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 Aug 2026

Regenerative Post-Surgical Wound Care for Active Patients

Recovery from surgery has a rhythm most active patients find frustrating. You feel ready to move at week three, but the tissue underneath is still knitting itself together at its own pace. In our practice, we spend a lot of time managing that gap between what patients want to do

Matthew Koucky · 5 min read
Dispatch 04 Aug 2026

Regenerative Medicine for Chronic Joint Pain

Most of the patients I see in their forties and fifties are not looking for permission to slow down. They want their knee to stop clicking on the third mile of a run, their shoulder to cooperate during a tennis match, their hip to survive a long flight and a

Matthew Koucky · 5 min read
Dispatch 28 Jul 2026

7 Subtle Signs Your Hormones Hurt Performance

Most patients who come to us suspecting a hormone issue lead with the same complaint: they're tired. Fatigue is the headline symptom, the one that finally pushes a busy executive or a competitive masters athlete to schedule labs. But in our practice, fatigue is rarely the first sign.

Matthew Koucky · 4 min read
Dispatch 21 Jul 2026

Cortisol Imbalance: Energy, Sleep & Focus Effects

Cortisol gets a bad reputation it doesn't fully deserve. The hormone your adrenal glands release in response to stress is also what pulls you out of bed in the morning, sharpens your thinking before a difficult meeting, and keeps your blood sugar steady between meals. You need it.

Matthew Koucky · 5 min read
Dispatch 21 Jul 2026

Peptide Therapy: A High-Performer's Guide

Peptides are short chains of amino acids, typically fewer than 50, that act as biological signaling molecules. Your body already makes thousands of them. Insulin is a peptide. So is oxytocin. What we call "peptide therapy" in a clinical setting is the targeted use of specific peptide sequences

Matthew Koucky · 5 min read
Dispatch 21 Jul 2026

Hormone Optimization for Men Over 40: Lab Testing

Most men who come to see me in their 40s and 50s don't lead with the word "hormones." They lead with fatigue that coffee no longer touches, a midsection that won't respond to the same gym routine that worked at 35, sleep that feels

Matthew Koucky · 5 min read
Dispatch 14 Jul 2026

Why the Scale Lies About Your Weight

The scale is a blunt instrument. It measures your gravitational pull toward the earth, nothing more. It cannot distinguish muscle from fat, water from bone, or a stressful Tuesday from a well-slept Sunday. And yet patients walk into my office defeated by a number that fluctuated three pounds overnight, convinced

Matthew Koucky · 5 min read
Dispatch 14 Jul 2026

Hormone Optimization & Metabolic Health After 35

Somewhere in your late thirties, the math changes. The same diet that kept you lean at 28 now leaves an inch around the middle. Sleep gets thinner. Recovery from a hard workout stretches from one day to three. In our practice, we hear some version of this story every week,

Matthew Koucky · 5 min read