Gerti Tashko, M.D.

Gerti Tashko, M.D. • Endocrinology, Diabetes and Metabolism
• Obesity Medicine
• Hypertension
• Lipidology

Anabolic hormones like insulin, growth hormone, testosterone, estrogen, and DHEA drive the body’s ability to build, repa...
11/12/2025

Anabolic hormones like insulin, growth hormone, testosterone, estrogen, and DHEA drive the body’s ability to build, repair, and maintain strength. When these signals weaken with age or stress, fatigue, muscle loss, and slower recovery often follow. Restoring balance through sleep, nutrition, exercise, and individualized hormone care helps revive vitality, stabilize metabolism, and strengthen both bone and muscle for lasting health.

↘ Understanding Anabolic Hormones
↘ 1. Insulin: The Foundational Anabolic Signal
↘ 2. Growth Hormone and IGF-1: Regeneration and Repair
↘ 3. Testosterone: Beyond Reproduction
↘ 4. Estrogen: The Underrecognized Anabolic Partner
↘ 5. DHEA: The Versatile Precursor
↘ The Balance Between Anabolism and Catabolism
↘ Summary Table
↘ Clinical Integration: From Hormone to Whole Person
↘ Patient Cases
↘ The Aging Anabolic Axis
↘ The Broader Context

Read More ⤵

Dr. Tashko explains how anabolic hormones influence muscle, bone, and metabolism through balanced, personalized hormone restoration.

The FDA has approved the first blood test that helps identify Alzheimer’s disease by measuring tau and amyloid proteins....
11/09/2025

The FDA has approved the first blood test that helps identify Alzheimer’s disease by measuring tau and amyloid proteins. This advance offers faster, simpler diagnosis without invasive procedures. Integrated into a holistic care model, it connects cognitive health with metabolic balance for earlier intervention and personalized management in both Maryland and virtual settings.

↘ A Major Step Toward Earlier, Easier Diagnosis
↘ How the Test Works
↘ Who the Test Is For
↘ A Common-Sense Advance in Care
↘ Integrating the Test into Holistic Evaluation
↘ Clinical Scenarios
↘ Summary Table
↘ Why This Matters
↘ The Broader Perspective

Read More ⤵

Dr. Tashko explains how the FDA-approved pTau217 blood test transforms Alzheimer’s diagnosis through accessible, integrated, & holistic care.

A new Lancet Public Health study confirms that walking around 7,000 steps a day can substantially reduce the risk of ear...
11/07/2025

A new Lancet Public Health study confirms that walking around 7,000 steps a day can substantially reduce the risk of early death, heart disease, diabetes, and dementia. The findings highlight that meaningful benefits begin even at 3,000 to 4,000 steps, offering hope to less active adults. Regular movement throughout the day proves more important than perfection, turning step counting into a powerful, evidence-based health strategy.

↘ Understanding the Study
↘ The Key Finding: Every Step Counts
↘ Beyond the 10,000-Step Myth
↘ The Non-Linear Curve of Health
↘ Mental and Cognitive Health
↘ Physical Function and Falls in Older Adults
↘ Quick Points for Daily Life
↘ Why It Matters for Public Health
↘ Real-World Application in Clinical Practice
↘ Summary Table: Steps and Risk Reduction
↘ A Broader Message

Read More ⤵

Dr. Tashko explains new Lancet data showing that around 7,000 daily steps sharply reduce risks for heart disease, diabetes, dementia, and early death.

Deep sleep is the foundation of physical repair and mental recovery. It lowers stress hormones, enhances testosterone an...
11/05/2025

Deep sleep is the foundation of physical repair and mental recovery. It lowers stress hormones, enhances testosterone and growth hormone, and stabilizes metabolism. The earliest sleep cycles, often before midnight, contain the deepest stages of restoration. By protecting this stage through consistent sleep patterns and hormone balance, patients can experience sharper focus, better energy, and improved cardiometabolic resilience.

↘ What Happens During Deep Sleep
↘ Timing and Pattern of Deep Sleep
↘ Hormonal and Metabolic Impact
↘ Brain and Cognitive Renewal
↘ What Interferes with Deep Sleep
↘ Patient Cases
↘ Strategies to Improve Deep Sleep
↘ Summary Table
↘ The Broader Context

Read More ⤵

Dr. Tashko explains how deep sleep cycles restore hormones, metabolism, and brain health for lasting energy and recovery.

