There is a particular patient I’ve been seeing for several years. Every time she comes in, her skin tells a different story depending on what’s been happening in her life. After a period of poor sleep and work stress, her pigmentation flares and her skin texture coarsens in a way that isn’t explained by her skincare or sun exposure. When she’s slept well, exercised consistently, and her life has been […]

I’ve been doing this work for over twenty years. Thousands of patients. Countless conversations about skincare, diet, hormones, treatments, supplements, sleep. And if I were honest about what I’ve observed — not what the research literature says, though that matters too, but what I have observed in this room — it is this: The patients who age most gracefully are not the ones with the most rigorous skincare routines or […]

There’s a moment in every Hyrox training session where my body tells me very clearly that it is not twenty-eight years old. It’s usually around the sled push. Something in the hips or the lower back registers a protest that wouldn’t have been there a decade ago. I note it, adjust, and carry on. But I do note it. This is what training in your 50s looks like if you’re […]