You already know something’s off. You’ve probably known for a while. Months, maybe. Possibly years. The sleep’s gone sideways, the temper’s shorter than it should be, you’re going…
Mar 9, 2026
Guys come in convinced they have low T when they’re depressed. Other guys come in convinced they’re depressed when their testosterone is in the basement. The two conditions…
Mar 2, 2026Depression doesn’t feel like sadness. Sadness has a shape and a target and it moves through you. Depression sits down on top of everything and shrinks the world…
Feb 27, 2026Zoloft is the drug I prescribe more than anything else, and the one patients ask the most questions about before they’re willing to swallow the first pill. Sertraline…
Feb 24, 2026
Most people picture ADHD as a kid bouncing off the walls, can’t sit still, disruptive in class. That’s one presentation, mostly in children. By the time those kids…
Feb 22, 2026Trintellix is the antidepressant pharma reps spent a decade trying to make happen. Vortioxetine, marketed under Trintellix in the US and Brintellix everywhere else, hit the market in…
Feb 21, 2026
Men in the US kill themselves at roughly four times the rate women do. That number has been stable for decades. The pandemic didn’t really move it. The…
Feb 19, 2026Addiction is a hijacked reward system. The brain has a circuit that’s supposed to make you chase food, sex, novelty, connection, the things that kept the species going.…
Feb 19, 2026Hair loss is one of those things men don’t bring up first. They come in for testosterone questions or sleep or low mood, and somewhere in the second…
Feb 19, 2026Pristiq is what happens when you take Effexor, skip a metabolic step, and sell it as a new drug. That’s not a dig. It’s the actual mechanism. Venlafaxine…
Feb 16, 2026