AI radiomics is emerging as the next frontier in metabolic and cardiovascular prevention. By analyzing routine CT and MR...
11/01/2025

AI radiomics is emerging as the next frontier in metabolic and cardiovascular prevention. By analyzing routine CT and MRI scans, it can uncover early signs of liver fat, visceral adiposity, and arterial inflammation long before symptoms appear. Although still in research stages, it points toward a future where imaging and lab data merge to guide truly personalized prevention.

↘ A Glimpse into the Next Frontier
↘ 1. The Promise of AI Liver Fat Mapping
↘ 2. Seeing Visceral Fat as a Metabolic Organ
↘ 3. Smarter Heart Imaging and Plaque Biology
↘ 4. The Power of Integration: Imaging Meets Lab Data
↘ Summary Table: How AI Radiomics May Transform Prevention
↘ Practical Realities and Current Limitations
↘ Preparing Patients for the Next Era
↘ Key Takeaway

Read More ⤵

Dr. Tashko explains how AI radiomics may connect CT and MRI imaging with ApoB and Lp(a) testing for earlier heart and metabolic risk detection.

Testosterone levels naturally decline after age 30, lowering energy, strength, and focus. This gradual fall reflects cha...
10/29/2025

Testosterone levels naturally decline after age 30, lowering energy, strength, and focus. This gradual fall reflects changes in both testicular function and brain signaling. Lifestyle, sleep, and nutrition all influence the pace of decline. Thoughtful evaluation helps separate natural aging from correctable deficiency and guides a plan to restore balance, vitality, and metabolic health.

↘ How Testosterone Changes Over Time
↘ Recognizing Subtle Symptoms
↘ The Broader Metabolic Connection
↘ Lifestyle and Environmental Factors
↘ Summary Table: Understanding the Natural Decline of Testosterone
↘ When Low Testosterone Becomes a Medical Issue
↘ Patient Scenarios
↘ Why It Matters

Read More ⤵

Dr. Tashko explains how testosterone declines with age and how lifestyle, metabolism, and medical guidance can restore balance and vitality.

Untreated sleep apnea quietly erodes health. Repeated pauses in breathing lower oxygen, raise blood pressure, and fuel i...
10/25/2025

Untreated sleep apnea quietly erodes health. Repeated pauses in breathing lower oxygen, raise blood pressure, and fuel inflammation. Over time, this strain increases the risk of heart disease, diabetes, and memory decline. Treatment restores oxygen flow, steadies hormones, and supports deep, healing rest that improves both daily energy and long-term metabolic balance.

↘ Understanding Sleep Apnea
↘ How It Affects the Heart and Blood Vessels
↘ Connection to Metabolic and Hormonal Health
↘ The Brain and Cognitive Effects
↘ The Role of Inflammation
↘ Impact on Hormones and Sexual Health
↘ Patient Case Highlights
↘ Summary Table
↘ Path to Better Sleep and Health

Read More ⤵

Dr. Tashko explains how untreated sleep apnea damages heart, brain, and metabolic health, and how treatment restores lasting vitality.

At nineteen, Octavian turned crisis into opportunity. He sold property, borrowed money, and personally courted Caesar’s ...
10/25/2025

At nineteen, Octavian turned crisis into opportunity. He sold property, borrowed money, and personally courted Caesar’s veterans. By using Caesar’s name, staging emotional symbols, and portraying Antony as a traitor, he forged loyalty through money, memory, and meaning. This calculated blend of sentiment and strategy marked his first true step toward imperial power.

↘ Spending His Inheritance
↘ Claiming Caesar’s Name
↘ Turning Memory into Theater
↘ Meeting Soldiers Directly
↘ Casting Antony as the Villain
↘ Blending It All Together
↘ The Heir They Chose

Read More ⤵

Dr. Tashko explains how Octavian’s genius at 19 won Caesar’s veterans through money, symbols, and strategy, shaping Rome’s future.

PCSK9 inhibitors are advanced cholesterol-lowering treatments that block the PCSK9 protein, allowing the liver to clear ...
10/23/2025

PCSK9 inhibitors are advanced cholesterol-lowering treatments that block the PCSK9 protein, allowing the liver to clear more LDL cholesterol. They can reduce LDL levels by up to 65 percent, protecting against heart attack and stroke. These therapies offer safe, effective options for people with familial hypercholesterolemia, statin intolerance, or persistent plaque despite standard care.

