My approach
A standard of care for health, not just disease.
Most medicine waits for something to break, then gives it a name. I start much earlier. I practice Health Optimization Medicine™, and my care is data-driven and relationship-based.
Data-driven
Measure. Compare. Balance.
I measure how your body is working now, compare it against your own history and the evidence, and balance what’s out of line, years before it shows up as disease.
Relationship-based
One physician who knows you.
Numbers only mean something in the context of your life. I get to know you, your goals, your sleep, stress, relationships and sense of purpose, and stay with you over years.
Three shifts
How Health Optimization Medicine changes the questions.
It changes the questions I ask about your health. It does not change the standard of evidence for answering them.
Pathogenesis to Salutogenesis
From disease to health.
Treating disease remains essential. I also ask what helps health emerge, persist and recover, before disease becomes the main problem.
Geriatricization to Metabolic Neotenization
From getting older to a younger metabolism.
Aging changes metabolism, repair and recovery. The goal is not to stop aging. It is to keep your metabolism flexible and working well for as long as possible.
Organology to Holobiontology
From organs to cells.
Organs don’t work in isolation. Your cells, mitochondria and microbes, your habits and your environment all shape one another, so I read them as one system.
The definition
What is health?
Health is more than the absence of diagnosed disease. It includes how well your physiology supports function, resilience, recovery, and adaptation over time.
That is a definition with something to measure, something to interpret, and something to work toward, without pretending that any single marker settles the question.
Where I work
Aging, in three words.
Metabolism
The processes that produce energy, build and repair tissue, recycle cellular material, and help the body adapt.
Damage
Changes that can accumulate when those systems remain out of balance or under strain.
Pathology
The point at which accumulated dysfunction becomes recognizable disease.
- We work here
Metabolism
The processes that produce energy, build and repair tissue, recycle cellular material, and help the body adapt.
Damage
Changes that can accumulate when those systems remain out of balance or under strain.
Pathology
The point at which accumulated dysfunction becomes recognizable disease.
Disease is the last stage. The changes that lead to it begin in metabolism, often years earlier. That is the stage I work at.
A clinical lens for thinking upstream, not a claim that aging has one cause or always follows a simple linear path.
The library
Go deeper in the library.
The seven systems, class replays, printables, essays, the lab library and every issue of the newsletter, in one place. One email opens all of it.
This is the thinking behind how I practice.