Educational and conversational. Authentic, playful and positive. Gender-neutral and all-inclusive.
September 22, 2026
Men and the Four Horsemen of Andropause
The bar has not gotten heavier. That is the part that gets to men. Two hundred and twenty five pounds weighs exactly what it weighed when you were thirty-two. Nothing about it moved.
BHRT vs HRT: What’s the Difference and Which Hormone Therapy Is Right for You?
Hormone therapy is everywhere right now, but if you've heard terms like HRT and BHRT, it can be hard to know what they actually mean. Are they the same thing? Is one safer? Is one more natural?
Your Estrogen Patch Is On Back Order. Here is what we do next.
Here is what matters. There are four ways to get estradiol into your bloodstream. Three of them are not a patch. None of them is a pill. And you can start one this month.
Please Join Us in Welcoming Dr. Dayian to The Gajer Practice
I have been waiting to send this email for a while, and I am so glad to finally share it with you.
Dr. Dayian, a doctorally prepared Family Nurse Practitioner, is joining The Gajer Practice and will be caring for patients at our Burke location Monday through Friday.
Somewhere around age twenty-five, without any announcement, your skin quietly changed jobs. It stopped building and started maintaining. And maintenance runs at a deficit.
While you sleep, your blood will seal the break. Cells on both edges will let go of their neighbors and start crawling toward each other. In two weeks there will be nothing to see. You did not supervise any of it. You were asleep.
You Doubled Your Protein. Now You’re Wondering If You Wrecked Your Cholesterol
A patient comes in six months into GLP-1 therapy. She's down twenty-eight pounds, her A1c has moved from 5.9 to 5.4, and she has done exactly what I asked her to do, which is eat considerably more protein than she used to.
Hashimoto’s Is the Diagnosis. The Real Question Is Why
She is thirty-eight, she is exhausted in a way that sleep does not fix, her hair is coming out in the shower, she is cold when nobody else is cold, and she has gained eleven pounds without changing a thing.
A woman came to see me carrying a folder of lab results, and every value in it had been marked normal. othing was wrong on paper. Something was obviously wrong with her.
Your Skin Has a Biological Age Too. Here’s How We Invest in It Early
We spend a lot of time in this practice talking about biological age. We measure it, we track it, we work to move it. We optimize hormones, metabolism, muscle, and the quiet inflammatory background that ages a body from the inside.
I’m 44 and My Biological Age Is 32. Here’s the Bloodwork Behind It.
My first reaction was not celebration but curiosity. As a physician, I do not trust a good number any more than I trust a bad one until I understand where it came from and what it actually measures.
