Morning lab review

A1c: 6.0 –> 5.5%Insulin: 17.7 –> 8.3 mcIU/mLTG: 163 –> 64 mg/dLWgt: 252 –> 228 lbs#LCHF #whyIdoctor #DPC Being careful not to create a false dichotomy, the reality is that good food + good exercise + good sleep >> good medicine + good surgery

DPC is growing with all generations

This morning I enrolled my 500th patient to the Direct Primary Care program.  I’m thrilled to have crossed this milestone.  It has been a rich blessing to meet new patients every week who participate with us in a vision for better healthcare.  I’ve met and cared for patients from all walks of life, from all … Continue reading DPC is growing with all generations

A look behind the curtain on heart disease

As most of you know I love thinking about cholesterol disorders and using nutrition to improve health.  Over the years I’ve explored options in testing that provide a deeper look into a patient’s risk for heart disease.  This is considered a non-standard approach by some of the national guidelines, but I’m frustrated by the “Take … Continue reading A look behind the curtain on heart disease

Running on Low-Carb

This past year I trained for The Boston Marathon. To train for any marathon, you have to train mentally and physically, but training for The Boston Marathon-that’s another level of training mentally. It’s not something you just say you are going to do and do it. It takes determination, motivation, and commitment before any kind … Continue reading Running on Low-Carb

Editorial: Added Sugars Drive Coronary Heart Disease

This is a good editorial so I’ve quoted it in its entirety. ‘I know of no single acceptable study that shows a high intake of sugar in a population that is almost entirely free from heart disease.’1—John Yudkin Coronary heart disease (CHD) is responsible for one in every six deaths in the USA,2 and it … Continue reading Editorial: Added Sugars Drive Coronary Heart Disease

Is a low carb or ketogenic diet a cure for diabetes?

I stumbled upon a good blog post today called Hormones Demystified.  I’ve never read anything else from Dr. ‘HD’ but I like the fact that an endocrinologist took the time to seriously look at the data, both supporting and refuting, for ketogenic diets.  As you are aware, I’m a supporter of low carb high fat … Continue reading Is a low carb or ketogenic diet a cure for diabetes?

Is Your Child’s Liver Dying?

On the day after Halloween while your kids and mine are still suffering from a HFCS induced hangover, I’m going to be a buzzkill.  My kids will not be surprised. Fatty liver disease fastest-growing reason for transplants in young U.S. adults The shear amount of candy they collected in the neighborhood is insane. I suppose … Continue reading Is Your Child’s Liver Dying?

The Black Dog of Depression by Dr. Andrew Smith

The Black Dog of Depression             “I am the most miserable man living.  If what I feel were equally distributed to the whole human family there would not be one cheerful face on the earth.  Whether I shall ever be better, I cannot tell.  I awfully forebode I shall not.  To remain as I am … Continue reading The Black Dog of Depression by Dr. Andrew Smith

Where are you headed?

Are you headed the wrong way in your health? Do you know what is at the end of your road? Are you worried that diabetes or a heart attack is waiting for you, but you really don’t know how to avoid it? Trinity Direct Primary Care helps patients understand where they are going and change … Continue reading Where are you headed?