All Posts

One of the most common conversations I have in clinic starts with a simple request: "Can we just check all of my hormones?" Sometimes it's because someone has been feeling exhausted for months. Sometimes they're struggling with weight changes, brain fog, anxiety, acne, low libido, or hair loss. Other times, they don't have a specific symptom at all—they've simply heard from friends, podcasts, or social media that it's a good idea to "check your hormones" every so often. It's

Insurance denials for GLP-1 medications have become one of the biggest barriers to evidence-based obesity care. Here's what's actually happening—and what both patients and clinicians can do about it. If you're a patient who has been told you "need to lose weight" for years, finally found a treatment that works, and then discovered your insurance won't cover it, you're not alone. If you're a physician who spends hours writing prior authorizations and appeals only to receive an

Many people assume that abnormal uterine bleeding is simply "part of having a uterus." In reality, changes in menstrual bleeding can sometimes be the first sign of an underlying medical condition that deserves evaluation. The good news is that most abnormal bleeding is not caused by cancer. It is often related to hormonal changes, benign growths such as fibroids or polyps, medications, or other treatable conditions. However, because serious causes can occasionally present in

One of the most common misconceptions in healthcare is the assumption that a patient's ability to communicate is stable. Many clinicians unconsciously judge a patient's cognitive status, insight, or symptom severity based on how easily they can answer questions during a visit. For many patients, this assumption is wrong. Communication is often state-dependent. Stress, pain, trauma, sensory overload, autonomic dysfunction, fatigue, cognitive overload, migraine, hypoglycemia, a