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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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...
It Is Not the Diet. It Is the Weight Loss and the Ultra-Processed Foods.
Hepatologists and dietitians have been debating the Mediterranean diet versus low-carbohydrate diets for years. A new randomized controlled trial just published in JHEP Reports suggests we may have been asking the wrong question.
The study...
Time Restricted Eating: The Evidence, The Limitations, and What We Still Do Not Know
About the Authors
Amrita Vijay, PhD is a gut microbiome scientist and researcher at the University of Nottingham, where she conducts research on the relationship between diet, the gut microbiome and human health. She writes about gut he...
Liver Fat vs. Visceral Fat: What's the Difference and How to Reduce Both
Visceral adiposity is associated with MASLD and yet has not become part of routine clinical assessment. That gap is not a minor oversight. In a cross-sectional study of 10,916 individuals, the prevalence of MASLD was 37.94 percent overall a...
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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.
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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