Taiwan is humid to begin with, and this August and September brought weeks of almost continuous rain. Recently, many of our clients discovered that their routine mycotoxin tests came back abnormal. If the dehumidifier is running, why are mycotoxin levels still elevated? What we saw in clinic Most people think of aflatoxin, when they hear the term “mycotoxin” or “mold toxin”. Aflatoxin is linked to peanuts, corn, and grains that have been stored poorly. But mycotoxins are a la

Why your heartburn may not be about too much acid, and what to look at instead A woman in her early forties sits down and describes years of bloating that intensifies after meals, persistent joint stiffness, and brain fog that makes focusing at work nearly impossible. She has seen gastroenterologists, rheumatologists, and various other doctors. The colonoscopy was normal. Blood work was unremarkable. One doctor diagnosed irritable bowel syndrome and suggested she manage stres

GLP-1 medications (like semaglutide and tirzepatide) were designed for metabolic disease, but they've become the headline in weight loss. The hype is real (appetite suppression, weight loss) but so are the nuances: side effects, cost, and the question of what to do once someone has already reached their target. In clinic, I adjust GLP-1 dosing almost every day, not by mechanically stepping up per the label, but by making evidence-based tweaks to match weight, body fat, muscle

In clinic, whenever coffee comes up, many people tense up. The same questions appear again and again: “Is it safe to drink coffee if I have a heart problem?” “If I don’t drink coffee I feel exhausted—should I force myself to quit?” It doesn’t help that media headlines often contradict one another. One day coffee is praised for lowering cancer risk and extending life; the next it’s labelled a trigger for high blood pressure and heart rhythm problems. No wonder so many people f

The single biggest turning point in my training came during a rotation at Weill Cornell's pediatric endocrinology service. In a center for pediatric obesity, I watched children and families change, not because of one prescription, but because their whole context was addressed: food and sleep, movement and family systems, school and culture, even faith and community. When those elements lined up, outcomes were remarkable and sustained. I decided to dedicate my career to making