The Chart

Stories, writings, and thoughts on medicine.

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September 2026

How Can I Tell If I'm Metabolically Healthy?

The tests aren't equally early. Some of them move years before your blood sugar does — and that's worth knowing before you take comfort in a normal glucose.

September 2026

Where Does The Weight Actually Go?

Before telling anyone what to do, I want to explain the machine. Most people have never had it explained to them.

September 2026

All Roads Lead To Strength Training

The cycle that keeps people stuck for years — and the one thing that actually breaks it.

September 2026

It Takes A Long Time To Change Your Body

Real numbers on a process most people wildly underestimate. Pick a direction and stay in it.

September 2026

Why You See So Many Pictures of a Prism

The way I approach complicated symptoms — and why white light scattering into its parts is a better analogy than you'd think.

September 2026

How I Ended Up Practicing in Westport

I broke every rule they tell you to follow when picking your first job out of residency. Here's why I don't regret it.

September 2026

Do I Need a Calcium Score?

Calcium scores are having a moment — but most people, patients and doctors alike, misunderstand what the test actually tells you.

September 2026

Learning to Say No

On the invisible fence most of us grew up inside of — and why the ability to disappoint someone might be more noble than never doing it.

September 2026

Why Is Fatigue So Hard to Fix? — An Introduction

The medical system is uniquely poorly designed to solve fatigue. Here's the framework I actually use instead.

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