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 and cost. In clinic, the smartest results come from matching dose and schedule to the person. I adjust GLP-1 dosing for clients almost every day—not by mechanically stepping up per the label, but by making evidence-based tweaks  to match weight, body fat

“Doctor, I wake up feeling fine. But by late afternoon, my stomach looks and feels swollen no matter what I eat.”That line shows up in clinic more often than you’d think. Sometimes it comes with gas, sometimes cramping, and sometimes constipation for weeks followed by sudden loose stools—or a frustrating mix of both. Many people have already tried cutting gluten, dairy, or whole food groups. A few feel better briefly. Others are told their tests are normal and start wondering

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

Introduction “Eating better” is simple advice—but what works for you  depends on your biology, sleep, stress, and even your gut microbes. Large studies show people can react very differently to the same meal ; microbiome, sleep, activity, and timing help explain why—which is exactly why personalization can add value beyond general guidelines. Precision nutrition  makes food choices personal by combining the realities of preferences, with biomarkers  (objective lab measures),

Why this lens (and how I arrived here) 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. I decided to d