The Metabolic Reckoning: How Medicine Rediscovered Carbohydrate Restriction

In 2012, telling a heart patient to cut carbohydrates could still get you labeled a heretic. Fat was the villain. Carbohydrates were the gospel. Medicine spoke in percentages and pyramids, not physiology. Calories were our currency, and balance was our creed. But the numbers on my desk told a different story.Triglycerides were falling, waistlines shrinking, … Read more

Medicating Appetite: The GLP-1 Dilemma

At first, they were diabetes drugs.
GLP-1 receptor agonists—liraglutide, semaglutide, and later tirzepatide—were developed to help patients with type 2 diabetes regulate blood sugar. They mimicked a gut hormone, GLP-1, that modulates insulin, glucagon, and gastric emptying. They also acted on the brain.
Appetite went down.
Weight came off.
And people noticed.

The Insulin Wars: Greed, Glory, and the Battle to Save Lives

In the summer of 1921, in a dim and dusty laboratory at the University of Toronto, a young surgeon with failing prospects and a second-year medical student began tying off the pancreatic ducts of dogs. What they were after was elusive—unseen, unnamed, and possibly imaginary. What they found would change the fate of millions. They … Read more

Intermittent Fasting and Health – What’s the Scientific Evidence?

Our human ancestors had different food habits than we do. They did not routinely eat two to three regularly spaced, large meals every day. Indeed, food was often scarce, and there may have been long periods between meals. Furthermore, through the ages, fasting has been practiced in many communities for cultural and religious purposes. As … Read more