Sexual performance is one of those topics where guys will sit on a problem for years before saying anything, and then when they finally bring it up, it’s…
May 6, 2026Vyvanse is amphetamine with a chaperone. The molecule you swallow, lisdexamfetamine, has an amino acid (lysine) stapled onto a regular d-amphetamine. In that form it does basically nothing.…
May 5, 2026
People come into my office all the time thinking something’s fundamentally wrong with them. They’re anxious, or depressed, or struggling, and they’ve decided that means they’re broken. Defective.…
May 4, 2026
Maybe you moved. Maybe your provider retired. Maybe your current doctor is a fifteen-minute med check assembly line and you’re tired of feeling like a chart number. Maybe…
May 4, 2026ADHD treatment in adults is one of the parts of psychiatry where the gap between what works and what people actually get prescribed is wide enough to drive…
May 2, 2026
If you’re reading this and wondering whether your drinking or drug use is a problem, I’m going to be straight with you. You already know it is. You…
May 2, 2026Testosterone is the most over-prescribed hormone in American medicine right now, and it’s not close. Walk into a strip-mall “low T clinic” with a pulse and a complaint…
Apr 28, 2026The IV wellness industry is one of the strangest things to watch from inside medicine. A drip clinic opens in a strip mall next to a barre studio.…
Apr 27, 2026Fluvoxamine is the SSRI nobody thinks of first, and that’s a shame, because for one specific job it’s still the one I reach for. The job is OCD.…
Apr 27, 2026Hydroxyzine is one of those drugs that’s been sitting in the pharmacy for sixty years doing useful work, and most clinicians forget it exists until somebody reminds them.…
Apr 27, 2026