Writing
Clinical writing on psychiatry, hormones, and metabolism.
Plain, evidence-grounded explanations of the questions patients bring to the practice, written by the physician who treats them.
GLP-1 and Alcohol: Do They Really Cut Drinking?
For some heavy drinkers, a GLP-1 quiets the drinking along with the weight. It works mostly in the ones who are also overweight, but the research on GLP-1 and alcohol is only a couple of years old. The…
The FDA Peptide Vote of July 2026: What the Evidence Shows
On July 23 and 24, 2026, an FDA advisory committee meets to weigh seven peptides that compounding pharmacies want cleared to make. The agency’s own reviewers had already recommended no, in writing, on all seven, before the vote.…
Semaglutide vs Tirzepatide vs Retatrutide: three generations of weight-loss drugs
Patients ask me to compare semaglutide vs tirzepatide vs retatrutide: which is strongest, and whether it’s worth waiting for the newest one. By weight lost, semaglutide takes off the least, tirzepatide more, and retatrutide the most. That order…
Weight Loss and Depression: An Honest Look at the Evidence
Sometimes, for some people. Weight loss and depression are linked, but that link is easy to get wrong. When weight comes down in a structured way, depression often eases with it. Weight loss isn’t an antidepressant, though. And…
The FDA Peptide Decision of July 2026: What’s Actually Changing
On July 23 and 24, 2026, an FDA advisory committee spent two days deciding whether seven peptides can be legally compounded for patients. Three of them, Semax, Epitalon, and BPC-157, are the ones I get asked about most…
PMDD vs PMS: How to Tell the Difference
Most explanations of PMDD start by calling it severe PMS. That’s where the confusion begins. The two share a trigger and a calendar, so it’s easy to picture one sliding into the other as symptoms get worse. But…
PMDD and Suicidal Thoughts: Why the Risk Peaks Before Your Period
PMDD and suicidal thoughts are linked far more tightly than most people, and many clinicians, realize. The risk concentrates in the days before menses, which shapes how it’s treated. If you’re having thoughts of suicide right now, you…
Natural Treatments for PMDD: What the Evidence Actually Supports
If you’d rather not start with a prescription, the good news is that several natural treatments for PMDD have real evidence behind them. The honest news is that the evidence is uneven. Some supplements have large, well-run trials.…
PMDD Treatment: What the Science Actually Shows
The most common thing women hear about premenstrual dysphoric disorder is that it’s a hormone imbalance. Too much estrogen, not enough progesterone, or some version of that story. It’s a clean explanation, and patients are often told to…
Firearm Rights Restoration North Carolina: A Guide for NC Attorneys
Firearm rights restoration North Carolina follows G.S. 14-409.42, which runs four paragraphs. It asks a district court judge to decide whether a person whose involuntary commitment cost them their firearm rights is now, in the statute’s words, “likely…