that actually predict the next decade.
What happens when you stop GLP-1?
An honest look at the regain question, and how to think about a sustainable off-ramp.
Therapy isn't optional during ketamine treatment
Why integration sessions do the actual work, and why we won't dose without them.
The morning routine I actually recommend
Sunlight, hydration, protein, movement. Boring. Effective. Here's why.
Strength training is medicine over 50
Sarcopenia is the silent reason most older adults lose independence. What to do about it.
5 myths about Reiki, addressed without eye-rolling
From a former skeptic. What energy work is, what it isn't, and what the evidence actually shows.
Hormone therapy after 50: a measured take
The pendulum has swung a few times. Where the evidence currently sits, and how I prescribe.
A short letter on what we're learning.
No selling. No daily emails. Just a thoughtful recap once a month, what's working in the practice and what we're paying attention to.