I watched metabolic disease quietly take my grandparents and move through my family for thirty years. Then I became a transplant hepatologist and obesity medicine specialist to understand why. This is what I have learned.
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Your Disease May Have Started Before You Were Born
The Claim
Here is something that does not fit neatly into how we talk about chronic disease.
A child born to a mother with insulin resistance during pregnancy is more likely to develop type 2 diabetes, fatty liver disease, and metabolic s...
The Muscle-Liver Connection: Why Building Strength Is a Liver Medicine
The Pattern in Clinic
I see a version of the same patient regularly. They come in with elevated liver enzymes, some fat on imaging, maybe early fibrosis on a biopsy. They are not drinking. They are not on medications known to cause liver i...
When the Axis Breaks Down: Alcohol, the Gut, the Liver, and the Brain
Shared Introduction
Most people think of alcohol as a brain problem. You drink, you feel it in your head: the loosening, the blur, the morning regret. The liver shows up in the story later, if at all, usually as a warning from a doctor...
The Black Market Peptide Crisis Has Reached the Liver
In the last three months, two investigations on opposite sides of the world have exposed what the black market peptide industry actually is.
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Fructose and the Liver: Why the Source Matters More Than the Sugar
A patient told me recently that she had cut out fruit entirely to protect her liver. She was drinking a sports drink while she said it.
I hear versions of this every week. Patients with metabolic liver disease arrive having made significan...
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Authors
The writers behind this newsletter.
I watched metabolic disease quietly take my grandparents and move through my family for thirty years. Then I became a transplant hepatologist and obesity medicine specialist to understand why. This is what I have learned. Views are my own.
Author of bestselling book "The Psychobiotic Revolution" from National Geographic with the brilliant Ted Dinan and John Cryan. Get the latest on the hot field of gut-brain research, with info on how you can benefit.
Preventive and performance cardiologist. I write about stopping heart disease before it starts and building the physiologic reserve that decides how you age. Real patients, real data, plain language.
Gut microbiome Scientist & Researcher writing about gut health through science and story, where traditional food practices and microbiome science come to the same table.
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