Hew Health Field Notes
Vol. I November 2026
Published from Destin & Orlando
Read in 47 states

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 04 Sep 2026

Concierge Hormone Optimization at Hew Health

Most people who walk into our practice asking about hormones have already been somewhere else first. They've had a ten-minute visit, a single testosterone or estradiol number pulled from a standard panel, and either a prescription pad or a shrug. Some were told their labs were "normal&

Matthew Koucky · 5 min read
Dispatch 03 Sep 2026

Concierge IV Hydration at Crab Island & Emerald Coast

A day at Crab Island looks easy from the shore. Anchor up in three feet of turquoise water, float, eat, drink, sunburn a little, laugh a lot. By four in the afternoon, though, the story often changes. The sun has done its work, the cooler is lighter, and someone in

Matthew Koucky · 5 min read
Dispatch 02 Sep 2026

CJC-1295 & Ipamorelin: What to Know Before Starting

The question I hear most often from patients in their forties and fifties goes something like this: "My labs are fine, my training is dialed in, my sleep is decent. Why do I still feel a step slower than I did ten years ago?" A meaningful part of

Matthew Koucky · 5 min read
Dispatch 02 Sep 2026

Sleep, Stress & Hormones Affecting Weight Management

If you have ever kept a food journal, hit your step count, stayed under your calorie target, and still watched the scale refuse to move, you already know something the "eat less, move more" crowd tends to gloss over. Willpower is real, but it operates downstream of your

Matthew Koucky · 5 min read
Dispatch 01 Sep 2026

5 Biomarkers Your Hormone Optimization Provider Should Check

Most people who walk into our practice asking about hormone optimization have already had a testosterone level checked somewhere. Sometimes an estradiol. Occasionally a TSH. The workup usually stops there, and the treatment plan is built on a single number. That approach misses most of the physiology that actually determines

Matthew Koucky · 5 min read
Dispatch 31 Aug 2026

Hormone Optimization for Energy, Focus & Body Composition

Most of the people who walk into our practice asking about hormones don't lead with the word "hormones." They lead with a story. They tell me they used to hit the gym four mornings a week and now they can barely drag themselves through two. They

Matthew Koucky · 5 min read
Dispatch 31 Aug 2026

Sleep, Stress & Hormone Optimization for Weight Management

Most people who walk into our practice frustrated with their weight have already tried the obvious things. They've counted calories, joined a gym, cut carbs, tried intermittent fasting. Some have lost twenty pounds only to watch it creep back over eighteen months. When we sit down and actually

Matthew Koucky · 5 min read
Dispatch 30 Aug 2026

Concierge Hormone Optimization: Personalized Protocols

Most of the hormone care I see arriving on my desk from other practices follows a script. A man in his late 40s gets a total testosterone level, lands somewhere under 400 ng/dL, and walks out with a standard weekly injection dose. A woman in perimenopause gets a patch

Matthew Koucky · 5 min read