The Expat MD

The Expat MD Health optimisation and Longevity Medicine Consultant

13/03/2026

Our patients are our best teachers.

For two years, she lived with severe abdominal pain. Scan after scan, appointment after appointment… yet no clear answer.

At 54, the missing piece turned out to be something that no one (not even her gynaecologist) had considered: oestrogen.

Oestrogen receptors aren’t just in the reproductive organs — they exist all over the body: the gut, brain, joints, skin, bladder, heart and more. When oestrogen levels drop in midlife, symptoms can appear in places we don’t always associate with menopause.

After starting HRT, her pain finally settled. Not because the pain was “in her head”, but because her body was missing a hormone that affects multiple systems.

Menopause is not just hot flushes.
It’s whole-body biology.

If you’re struggling with unexplained symptoms in your 40s or 50s, it may be time to consider whether hormones are part of the story. They may not be, but they might.

05/03/2026

Life. It can be really tough. Looking outside of ourselves to get a perspective can be good.

Human contact EVEN BETTER.

If you like to read, " Endurance" by Alfred Lansing written in 1959 is one of the most epic stories I have ever come across.

This book has changed me and has forever changed how I see my own suffering.

03/03/2026

Stress/cortisol yada yada. You've all heard about that right? But how can you reduce the real stress of life which really does curtail our healthspan?

Practical tips are few and far between, but Obama was onto something by wearing his famous suits.

Thank you Barrack. You taught me well. 🙂😂

02/03/2026

One of my favourite blood tests to check how healthy you are.

Fasting insulin is a missing part of most "health checks" and imo should be tested in all over 40s, anyone with high blood pressure, Family history of diabetes, overweight, obesity, hypothyroidism etc.etc.etc.

This is true HEALTH CARE not SICK CARE.

26/02/2026

The brain. The mind. Rubbish in = poor mental health.

Yes there are a lot of good things online, but having a break is good for the mind, body and soul.

Fasting from pollutants is vital and social media is one of them.

25/02/2026

You can live the perfect life and still get cancer. There are well established screening tests that catch different forms of cancer early.

Part of practicing with a longevity medicine focused approach means ticking all the normal stuff that all primary care doctors or health systems should be doing first!!!

Bowel cancer screening saves so many lives.
Bowel cancer is on the rise probably due to our diets, preservatives, pesticides and lack of fibre.

This is bread and butter prevention.

So if you're 40 and above or have a family history of bowel cancer - speak to your doctor about either a simple stool test or a colonoscopy.

23/02/2026

MTT is one of the most powerful prescriptions there is, and Switzerland is way ahead of most other countries by offering under its basic health insurance.

I am definitely helping people get better here.

The body often needs support to tap into it's natural healing abilities.

20/02/2026

Use it or lose it!

Learning new things like an instrument or a language is wonderful for your brain. The activity has to be hard. You have to keep on repeating the activity until you master it, and then you need to make it harder!

This is proven to help maintain your brain function and reduce your risk of developing dementia.

Consuming content is not the same as "doing" something.

As an "ex-piano player", I've had this ukulele lying around for years and FINALLY decided to try. Unfortunately, no piano just "lying around".

Hopefully I'll get better in a month!

Anyone else learning an instrument again? Or a language?

18/02/2026

Our bodies are their own ecosystem. We have so many microbes that live in our gut, our skin, our mouths and if you have one, our vaginas.

There is a delicate balance and harmony that exists between our physiology and our microbiome.

Pesticide use has an effect on our microbiome with multiple and not yet fully explored negative effects.

The good news....? If you change what you consume, your microbiome will positively respond over time.

Buying organic is more expensive. Making small swaps over years will add up though. Starting with citrus fruits is a good start!

11/02/2026

Medicine 101 - testing someone's blood pressure. No one can really monetize it, so it's not talked about a lot.

I cannot underestimate it's importance. Strokes, heart attacks, kidney failure & vascular dementia are where it leads to.

The most important thing is checking yourself. Most people have ZERO symptoms.

What you do over months and years matters so much more than doing something perfectly for 12 weeks.Decades are what matt...
11/02/2026

What you do over months and years matters so much more than doing something perfectly for 12 weeks.

Decades are what matters. Start small. Keep going. And if you stop, don't beat yourself up. That's life.

Be kind to yourself. No one is Instagram perfect. It's a mirage.

04/02/2026

Millions of followers. Patients come in clutching his book "Outlive". "Have you read this?". I smile. It's like asking a priest if they've read the Bible.

A bringer of so much knowledge to so many of us but behind the "success", a deeply unethical person.

Being a doctor brings responsibility. This physician failed by omission.

No excuses.

Being in the Epstein emails over 1000 times and even planning a trip to the island. Vulgar comments about female anatomy. Being jealous of the "outrageous" lifestyle. Ignoring photos of a new "shipment" -i.e. a woman.

Sadly his follower count hasn't even budged. What kind of world do we live in?

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