GLP-1s: The Honest Accounting

GLP-1s: The Honest Accounting

Drugs and Diabetes: Beyond Metformin

Empagliflozin, dapagliflozin, canagliflozin — the diabetes drugs that quietly do more than metformin. The honest accounting of mechanism, cardiovascular protection, kidney benefits, and how to think about them within a coaching framework where lifestyle remains the primary intervention. If Post 1 made the case that metformin’s reputation has been mythologized in places, this post isContinue reading “Drugs and Diabetes: Beyond Metformin”

The Cure…

Type 2 diabetes is curable in the majority of patients for whom the disease is less than six years old. This is no longer fringe science. It is published, replicated, mechanistically explained — and almost never discussed at your doctor’s appointment. If you’ve been told that type 2 diabetes is a chronic, progressive disease thatContinue reading “The Cure…”

If lowering blood glucose…

If lowering blood glucose were the cure for type 2 diabetes, the patients in the trial that lowered it the most would have lived the longest. The trial was stopped because the opposite happened. In 2008, a research team published the results of one of the largest, most carefully designed, and most expensive randomized controlledContinue reading “If lowering blood glucose…”

For decades, type 2 diabetes was framed as a complex multifactorial disease with heterogeneous causes. Then a British researcher actually scanned the organs. The mechanism turned out to be simple — and the implications change everything.

In the last post, I showed you that type 2 diabetes is not a disease that starts when your fasting glucose crosses 100. It’s a disease that’s been running silently in your body for somewhere between fifteen and twenty-four years before that moment, and the standard screening tests have been missing the entire upstream phase.Continue reading “For decades, type 2 diabetes was framed as a complex multifactorial disease with heterogeneous causes. Then a British researcher actually scanned the organs. The mechanism turned out to be simple — and the implications change everything.”

Calorie Deep Dive…

2,500 Calories Is Not 2,500 Calories: Why Food Quality Beats Calorie Counting A practical look at the energy balance model — what it gets right, what it leaves out, and why what you eat matters as much as how much. The Theory Everyone Knows “Energy in, energy out” is the foundation of how weight works,Continue reading “Calorie Deep Dive…”

Your Brain and Cholesterol

Your brain is 2% of your body weight and holds nearly a quarter of your body’s total cholesterol. Driving that number toward the floor has consequences — and the data on mood, cognition, and statin side effects in active people is some of the most under-discussed evidence in modern medicine. The first post in thisContinue reading “Your Brain and Cholesterol”

The Real Cause…

The Real Cause of Heart Disease, Diabetes, and Half of Modern Chronic Illness — And Your Doctor Probably Isn’t Even Testing for It Here is one of the most under-publicized facts in modern medicine. The single biggest cause of heart attacks today is not high cholesterol. It is not saturated fat. It is not evenContinue reading “The Real Cause…”

Heart Disease and Metabolic Dysfunction

Heart disease isn’t a disease. It’s a symptom. Treat the cause.

We are not truly winning the war… heart disease

Open any cardiology textbook from the last decade and you’ll find some version of this: “The age-adjusted death rate from heart disease has dropped by approximately two-thirds since 1970. We are winning.” That sentence is true. It’s also one of the most misleading things in modern medicine. What actually happened Let’s start with the numbers,Continue reading “We are not truly winning the war… heart disease”