Sleep After 50: What Helped, What Didn’t, and What I’m Still Getting Wrong
After 50, better sleep came down to two boring things: enough hours and a steady schedule. What a year of my own Apple Watch data and the evidence showed.
Medicine 3.0
Healthcare
Who’s Really Writing Your Online Prescription?
You order a prescription online and it arrives in days. Some of it is real care. Some is a sales funnel in a white coat. Here is how to tell the difference.
Fitness
I’m in the Best Shape of My Life, and the Internet Still Makes Me Feel Like I’m Losing
After losing 170 pounds and getting into the best shape of my life, I still felt behind. The problem was not my body. It was the scoreboard.
GLP-1
GLP-1s and Cancer Spread: A Striking ASCO Signal, and Why I’m Not Changing Anything Yet
I take tirzepatide. So when the headline came through this week that GLP-1 drugs might slow the spread of cancer, it intrigued me more than most drug news. This is the medication in my own refrigerator. I went and read the actual study instead of the headline, and the short version is that the signal
Fitness
How I Started Lifting at 50 After 30 Years of Doing Nothing
I started lifting at 50 after thirty years of nothing: the dumbbells in my office, the gym that scared me off, the coach who made it stick, and what the evidence says a beginner actually needs.
Fitness Journey, GLP-1, Medicine 3.0
Body Recomposition After 50: How I Lost 44 Pounds of Fat and Gained 9 of Muscle at the Same Time
I’m 53 years old and 170 pounds lighter than I was a year and a half ago. That’s the number everyone asks about. It’s also the wrong number. The number that actually tells the story is one the bathroom scale never showed me. Over one six-month stretch, the scale said I’d lost 35 pounds. The
GLP-1, Medicine 3.0
Microdosing GLP-1s: What a Doctor on 1.25mg Tirzepatide Is Actually Betting On
I’m on Zepbound at a normal dose, the kind a doctor prescribes and a pharmacy fills. A reader sent me a video this week that’s a good way into a question I keep getting asked. In it, the New Zealand GP Brad Stanfield, who runs an evidence-minded health channel, explains that he injects 1.25 milligrams
Healthcare, Medicine 3.0
How Americans Actually Get Zepbound and Mounjaro: The Five Channels
The CVS Caremark deal just moved a trillion-dollar stock. Here is how Americans actually get Zepbound and Mounjaro across the five channels, who really decides, and what each one costs in 2026.
Medicine 3.0
Colon Cancer Screening Just Added a Blood Test, and It’s the One I’d Pick Last
The American Cancer Society just added a blood test and new stool tests to its colon cancer screening guideline. Why colonoscopy still wins, what each option misses, and how to choose.
Medicine 3.0
I’ve Become a Guy Who Does His Own Shots, and That’s the Whole Story of Modern Health
I inject myself a few times a week now, GLP-1 and TRT, and barely notice. The needle, not the drug, is the real barrier in modern health, and it is starting to fall.