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Andrea Nakayama

Whose evidence is shaping the health advice you're handed, and who benefits if you follow it? 20+ years as a Functional Medicine Nutritionist and Narrative Medicine practitioner, writing on women's midlife, aging, and living with diagnosis.

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Substack
PricingOnly free issuesPublishesTwice weekly
Issues333Founded5 years agoLast Issue10 days ago
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Latest Issues

He Doesn't Need Me. He Chooses Me.

We were standing on a Brooklyn sidewalk outside a dashi shop, in the cooling dark of an October evening, when my son told me he was leaving the country. Again.

“I’m going to move back to Tokyo,” Gilbert said. “Maybe for a few years.”

He w...

10 days ago
29
36

Let’s Read Together! You Pick the Book.

ROAR (Reading On Aging, Reframed) is a book club for readers who want stories about older women written from inside their own lives. This is not a book club about aging as decline or aging as inspiration, or about the keys to the promised l...

14 days ago
8
10

Discernment Dispatch: July 2026

Every month, I take three of the health claims making noise—the ones surfacing in your feed, your group chats, and your inbox—and hold each one up to two questions: Whose evidence is actually shaping this? And who benefits if I follow it? T...

17 days ago
16
3

The Words We Lost

Years ago, over dinner among colleagues, a man my age (late 50s), solid business experience, no healthcare training, asked me plainly what my problem was with the word wellness.

He wasn’t hostile. He was genuinely puzzled, the way you’d be...

24 days ago
31
14

Whose Evidence?

In April of 2000, I stood in a hospital corridor while a team of neurology residents flanked a luminary in the field and discussed my husband’s brain like a problem on a whiteboard. He was thirty-one. I was seven weeks pregnant. The scan sh...

a month ago
14
5

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  • Andrea Nakayama

    Clinical practice meets cultural critique. 20+ years of functional medicine, now exploring the gap between what we know scientifically and what people live through. I write on female aging, bodily trust, and wellness dependency.

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