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Reclaim Power Telehealth What is your body responding to? Functional medicine by video, in English and Vietnamese.

10/20/2026

Your thyroid gets blamed for a lot of things it didn't do.
Tired, cold, foggy, hair in the drain. All real. Not all thyroid.

It's a small gland with a very big reputation. And yes, it can cause every one of those. So can low iron, poor sleep, perimenopause and depression. The symptoms overlap so much that the list alone can't tell you which one you're dealing with. Sometimes it's more than one.

That's why I don't guess from symptoms. A blood test tells us whether the thyroid is part of the picture. And when it comes back fine, that's useful too. It tells us to look somewhere else, instead of treating a gland that was never the problem.

Because if it's your iron, thyroid medicine won't fix it.

What's a symptom you've been blaming on your thyroid?

Of everything in my book, the gut is the topic I trust the internet least on. Mouse studies, at-home tests, a supplement...
10/19/2026

Of everything in my book, the gut is the topic I trust the internet least on. Mouse studies, at-home tests, a supplement for every bacteria with a name.

The part I'd actually defend is boring. Fiber, from plants, lots of different kinds across the week. Not a powder.

Chapter six of The Safety Switch is up in Power Partners this week. The book is free: rptelehealth.com/safety-switch

10/18/2026

Being bad at something new is one of the most underrated things you can do in midlife.
Mostly because almost nobody volunteers for it.

At some point we get good at our lives. Work, routines, the way the house runs. Being competent feels safe, and being a beginner starts to feel like going backward.

So the list of new things quietly gets shorter.

I'd argue that shrinking list ages people faster than the birthdays do. Learning something from zero is slow and a little humbling. It's also one of the few times your brain and your body get asked to do something they've never done before.

You don't have to be good at it. You just have to be willing to look like you're still figuring it out.

What's something you'd try if being bad at it didn't bother you?

Some weeks the win is that you noticed something.The eggs that got made on a Tuesday when cereal was right there. The wa...
10/17/2026

Some weeks the win is that you noticed something.

The eggs that got made on a Tuesday when cereal was right there. The water that happened before the coffee. The walk that was only to the corner and back. The bedtime that moved up twenty minutes because you were honest about being tired.

Every Friday in Power Partners we write down the ordinary things that went right. Free, and the door is open: rptelehealth.com/community

Thứ Bảy 24/10, 1 giờ chiều (giờ miền Đông): buổi trực tuyến 30 phút, miễn phí, bằng tiếng Việt. Trang đọc một bộ xét ngh...
10/16/2026

Thứ Bảy 24/10, 1 giờ chiều (giờ miền Đông): buổi trực tuyến 30 phút, miễn phí, bằng tiếng Việt. Trang đọc một bộ xét nghiệm mẫu và chỉ ra sáu con số hay bị bỏ qua. Ghi tên: rptelehealth.com/hoc

Menopause doesn't switch off your metabolism.Something real changes. It just isn't that.In a large study of energy use a...
10/16/2026

Menopause doesn't switch off your metabolism.
Something real changes. It just isn't that.

In a large study of energy use across the lifespan, metabolism held steady from about 20 to 60, once body size was accounted for. No midlife drop-off.

So why does everything feel different? Because other things do shift. Fat moves toward the belly. Muscle slips if it isn't being used. And broken sleep makes all of it harder.

That difference matters. If you believe your metabolism quit, the only move left is eating less, forever. And eating less without protecting your muscle can make the real problem worse.

Your metabolism didn't quit. The conditions around it changed. Keeping your muscle is the plan.

What were you told about your metabolism after 40?

10/15/2026

Healthcare is billed by the visit. Health happens between them.
That one detail shapes more of your care than most people realize.

When a system gets paid per appointment, the appointment becomes the unit of everything. What gets measured, what gets time, what gets followed up. That works well for a sore throat or a broken wrist.

But most of what decides how you feel in ten years happens between appointments. How you sleep. Whether you keep your muscle. What your blood pressure does on a normal Tuesday. None of that fits in a visit, and there's no billing code for the months in between.

I worked inside that system for years. The clinicians in it are not the problem. Most of them want more time with you than the schedule gives them. Nobody in the exam room designed the billing.

It just means the in-between part is mostly on you, unless your care is built around it. That's a big part of why I built my practice the way I did.

What's one health thing you keep meaning to bring up at an appointment, and then forget?

10/14/2026

A hike, but on wheels.
We didn't make it home until 10pm. I'm calling that a success.

The kids had so much fun. Somehow it got dark.

Most of my week is about helping people find time to move. This was the kind nobody had to schedule.

When's the last time a day out ran way past when you meant to come home?

10/13/2026

Walking fast for three minutes, then easy for three, made people's legs stronger. Walking at one steady pace mostly didn't.
That matters a lot after 50. It also has limits, and I'd rather you know them up front.

The research comes from a 2007 study of 246 adults, average age 63. For five months, one group walked at a steady pace. Another alternated three minutes fast with three minutes easy, five rounds, four days a week. Both groups walked about the same amount. Only the intensity was different.

The fast-slow group's aerobic fitness went up 9 percent and their leg strength went up 13 percent. The steady walkers barely changed. The fast-slow group's resting blood pressure also came down about 9 points on top and 5 on the bottom.

How fast is fast? You can get out short phrases, but you can't hold a conversation, and you definitely can't sing. Walk like you're late.

What it won't do:

It won't make you lose much weight. Exercise changes your fitness, blood pressure, and blood sugar. Food changes the scale.

It won't replace strength training. It does nothing for your back, shoulders, or grip, and it isn't enough to protect bone the way lifting does.

It won't fix blood pressure by itself if your numbers need medication.

And it isn't magic because it's Japanese. It works because of the intervals. A bike, a pool, or a rowing machine works too if walking bothers your joints.

If you have heart disease, chest pain with exertion, or uncontrolled blood pressure, talk to your clinician before you start. Everyone else, try three rounds this week and build to five.

Do you walk at one speed the whole time?

Two women start the same plan on the same Monday. Twelve weeks later one is down fifteen pounds, the other four. Everyon...
10/12/2026

Two women start the same plan on the same Monday. Twelve weeks later one is down fifteen pounds, the other four. Everyone goes looking for the snack she didn't mention.

Usually there isn't one. Same plan, different bodies, different histories. Expecting identical effort to give identical results sounds fair. It's bad math.

Chapter five of The Safety Switch is up in Power Partners this week. The book is free: rptelehealth.com/safety-switch

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