Articles
Plain explanations of what these assessments measure, written for the person having them and for the clinician reading the report.
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MASLD in Primary Care: Screening When Liver Enzymes Look Normal
Ultrasound and ALT under-read MASLD. GGT inside the reference interval carries prognostic signal, and metabolic, body composition and vascular measures change management.
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Metabolic Endotoxemia: What to Measure When Zonulin Cannot
Serum zonulin fails validation, permeability testing has strict requirements, and the metabolic injury from endotoxin is where measurement changes management.
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How to Test for Leaky Gut, and Why Zonulin Is the Wrong Test
The zonulin kit does not measure your gut wall. What a real permeability test involves, what loosens the wall, and the metabolic numbers that show what crossed.
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The LF/HF Ratio Is Not Vagal Tone: Autonomic Testing in Gut Patients
The LF/HF ratio does not measure vagal tone. What RMSSD and high-frequency power show in functional and inflammatory gut disease, who to test, and how to keep results reproducible.
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Vagus Nerve and Anxiety: What a Heart Reading Shows About Your Gut
Vagal tone tracks gut inflammation and adrenaline more than mood. What heart rate variability measures when bowel symptoms and anxiety arrive together, and what no test can show.
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Deprescribing Starts With a Baseline, Not a Drug List
Deprescribing works from the drug list. Silent small-bowel injury, formulation load and drug-driven microbiome signals argue for a measured baseline first, and a workflow that makes it reproducible.
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Polypharmacy in the Elderly: What Nine Bottles Hide From Your Numbers
A long medication list is renewed on habit, not on numbers. What nine bottles do to the gut, what a routine visit cannot see, and which measurements answer whether each drug is still needed.
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Inflammation and Depression: Identifying the Inflamed Subgroup
About a quarter of patients with depression carry CRP above 3 mg/L, and anti-inflammatory response concentrates there. Who to measure, the counterevidence, and how to build it into routine workflow.