Holos Health VIP

Holos Health VIP Integrative psychiatry and functional medicine helping people address root causes affecting mood, energy, hormones, and overall wellness.

Concierge Care in TX, CA, AZ & ID.

04/22/2026
❌Your metabolism is not broken.❌I want to say that again because I think a lot of people arrive in my office carrying a ...
04/22/2026

❌Your metabolism is not broken.❌

I want to say that again because I think a lot of people arrive in my office carrying a private story that their body is uniquely defective. That everyone else manages to eat well and have energy and not spiral into cravings at 9pm. That something is fundamentally wrong with them.

❌Nothing is fundamentally wrong with you.❌

Your metabolism is doing exactly what it was designed to do in circumstances it was never designed for.

➔The human stress response evolved to handle acute, short-term threats and then recover. It was not designed for the sustained, low-grade, relentless stress of modern life.

➔The insulin signaling system evolved when food was intermittent and glucose exposure was seasonal. It was not designed for processed carbohydrates available 24 hours a day, 365 days a year.

➔Your cortisol rhythm evolved to sync with sunlight and darkness. It was not designed for blue-light screens at midnight.

When the system produces predictable biological responses to chronically abnormal inputs, that is not malfunction. That is precision engineering meeting an unprecedented environment.

Understanding this changes everything. Because a body responding to circumstances can be supported. A body that is broken requires fixing. And you do not need to be fixed. You need an investigation into the circumstances.

04/21/2026

If you’ve been pushing through exhaustion, anxiety, or brain fog…
there’s another way.

📞 888-310-1808
Let’s help you feel like yourself again.

04/20/2026

Even when everything looks “normal,” you can still feel it.
We listen differently.

📞 888-310-1808
Schedule your consultation today.

💥Stress does not just make you feel worse….….it changes your blood sugar in ways that are specific, measurable, and inde...
04/19/2026

💥Stress does not just make you feel worse….
….it changes your blood sugar in ways that are specific, measurable, and independent of everything you eat.💥

This is one of the most under-discussed mechanisms in blood sugar management.

And it explains why some of the most disciplined, informed people still cannot stabilize their energy, cravings, and metabolism, because the cortisol piece is never addressed.

📌(btw, my favorite slide is… “What cortisol testing tells us, and how it changes the protocol”)

❌Blood sugar is not just a diet problem.✅It is a hormone conversation.And if you have ever noticed that your:📌Cravings📌E...
04/18/2026

❌Blood sugar is not just a diet problem.
✅It is a hormone conversation.

And if you have ever noticed that your:
📌Cravings
📌Energy crashes
📌Blood sugar symptoms

….are significantly worse at certain points in your cycle, this is exactly why.

🔄Cortisol and blood sugar
Cortisol's primary metabolic job is to raise blood glucose. It does this through gluconeogenesis in the liver, meaning it signals the liver to make new glucose from non-carbohydrate sources, and through suppressing insulin signaling in peripheral tissues. Under chronic stress, cortisol runs chronically elevated. That means blood glucose runs chronically elevated. That means insulin runs chronically elevated. That leads to insulin resistance over time without changing a single thing about your diet.

🔄Estrogen and insulin sensitivity
Estrogen supports insulin sensitivity, meaning it helps cells respond appropriately to insulin. In the follicular phase of your cycle, when estrogen is rising, many women notice better energy, fewer cravings, and better glucose tolerance. As estrogen drops in the luteal phase heading toward menstruation, insulin sensitivity drops with it. This is one reason cravings for carbohydrates are more intense in the week before your period. The cells are less sensitive to insulin, the brain is harder to fuel efficiently, and the body reaches for fast glucose.

🔄Progesterone and insulin resistance
Progesterone has an insulin-antagonizing effect. It raises blood sugar by reducing insulin sensitivity in a mechanism similar to the insulin resistance of pregnancy. In the luteal phase, when progesterone peaks, you may notice more pronounced post-meal spikes, stronger cravings, more significant energy crashes, and worse blood sugar symptoms overall.

Understanding your blood sugar through the lens of your hormonal cycle is not optional. It is essential.

⚠️Because a blood sugar protocol built without accounting for your cycle is working with half the map.

04/17/2026

If you’ve been told “it’s just anxiety,”
there may be more to the story.

📞 888-310-1808
We help you find real answers.

📸A single fasting glucose value is a photograph of one moment.🎥A continuous glucose monitor is a movie.And the movie rev...
04/16/2026

📸A single fasting glucose value is a photograph of one moment.
🎥A continuous glucose monitor is a movie.

And the movie reveals things that no standard lab test is designed to capture.

CGM technology has moved from an exclusively clinical tool for type 1 diabetes management to something used increasingly in functional medicine to understand glucose behavior in real time across real-world conditions.

Two weeks of CGM data can change everything about how you approach someone's blood sugar.

🧪Most people who come to me with blood sugar concerns have already had bloodwork.🤦🏻‍♀️And most of those results came bac...
04/15/2026

🧪Most people who come to me with blood sugar concerns have already had bloodwork.
🤦🏻‍♀️And most of those results came back normal.

