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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Snoring Your Way to Liver Disease: The Connection Most Patients Are Never Told About
When I see a new patient with metabolic liver disease, one of the first questions I ask is about their sleep.
Not their diet. Not their alcohol intake. Sleep.
The response is almost universal. They tell me their sleep is disrupted. When I...
The Evidence Was Not Built for Everyone: Why Minority Populations Deserve Their Own Research
In an analysis of pivotal cardiometabolic drug trials supporting FDA approval over a ten-year period, 81 percent of participants were White, 4 percent were Black, 12 percent were Asian, and 11 percent were Hispanic or Latino.
Read that ag...
Semaglutide Acts Directly on the Liver. Here Is Why That Changes Everything.
For years, the prevailing assumption in hepatology was straightforward. Semaglutide and other GLP-1 medications improved liver disease primarily because patients lost weight. Less weight meant less visceral fat, reduced portal inflammatory...
The Inherited Plastic Burden: What Microplastics Are Doing to Your Liver and How to Reduce Your Exposure
There are microplastics in your liver right now.
That is not a hypothesis or an environmental warning about future risk. It is a measurable biological reality documented in peer-reviewed research. In postmortem human samples collected in 2...
The Food Environment Our Kids Grow Up In
Two patients came into my clinic recently, both Hispanic women in their sixties, both carrying significant metabolic liver disease. Each had brought her toddler grandchild to the appointment.
One of the grandchildren was holding a bottle o...
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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 writing about physiologic reserve: the capacity you build now that determines how you age. Evidence-based, through the eyes of a practicing clinician.
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