Thank you for visiting our site and for your interest in our services.

First and foremost, what kind of medicine do we practice?

 

Thank you for visiting our site and for your interest in our services.

First and foremost, what kind of medicine do we practice?

Our healthcare model employs a multifocal approach to optimizing health, vitality, and longevity. We view ourselves as more than a “testosterone clinic” or “hormone clinic” and we take a comprehensive view of our patients, keeping in mind that fully optimized hormones are still only moderately effective if other lifestyle factors (namely diet and exercise) are also not optimized.

As individuals age the incidence of many diseases increases. With advancing age, prevalence of heart disease, stroke, dementia, osteoporosis and fractures, frailty, sarcopenia (loss of muscle mass), and certain cancers increase. These diseases are typically preceded by development of components of what has been called the “metabolic syndrome” (elevated blood pressure, elevated blood glucose, central obesity (belly fat), and an abnormal lipid (cholesterol) panel).  The metabolic syndrome is the central driver of most chronic diseases of aging. It typically will subtly first begin to creep in during middle age, often unnoticed or ignored.  Development of the metabolic syndrome will typically go hand-in-hand with decline in multiple hormone levels.

There are a couple of approaches to this phenomenon. One is to watch and wait and hope for the best, then take a standard stop-gap strategy as these diseases develop. If your blood pressure is persistently elevated, start taking a pill for it. If your blood glucose is persistently elevated, start taking a pill for that as well. If your cholesterol panel is abnormal….you get the picture. These interventions are effective, and we do not discount them or recommend that individuals on these medications stop taking them.

However, a complementary approach to fighting development of the metabolic syndrome and the chronic diseases of aging is to take personal ownership of your health and proactively pursue additional methods to either reverse the metabolic changes or prevent them from occurring in the first place. This is a “road less travelled” as it involves work and effort, but it embodies the concept of “age aggressively.” It involves challenging, progressive, consistent physical activity (yes, exercise) and attention to and discipline with dietary choices, all guided by a deeper understanding of dietary and exercise fundamentals. This does not mean you have to become a triathelete and/or eat a diet of only celery and chicken breast. Small but meaningful improvements can lead to significant changes. We all have a different starting place, and we can all make improvements. We are here, using science and research, to guide you in this process.

The third component of taking more control of the aging process (in addition to optimizing diet and exercise) is to optimize hormone levels. As hormone levels for both men and women decline, we see an acceleration of development of the metabolic syndrome and several other diseases of aging. Many of these conditions can be positively influenced by restoration of hormones to optimal youthful levels, which we discuss in more detail on the “links” page and will discuss in even further detail during our initial consultations.

So to answer our initial question, “What kind of medicine do we practice?” – We practice big-picture, thoroughly preventive medicine, focusing on aggressive management of the factors that lead to the chronic diseases commonly associated with aging. We want to guide you in taking control of your own journey and we want to help you position yourself for the most success possible along the way.

We will begin by briefly discussing (typically by phone) your current state of health, current dietary and exercise practices, and your long-term health goals. We will send you a fairly detailed questionnaire about your diet and exercise practices and any current health conditions.

Based on this information, we order a panel of labs that give us a starting point for intervention and improvement. We then meet in person for an exam and a more in-depth discussion of your health. At this time we measure the standard markers such as weight, blood pressure, heart rate, etc, but additionally measure body fat percentage and waist circumference, as these have significant prognostic value and are markers we can follow as your health improves. We also do a movement assessment to identify any areas of limited mobility or poor muscular activation that could lead to pains and limitations in the future.

We then integrate your symptoms, exam, lab values, and health goals to develop specific and practical recommendations on areas for improvement in dietary and exercise practices, and we discuss options for incorporating hormone and nutritional supplementation. Support and monitoring is ongoing, with constant access via email and phone.

Our goal as healthcare practitioners is primarily to educate our patients and to distill and condense the (often conflicting) mountains of information currently available, put it in perspective in relation to the patient’s specific situation, give our recommendations, and then encourage our patients take control of their health and be active participants in making their own healthcare decisions.