The Bold Print
Everything I think, in print, before you pay me anything.
A twice monthly essay on what the reference range leaves out. No summaries of other people's studies, no listicles. Just the reasoning I use in the room, written down.
The index
No. 14 / Thyroid / March
The TSH number that gets you dismissed
A TSH of 3.8 is inside the reference range and outside the range most of my symptomatic patients feel well in. This essay covers where the original range came from, why it is wider than it should be, and the four markers I run before accepting a normal.
No. 12 / Perimenopause / February
You are not too young for this
Perimenopause commonly begins in the late thirties and commonly gets recorded as anxiety or burnout. The timeline nobody hands you, the three symptoms that show up first, and what actually changes once it is named correctly.
No. 09 / Metabolic / January
Fasting glucose is the last thing to break
Insulin compensates for years before glucose moves, which means a normal fasting glucose can sit on top of a decade of trouble. The two inexpensive tests I run instead, and why standard panels leave them off.
No. 05 / Practice / November
What I will tell you that your last doctor would not
On saying I do not know yet, on refusing to sell you supplements you do not need, and on why a good practitioner should occasionally talk you out of care they would be paid for.
If a practitioner will not show you their reasoning, you are not a patient. You are an audience.
Where to start
Start with the field guide, then decide about the rest.
Eleven questions your doctor should have asked you, why each one matters, and the test that follows from each answer. Free, printed, and yours to take to any practitioner.