Fishtown Medicine Library
The Engine Room
Stop blaming your age. Fix your engine.

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.
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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.

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.

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.

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.

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...

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.

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.

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.

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.