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Physician-written perspectives on the latest research and the questions patients ask most. Start with the newest article below, or explore a topic.

Darrell Wilcox, MD 9/28/26 Darrell Wilcox, MD 9/28/26

Your Glucose Is Normal. Your Insulin Already Isn't.

Insulin rises years before glucose ever moves. Low SHBG, a high triglyceride-to-HDL ratio, and acanthosis nigricans are all reasons to check fasting insulin directly.

Darrell Wilcox, MD 8/14/26 Darrell Wilcox, MD 8/14/26

GLP-1 and Hormone Optimization Aren't Competing Treatments. Here's Why They're Better Together

GLP-1 medications control appetite. They don't control the hormones that determine your muscle, metabolism, or where you store fat. Here's why combining both gets better results than either alone.

Darrell Wilcox, MD 7/28/26 Darrell Wilcox, MD 7/28/26

The Weight Comes Back for Two Reasons Nobody Warns You About

You lost the weight, then it came back faster than it should have. Two quiet shifts, one in muscle, one in thyroid signaling, explain why the regain isn't about willpower.

Darrell Wilcox, MD 6/30/26 Darrell Wilcox, MD 6/30/26

You're Not Losing Muscle Because You Got Lazy

You still train just as hard. So why is the result half what it used to be? The honest answer usually isn't effort. It's a muscle-building signal that quietly fades with age, and a standard lab panel that never measures the part that matters.

Darrell Wilcox, MD 5/30/26 Darrell Wilcox, MD 5/30/26

Visceral Fat Is Often a Hormone Problem, Not a Willpower Problem

If you’re doing everything right and still carrying stubborn abdominal fat, the problem may not be discipline. It may be your hormones. Learn why visceral fat is a metabolic and hormonal problem, and how we assess and treat it in our practice.