FishtownFish wrapped around the rod of AsclepiusMedicine
Philadelphia Primary Care
How It Works
What People Say
Patient reviews across 6 platforms
Articles
Symptoms
What your body is telling you
Treatments
Protocols, prescriptions, therapies
Longevity
Medicine 3.0 strategies
Heart Health & Risk
Protect your heart & vessels
Metabolism
Insulin, blood sugar, weight
Hormones
TRT, thyroid, menopause, andropause
Performance
VO2 max, muscle, sleep, gut
Playbooks
Step-by-step frameworks
About
Meet Dr. Ash
Your Physician
GERO·SPAN
Our Clinical Framework
FAQ
Common Questions
Book a Free Call

Fishtown Medicine Library

The Engine Room

Stop blaming your age. Fix your engine.

Ozempic, Wegovy, and Mounjaro: The Missing Manual
Featured Metabolic Health Guide

The GLP-1 Strategy

Why prescribing the shot is the easy part. Learn how we manage muscle preservation, protein intake, and the exit strategy for sustainable results.

Read Full Guide
Ozempic vs. Metformin | Strategic Guide for Metabolic Health
Metabolic Health

Ozempic vs. Metformin: Which Strategy Wins?

Should you start with the foundation (Metformin) or the heavy hitter (GLP-1)? We break down signaling, metabolic impact, and sustainability.

Read Article
Medical Weight Loss & Body Composition | Philadelphia
Metabolic Health

Weight Loss That Actually Works

A nuance-first approach to GLP-1s. We focus on body composition, not just the number on the scale, with HAES-aligned principles that prioritize health.

Read Article
Metabolic Health & Insulin Resistance Philadelphia | Longevity
Metabolic Health

Metabolic Flexibility: The Holy Grail

Weight is a lagging indicator. Insulin is a leading indicator. We use fasting insulin, CGMs, and DEXA scans to find and fix metabolic dysfunction.

Read Article
Metabolic Reset & Better Biology | Philadelphia
Metabolic Health

Metabolism: Getting Your Engine Working Right

A grounded clinical approach to metabolic health and GLP-1s. We focus on biological restoration and body composition, fixing the engine first.

Read Article
The Autoimmune Protocol (AIP) Diet: A Reset for Your Immune System
Metabolic Health

The AIP Diet: Immune Reset

More than just clean eating. Discover how the Autoimmune Protocol (AIP) acts as a diagnostic tool to silence inflammation and identify your specific dietary...

Read Article
The Anxiety-Gut Connection: It's Not 'All in Your Head'
Metabolic Health

Anxiety & The Gut-Brain Axis

Discover why your anxiety might be a microbial problem. Explore the Psychobiotic revolution and how the Vagus Nerve connects your gut to your brain.

Read Article
Fasting Protocols: Autophagy, Muscle, and the Goldilocks Zone
Metabolic Health

Fasting Protocols: The Goldilocks Zone

Fasting is a tool, not a religion. Learn how to use time-restricted eating, 24-hour fasts, and longer protocols safely while protecting your muscle.

Read Article
IBS vs. SIBO: Why Your IBS Might Be Bacterial Overgrowth
Metabolic Health

IBS & SIBO: The Root Cause

Bloated after every meal? Up to 60% of IBS cases may actually be SIBO. Learn how we test, treat, and prevent recurrence.

Read Article
The Truth About Leaky Gut (Intestinal Permeability)
Metabolic Health

Leaky Gut: The Science of Permeability

Pseudoscience or real biology? Learn the science of zonulin and how intestinal permeability drives autoimmune disease and chronic inflammation.

Read Article
FishtownFish wrapped around the rod of AsclepiusMedicine
Philadelphia Primary Care
2418 E York St, Philadelphia, PA 19125Home visits in Greater Philadelphia

Serving Fishtown · Art Museum · Bella Vista · Callowhill · Center City · Center City West · Chestnut Hill · East Kensington · Fairmount · Fitler Square · Graduate Hospital · Logan Square · Manayunk · Northern Liberties · Old City · Olde Richmond · Poplar · Port Richmond · Queen Village · Rittenhouse · Roxborough · Society Hill · Southwark

Explore by topic

Women’s Health
  • Perimenopause
  • Menopause 3.0
  • PCOS
  • Fertility
Men’s Health
  • TRT Therapy
  • TRT Safety
  • TRT vs Enclomiphene
  • Low Libido
Metabolic
  • Medical Weight Loss
  • Ozempic vs Metformin
  • Fasting Protocols
  • Visceral Fat
Cardiovascular
  • apoB & Heart Health
  • apoB vs LDL
  • Lp(a) Cholesterol
  • ED & Heart Risk
Longevity + Performance
  • Healthspan vs Lifespan
  • Biological Age
  • VO2 Max
  • Zone 2 Training
Supplements
  • Magnesium
  • Creatine
  • Omega-3
  • Foundational Stack

Content is for educational purposes only and does not constitute medical advice.

TermsPrivacyScope of PracticeClinical Independence