✅Fasting glucose in range.
✅HbA1c below 5.7.
✅Your doctor said you are fine.

Here is what that workup tells us and what it does not.👇

➠Fasting glucose tells us where your blood sugar sits after an overnight fast. It does not tell us how your blood sugar behaves over the course of a day, how sharply it spikes after meals, or how hard it crashes afterward.

➠HbA1c gives us a 90-day average. An average can look perfectly normal while hiding significant glucose variability underneath it. Someone who spikes to 180 and crashes to 60 regularly can average out to a completely normal HbA1c.

What a comprehensive functional assessment adds:
✅Fasting insulin alongside fasting glucose. The ratio of these two numbers reveals insulin resistance years to a decade before glucose becomes abnormal. Most conventional labs never order fasting insulin.

✅HOMA-IR, calculated from fasting glucose and fasting insulin together, quantifies insulin resistance on a spectrum. It catches the early stage that fasting glucose alone entirely misses.

✅A 2-hour post-meal glucose challenge, or ideally continuous glucose monitoring data, to see actual glucose behavior in real time after eating. Spikes above 140 mg/dL and variability patterns that a single fasting value could never capture.

✅Fasting triglycerides and the triglyceride to HDL ratio. Elevated fasting triglycerides and a ratio above 2.0 are strong surrogate markers for insulin resistance and impaired glucose clearance.

✅Adiponectin, a fat-cell-derived hormone that regulates insulin sensitivity. Low adiponectin predates insulin resistance by years and is almost never tested in standard panels.

🔑The absence of a diagnosis is not the same as the absence of a problem. It often just means the right questions were not asked yet.

04/14/2026

Mental load, emotional strain, physical fatigue—
it adds up.

📞 888-310-1808
You don’t have to figure it out alone.

❌Not all cravings are the same.💥And treating them all the same is why most strategies fail.There are three distinct crav...
04/13/2026

❌Not all cravings are the same.
💥And treating them all the same is why most strategies fail.

There are three distinct craving types.

Each has a different:
✅origin
✅fingerprint
✅solution.

📌Emotional cravings:
➔Timing: appear in response to specific emotional states, stress, boredom, loneliness, anxiety, or right before bed as a comfort ritual.

➔Fingerprint: specific, often textural. The craving is usually for something creamy, crunchy, or a childhood comfort food. The feeling driving it is not physical hunger. You could eat other things, but you want that specific thing.

➔Root cause: nervous system activation seeking a dopamine reward to soothe dysregulation. The gut-brain axis is involved. Serotonin depletion from stress, poor sleep, or dysbiosis often underlies this pattern. The craving is a nervous system event, not a nutrition event.

📌Metabolic cravings:
➔Timing: highly predictable, typically 2 to 3 hours after eating, at 3pm, or late evening. Follow a reliable schedule regardless of emotional state.

➔Fingerprint: carbohydrates, sugar, fast food. A physical urgency that can feel like shaking, irritability, or difficulty concentrating if not addressed. The craving has a physical edge to it.

➔Root cause: blood sugar instability, reactive hypoglycemia, insulin resistance, impaired GLP-1 signaling. The body is pulling the emergency cord for fast glucose because the fuel delivery system is unreliable.

📌Hormonal cravings:
➔Timing: cyclical in premenopausal women, most pronounced in the luteal phase, 7 to 14 days before menstruation.

➔Fingerprint: strong pull toward chocolate (magnesium and serotonin), salty foods (adrenal and aldosterone signaling), or high-carbohydrate comfort foods. Comes with a mood component.

➔Root cause: progesterone-driven insulin resistance, declining estrogen and serotonin precursors, and magnesium depletion in the luteal phase. Often amplified by cortisol and poor sleep.

The craving type tells you which system to address first.

❌The craving is not a character flaw.That is the first thing I want to say to almost everyone who comes to me frustrated...
04/12/2026

❌The craving is not a character flaw.

That is the first thing I want to say to almost everyone who comes to me frustrated with their:
➠Eating
➠Energy
➠Inability to stop reaching for something sweet at 4pm even though they know better.

✅You know better.
✅You have known better for years.
✅You have read the books and followed the plans and been very disciplined for stretches of time.

💥And then the craving comes back, and it feels like failure.

It is not failure.
It is biology communicating through the only language your conscious mind can hear.

📌A craving for sugar at 3pm is often a blood sugar crash signaling that cells are not being adequately fueled.
📌A craving for salty, crunchy food in the evening is often an adrenal and cortisol signal.
📌A craving that appears right before your period is often a progesterone and serotonin conversation.
📌An emotional eating trigger that hits specifically when you are exhausted is a nervous system asking for a reward pathway because the body's resources are depleted.

Every one of these is information. And information can be worked with in a way that willpower alone never could.

When we stop treating cravings as the enemy and start treating them as data, everything changes. Because data can be investigated. And investigation leads to answers that last.

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Flower Mound, TX
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