01
Journal
Working notes, not marketing.
Written by the clinicians. We publish what we decline to offer about as often as what we do, because the reasoning is the same either way.
Measurement
What a 12-week re-test actually shows
Twelve weeks is long enough for lipids and glucose to move, and too short for most structural markers. Knowing which is which prevents a lot of disappointment.
6 min read
Method
Why we do not offer stem cell infusions
We are asked about this most weeks. The short answer is that the evidence does not yet support offering it outside a trial, and the regulatory position in Switzerland is clear.
5 min read
Evidence
Reading a lipid panel: apoB before LDL-C
A standard lipid panel can look reassuring while apoB is elevated. We measure apoB on every panel, and this is the reasoning.
7 min read
Evidence
Contrast therapy: what the trials support, and what they do not
Sauna has better cohort data than cold water. Neither has the outcome trials that would justify the claims made for them online.
8 min read
Clinic notes
Sleep staging at home versus in the lab
Home studies are more comfortable and usually enough. Here is where they fall short, and when we still send people to a lab.
6 min read
Clinic notes
The first appointment: what we measure and why
Ninety minutes, one blood draw, and a conversation that is mostly history-taking. What happens, in order.
4 min read
02
First appointment
Questions the journal did not answer?
Bring them to the first appointment. It is ninety minutes and most of it is conversation.