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, should I get one of those big gene tests so I’ll know  what I’m going to get in the future?” That’s a very common question now. People see friends posting DNA results online, hear about celebrities like Angelina Jolie having preventive surgery for BRCA genes, or know a family member who had cancer or a heart attack “out of the blue.” It’s natural to wonder if your genes can give you a clear warning—or a clean bill of health. Genomic testing can  be a powerful tool fo

“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

Lab results are useful—but only when read in context. In a functional–integrative model, I’m reading for drivers  (inflammation/oxidative stress, mitochondrial energy, immune tone, nutrient status, hormones, gut–brain imbalances) and pattern clusters  that explain what you feel day to day. One driver can produce many pictures. Chronic, low-grade inflammation, for instance, may look like joint pain, skin flares, brain fog, insulin resistance, slower recovery, or sleep that nev

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