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The Data-Driven Patient Who Needed a Partner

A 39-year-old founder arrived with two years of self-tracked data and a self-administered supplement and peptide protocol. Her previous physician refused to engage with any of it. We reviewed everything with clinical rigor, kept what worked, and flagged a real safety concern.

A 39-year-old founder arrived at her intake visit with two years of continuous glucose monitor data, a spreadsheet of quarterly blood panels she’d ordered herself through a direct-to-consumer lab, Oura ring sleep data, and a list of supplements and peptides she’d been self-administering based on podcast recommendations.

Her previous physician had refused to engage with any of it. Told her the CGM was unnecessary for a non-diabetic. Told her the supplements were a waste of money. Didn’t ask what peptides she was taking.

We took a different approach. We reviewed all of her data — not to validate her protocol, but to evaluate it with the same rigor we’d apply to any treatment plan. Some of what she was doing was well-supported. Some was neutral. One peptide she’d been sourcing from an unregulated compounding pharmacy raised real safety concerns that we walked through together.

What she actually needed wasn’t a physician who agreed with everything she was doing. She needed one who respected her enough to engage with it honestly. We rebuilt her protocol around what the evidence actually supports, deprescribed what it doesn’t, and now serve as an ongoing sounding board as new data comes in. She still tracks everything. Now she has a physician who reads it.

Paul Abramson, MD

All patient details have been deidentified. This narrative represents a physician's account of a clinical scenario.