• 1) You’ve lost weight, but your meds are unchanged

    Blood pressure, glucose control, reflux, mood, sleep — everything shifts with weight and fitness. Your prescriptions should be revisited too.

  • 2) You started something “temporarily”… and it became permanent

    PPIs, SSRIs, pain meds, sleep meds, antihistamines — often started with good intent, then just continued.

  • 3) Side effects are creeping in

    Fatigue, low libido, poor sleep, GI symptoms, dizziness, emotional blunting, appetite changes — often blamed on “age” rather than the stack.

  • 4) You’re on a GLP-1 and thinking: I can’t stay on this forever

    A plan for appetite rebound, habits, training, protein, and risk review — not just “stop and hope.”

  • 5) You want an adult conversation about statins

    Especially if you’ve changed your lifestyle, improved markers, or you’re primary prevention and unsure the trade-off is still right.

  • 6) You’ve got a list — and no one is steering it

    Multiple prescribers, multiple conditions, no single person re-running the logic. This is where medication lists become inertia.

How I assess this →