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 21 Aug 2026

GLP-1 & Hormone Optimization for Weight Management

The patient in front of me had lost 34 pounds on semaglutide over eight months. She was thrilled, then frustrated. The scale had stalled for six weeks. Her energy was lower than before she started. Sleep felt shallow. Libido had quietly disappeared. Her labs told a story her prescriber had

Matthew Koucky · 5 min read
Dispatch 19 Aug 2026

Hormone Optimization & Intimate Wellness After 40

Somewhere in the fifth decade, a lot of accomplished people start noticing that the machinery has changed. Sleep gets shallower. Recovery from a hard workout takes an extra day. And the private parts of life, desire, arousal, the easy confidence you used to bring to your marriage or a new

Matthew Koucky · 4 min read
Dispatch 18 Aug 2026

PRP & Prolotherapy for Joint Pain

If you're in your forties or fifties and still training hard, running your business, chasing your kids around a tennis court, joint pain is not a minor annoyance. It's the thing that quietly reorganizes your week. You skip the Saturday ride. You start icing your shoulder

Matthew Koucky · 4 min read
Dispatch 13 Aug 2026

Regenerative Medicine for Wound Healing

A wound that refuses to close is one of the more humbling problems in medicine. You can have the right dressing, the right antibiotic, the right offloading strategy, and still watch a diabetic foot ulcer or a post-surgical dehiscence sit open for months. In our practice, we see this pattern

Matthew Koucky · 4 min read
Dispatch 12 Aug 2026

Muscle Preservation & Weight Management After 40

The scale rewards you for losing muscle. That is the uncomfortable truth I explain to nearly every patient in their forties and fifties who walks into our practice frustrated by a weight plateau. When you drop pounds without a deliberate strategy, roughly a quarter to a third of what you

Matthew Koucky · 5 min read
Dispatch 11 Aug 2026

Hormonal Fatigue in Women 35–55: Estrogen & Progesterone

Most women I see in this age range have been told their fatigue is normal. They are working, raising children or caring for parents, sleeping poorly, and drinking more coffee than they used to. The exhaustion gets chalked up to life. Sometimes it is life. Often it is not, or

Matthew Koucky · 5 min read
Dispatch 11 Aug 2026

Chronic Knee Pain: Non-Surgical Regenerative Options

Most of the patients who come to us for knee pain are not sedentary. They are runners in their forties who suddenly cannot tolerate a five-mile loop, tennis players who feel a grinding sensation on the stairs, cyclists who wake up stiff after a hard weekend. They have already tried

Matthew Koucky · 5 min read
Dispatch 10 Aug 2026

Peptide Protocol Consultation: What to Expect

Most patients arrive at their first peptide consultation with a mix of curiosity and skepticism. They've read something online, heard a podcast, or had a friend mention BPC-157 or a GLP-1 analog. What they usually haven't had is a real conversation with a clinician who can

Matthew Koucky · 5 min read