Understanding Heart Scans, Stress Tests and Heart Disease Risk

Background I have had numerous requests from doctors, patients and my readers for a thorough explanation of heart scans and their significance.  In an effort to appease both sides of the exam table, I have written this post with enough depth to inform clinicians and hopefully enough explanation to…


Stress Management Tools and Resources

Updated September 2020 Background I know stress can be an abstract concept which isn't as easily measurable as your weight, blood pressure, or blood glucose.  This is a key reason most individuals have very poor stress awareness and make stress management a much lower priority than nutrition and…


Using Your Phone and Heart Rate to Monitor Stress

Why Stress Matters It's common to ignore stress since it is such a subjective measure compared to other familiar risk markers like blood pressure and cholesterol.  Many of you reading this blog may already have a regular stress-reducing practice like meditation in place, but today's post is for…


Stress Follow-Up: When Is A High Heart Rate Healthy vs Unhealthy?

High Heart Rate: When is it good and when is it unhealthy? I received a lot of questions regarding my last post (be sure to read and watch the video if you haven't) where I talked about how to use heart rate to monitor stress, and a prior post I did for my medical group on heart rate.  Before I…


Can Stress Trigger Disease in Otherwise Healthy Individuals?

The connection between stress, inflammation and chronic disease has become quite clear to me in my practice.  Let's talk about a patient of mine (name and details changed) to illustrate the point and then discuss some of the supportive science. Case Study Dev (name changed) is a 45-year-old hard…


Insulin Training and Glucose Variability

Background I know in prior writings I mentioned how I've been tracking my health less and living more spontaneously by intuition.  Wearing trackers and doing frequent blood tests for over a decade has given me a strong sense of when my metabolism and energy are off, so now I just mostly pay…


The Fallacy of Fasting Blood Glucose

Background If there is one "abnormal" blood test that I get the most questions on, it has to be the fasting blood glucose.  As a result of implementing stringent lifestyle changes, often patients see their waistlines shrink, their lipids improve, but that stubborn fasting blood glucose often…


Is Intermittent Fasting Overrated and Harmful to Health?

Background I got a ton of questions from patients and readers about the recent UCSF study on a form of fasting called time-restricted feeding (TRF), being ineffective for weight loss.  This is a perfect opportunity for me to dig deeper into how fasting can either be a powerful tool that potentially…


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