Doctor Guy

Doctor Guy Holistic and integrative medicine. We treat the whole person and attempt to get to the root cause of

03/15/2026

I recently saw a 38-year-old patient who was stuck at a testosterone level of 445. We tried the natural route first and got him up to 555, but he just couldn’t break past that plateau. By switching things up with a controlled dose of Clomid and Anastrozole, we got him to 1,000. The best part isn’t just the number though. He feels incredible. His body fat dropped from 26% to 20%, his stress levels are down, and he finally has his energy back.

My typical approach is to cycle nine months of Clomid followed by three months of testosterone injections and a bit of HCG to keep the body functioning naturally. It’s also vital to make sure that testosterone is actually getting into your cells, which is why we use Formula 20 from Endoaxis. It’s rewarding to see how much a man’s life changes when his hormones are finally dialed in. If you feel like you’ve hit a wall with your health, it might be time to look at the data and find a better way forward.

03/13/2026

Nervous system regulation is one of the most undervalued pillars of health, and most people have no idea how depleted theirs actually is until they stop. The body operates between two states, rest and stress, and the nervous system controls both. Chronic stress does not just feel bad. It actively suppresses digestion, hormone production, immune function, and cellular repair. What makes humans uniquely vulnerable is our ability to mentally perpetuate a stress response long after the physical trigger is gone.

Even with a consistent meditation practice, it took a full day in Costa Rica before I genuinely felt my system downshift. That should tell you something about the cumulative load most of us carry daily. Vacation is not a luxury. For many patients, it is clinically necessary. If your body cannot find stillness without being completely removed from your environment, that is a signal worth paying attention to.

03/12/2026

Testosterone deficiency is no longer just a concern for older men. We are now seeing clinically low levels in men as young as 25, driven largely by poor sleep, elevated cortisol, and dysregulated insulin. Optimal levels sit above 800 ng/dL, but free and bioavailable testosterone matters just as much as the total number. For men who need pharmaceutical support beyond lifestyle correction, compounds like clomiphene and anastrozole offer effective options for stimulating the body’s own production rather than replacing it externally.

Low testosterone affects energy, body composition, mood, libido, and cognitive function in ways that too often get written off as stress or aging. Total testosterone alone does not tell the full story. Free testosterone, SHBG, estradiol, LH, and FSH together create the complete clinical picture. Know your numbers and work with a provider who evaluates all of them.

02/17/2026

Insulin resistance drives hormonal chaos in PCOS. Chronically elevated insulin increases testosterone production and lowers s*x hormone binding globulin, leading to more active androgens in circulation. This can show up as acne, unwanted facial hair, hair thinning, and irregular cycles.

The root issue is metabolic. When insulin sensitivity improves through targeted nutrition, exercise, and metabolic support, testosterone levels often normalize and cycles regulate naturally. Address the upstream driver, and the hormonal imbalance begins to correct itself.

02/13/2026

PCOS treatment only works when it matches the subtype driving your symptoms. Insulin resistance, adrenal dysfunction, inflammation, and post-birth control hormone shifts each require different strategies. Generic protocols often fail because they don’t target the true root cause.

Targeted supplementation can play a powerful role when chosen based on physiology, not trends. Compounds like inositol, berberine, saw palmetto, and vitex have specific mechanisms that support insulin sensitivity, reduce excess androgens, and rebalance hormones. When supplements are selected with precision and combined with nutrition and lifestyle changes, outcomes improve dramatically and many women can restore ovulation and metabolic health without long-term medication dependence.

02/11/2026

Pharmaceuticals still have an important place in medicine, despite growing bias against them in wellness spaces. The shift toward “natural only” thinking can be just as extreme as overprescribing drugs. Many medications originate from plant compounds, and the difference often comes down to concentration, dosing, and consistency rather than being truly unnatural. In some cases, pharmaceuticals provide the fast, reliable effects needed when natural approaches are not enough.

Great medicine is about knowing when to use the right tool. Pharmaceuticals can stabilize serious conditions like severe blood sugar imbalance, high blood pressure, infections, or dangerous hormone disruption so deeper healing can follow. Integrative care means using medication when necessary while prioritizing root causes through nutrition, lifestyle, and long-term optimization, not choosing extremes.