↘ Understanding PCSK9 and Cholesterol Metabolism
↘ How PCSK9 Inhibitors Work
↘ When PCSK9 Inhibitors Are Considered
↘ Clinical Evidence Supporting PCSK9 Inhibitors
↘ Patient Experience and Dosing
↘ Case Illustrations
↘ Summary Table
↘ The Broader Context of Cholesterol Management
↘ Personalized and Holistic Approach

Read More ⤵

Dr. Tashko explains how PCSK9 inhibitors lower LDL, protect the heart, and personalize cholesterol care for lasting cardiovascular health.

A coronary CT angiography (CCTA) shows how blood moves through your arteries, revealing early plaque and silent inflamma...
10/19/2025

A coronary CT angiography (CCTA) shows how blood moves through your arteries, revealing early plaque and silent inflammation. It is safe, fast, and highly informative, often changing treatment before problems arise. This test bridges traditional cardiology and preventive endocrinology, supporting a more individualized and holistic view of heart health.

↘ How Coronary CTA Works
↘ What Coronary CTA Reveals
↘ Who Benefits Most
↘ How Coronary CTA Compares to Other Tests
↘ How CCTA Guides Personalized Care
↘ Patient Cases
↘ Summary Table
↘ Integrating CCTA with Broader Metabolic Care

Read More ⤵

Dr. Tashko explains how coronary CT angiography detects hidden plaque early and guides personalized prevention for long-term heart health.

A calcium score shows only part of the story. Non-calcified plaques often cause sudden heart events, while calcified one...
10/17/2025

A calcium score shows only part of the story. Non-calcified plaques often cause sudden heart events, while calcified ones mark older, stable disease. Modern imaging and lipid testing together improve prevention. For many patients, especially women who develop heart disease later, this combined approach offers earlier detection and better control. Integrating these insights supports smarter and more sustainable strategies for lifelong cardiovascular protection.

↘ What Arterial Plaque Really Is
↘ Why Non-Calcified Plaque Triggers Acute Events
↘ What Coronary Calcium Scoring Measures
↘ The Limitations of Calcium Scoring Alone
↘ Interconnected Factors That Influence Plaque Type
↘ Gender Differences in Plaque and Event Timing
↘ Patient Cases
↘ Summary Table
↘ Integrating the Full Picture

Read More ⤵

Dr. Tashko explains how non-calcified and calcified plaques differ, why calcium score alone misses risk, and how gender affects heart disease.

Modern data confirm GLP-1 agonists are not linked to pancreatitis. Studies from 2025 show no increase in risk and, in so...
10/14/2025

Modern data confirm GLP-1 agonists are not linked to pancreatitis. Studies from 2025 show no increase in risk and, in some cases, lower recurrence rates and mortality. These findings overturn old concerns and highlight how improved metabolic control may protect the pancreas. Clinicians can now use GLP-1s more confidently as part of holistic, individualized care for diabetes and obesity.

↘ A Renewed Look at an Old Controversy
↘ The 2025 J Clin Med: The Cleanest Lens Yet
↘ The 2025 Am J Gastroenterology: Better Outcomes, Not Worse
↘ The 2025 Diabetes Metabolism: Even Safe After Prior Pancreatitis
↘ Historical Context: The Arc of Evidence
↘ Why the Myth Persisted
↘ Clinical Implications: How to Translate This in Practice
↘ Illustrative Cases
↘ Summary Table
↘ A Balanced Perspective

Read More ⤵

Dr. Tashko reviews 2025 data showing GLP-1 agonists do not raise pancreatitis risk and may lower recurrence and complications.

Address

15204 Omega Drive, Suite 240
Rockville, MD
20850

Opening Hours

Monday 9am - 1pm
2pm - 5:30pm
Tuesday 9am - 1pm
2pm - 5:30pm
Wednesday 9am - 1pm
2pm - 5:30pm
Thursday 9am - 1pm
2pm - 5:30pm

Telephone

+13016583586

Alerts

Be the first to know and let us send you an email when Gerti Tashko, M.D. posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram