Articles on what comes before.
Clinical notes, excerpts from the book Antes and short essays on preventive nephrology, longevity, and integrative functional medicine. Content originally published on the Plenya blog, mirrored here in full.
Menopause needs a team — not just a gynecologist
The menopausal transition is not only hormonal. It is cardiovascular, skeletal, metabolic, cognitive, sleep, mood — all at the same time. Treating it as the problem of a single specialist is the reason so many women in their 50s feel they are being managed in pieces.
Healthspan versus lifespan — why the right target is to compress morbidity
Living a long life is not the goal. Living well for a long life is. The difference between how many years you live and how many you live in full health reaches 12 years in developed countries — and almost no one is looking at the number that matters.
The four silent killers that take hold after 40
Cardiovascular, metabolic, oncologic, neurodegenerative. Four diseases account for the vast majority of premature adult deaths — and none of them appears suddenly. Each has a 10- to 20-year silent window with anticipatory biomarkers. This is not catastrophism. It is a map.
Four professionals speaking the same language
Personal trainer, nutritionist, therapist, physician — separately, each does well what they do. Together, without coordination, they replicate the fragmentation that made conventional medicine ineffective for continuous care.
The ACTS Method — an introduction to integrated care
The ACTS Method connects four interdependent dimensions of health — Activity, Alimentation & Smart Adjuncts; Clinical Optimization; Tending Mind, Body & Bonds; Sleep, Rhythm & Recovery — into a single, continuous, and measurable plan of care.
The silent window between normal and optimal
There is a ten- to twenty-year interval in which serious disease assembles itself without showing up on routine labs. It is in that interval that longevity is built — or lost.
Medicine 2.0 vs. Medicine 3.0 — alarm or detector
The medicine that treated your father is not the medicine that will treat you. The difference lies in when it acts.
Content originally published on Plenya Blog. Each article here is a faithful version of the original, with canonical pointing to the source.
This content is educational and does not constitute medical prescription. Each case is unique — for individual evaluation and care, consult a physician.