GLP-1s: The Honest Accounting

GLP-1s: The Honest Accounting

Diabetes: Beyond Metformin Part 2

Part 2 of the SGLT2 inhibitor breakdown. The emerging liver fat evidence. The safety profile of Jardiance, Farxiga, and Invokana. And the single most important medication-coaching conversation in the entire drug series for patients combining these drugs with low-carbohydrate or ketogenic dietary approaches. Part 1 of this SGLT2 conversation covered the underrated cardiovascular and kidneyContinue reading “Diabetes: Beyond Metformin Part 2”

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…”

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 Truth about Cholesterol

Three flagged numbers on my lipid panel — and the four numbers on the same panel that prove I’m in excellent metabolic health. This is my actual lipid panel, drawn at age 54. Total cholesterol: 240 mg/dL. Flagged. Above the 200 cutoff. LDL cholesterol: 149 mg/dL. Flagged. Above the 100 target. Non-HDL cholesterol: 167 mg/dL.Continue reading “The Truth about Cholesterol”

What to do…

If you’ve read Parts 1 and 2 of this series, you know two things: This post is about what to do about it. And I’m going to give you something almost no other nutrition content will: a framework that treats your current metabolic state as the deciding factor, not a one-size-fits-all rule. Because here isContinue reading “What to do…”

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.