Obesity Medicine

GLP1

Aug 25, 2026

•

13 min read

Half the Pancreas Is Already Gone. Then We Start Slow.

Type 2 diabetes is endocrine pancreatic failure — and we diagnose it by its last symptom, then treat it with our weakest tools during the only window that reliably reverses it.

Michael Albert

Weight Stigma

The Pendulum Swung Away From Blame. It Swung Too Far.

Aug 22, 2026

•

21 min read

The Pendulum Swung Away From Blame. It Swung Too Far.

Two years on tirzepatide taught me I can turn my own side effects on and off with what I eat. Biology sets the field. Somebody still has to play on it.

Michael Albert

Obesity Medicine

Aug 11, 2026

•

9 min read

You Have Insurance. That Isn't Healthcare.

Coverage protects your finances. The evidence that it protects your physiology is thinner than you think, and the cheapest tirzepatide in America is the one Medicare won't cover.

Obesity Medicine

Half the Pancreas Is Already Gone. Then We Start Slow.

The Pendulum Swung Away From Blame. It Swung Too Far.

You Have Insurance. That Isn't Healthcare.

Substance Over Noise