02/07/2026

PCOS subtypes matter more than most women are told. A generic PCOS diagnosis often leads to one-size-fits-all treatment that ignores the real root cause, which is why symptoms like weight gain, acne, fatigue, and irregular cycles persist. The problem is not patient effort, it is imprecise diagnosis. Without identifying whether insulin resistance, adrenal stress, inflammation, or post-birth control hormone shifts are driving PCOS, treatment becomes guesswork.

Functional medicine focuses on identifying the true driver so care can target the root cause. Adrenal PCOS requires stress and nervous system support, while insulin-resistant PCOS improves with metabolic and lifestyle interventions. Matching treatment to subtype leads to better results and real hormonal healing.

02/05/2026

PCOS affects how ovarian follicles mature, often preventing normal ovulation. Instead of one follicle fully developing each cycle, multiple follicles stall in early growth and remain as small cysts, creating the classic “string of pearls” appearance on ultrasound.

These cysts are a symptom, not the root cause.
PCOS is driven by hormonal and metabolic imbalances like insulin resistance and elevated androgens. Real treatment focuses on restoring healthy hormone signaling and ovulation, not just suppressing cysts.

02/03/2026

PCOS is not one condition, it has multiple subtypes, each with different root causes and treatment needs. Adrenal, insulin resistant, inflammatory, and post birth control PCOS all stem from different drivers like stress hormones, metabolic dysfunction, chronic inflammation, or hormonal rebound.

Treating every PCOS case the same is a major mistake. Real progress happens when the subtype is identified through proper testing and history, so treatment can target the true cause. Precision care turns PCOS into a manageable condition rather than a lifelong struggle.

01/30/2026

Women’s hormonal health is still widely dismissed in conventional medicine, leaving many women without proper care. Hormone related symptoms like irregular cycles, weight gain, mood changes, fatigue, and perimenopause are often labeled as stress or normal aging instead of being investigated. This medical gaslighting reflects gaps in female endocrinology training and a system focused on treating disease rather than optimizing hormonal balance, which discourages women from advocating for themselves even when symptoms impact daily life.

The quality of care depends less on a provider’s gender and more on their willingness to listen, validate symptoms, and run meaningful testing. Effective practitioners treat women as partners, take subjective concerns seriously, and address root causes instead of masking symptoms. Women deserve providers who respect their experiences, prioritize proper diagnostics, and treat hormonal health as legitimate medicine, not an afterthought.

01/28/2026

Preventive medicine was once dismissed as fringe. Early on, functional and wellness based care was criticized for focusing on biomarkers, nutrition, and lifestyle instead of prescriptions. Yet patient outcomes told a different story, with improved labs, reversed chronic issues, and restored quality of life when root causes were addressed.

Today, preventive medicine is moving into the mainstream. What was once labeled alternative is now being integrated into modern care as research and patient demand grow. Addressing dysfunction early is no longer controversial, it is becoming essential.

01/26/2026

Healthcare information overload creates both unprecedented opportunity and significant clinical challenges as we navigate this transformative era of medical technology. We possess more biochemical data, imaging capabilities, genetic insights, and physiological monitoring tools than at any point in human history, yet many practitioners struggle to synthesize this information into coherent treatment strategies that meaningfully improve patient outcomes. The gap between available technology and practical clinical application has widened rather than narrowed, leaving patients confused by conflicting information and physicians overwhelmed by the sheer volume of data requiring interpretation. This disconnect represents one of the most pressing challenges in modern medicine, where access to information has democratized but the ability to properly contextualize and apply that knowledge remains concentrated among specialists who dedicate themselves to continuous learning and integration of emerging research.

The human body remains an extraordinary biological system that continues to reveal new layers of complexity as our measurement tools become more sophisticated. What once seemed like simple cause and effect relationships now appear as intricate networks of feedback loops, epigenetic influences, and systemic interdependencies that demand comprehensive rather than reductionist thinking. The future of medicine lies not in generating more data but in developing better systems for translating that data into actionable clinical wisdom that both practitioners and patients can utilize effectively. Technology should serve as a bridge that connects complex physiological information to practical health decisions, making advanced medicine accessible rather than exclusive. As we move forward, the practitioners who thrive will be those who embrace these tools while maintaining the fundamental clinical reasoning and patient-centered focus that defines excellent care. This synthesis of technological capability and human insight represents the next evolution of healthcare delivery.

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8920 Wilshire Boulevard, Suite 610
Beverly Hills, CA
90211

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