Sam the NP

08/23/2026

Whenever you’re ready 🤍

08/18/2026

Well… Turns out, putting ® after your name feels pretty damn good.

08/14/2026

Imitation is flattering and all… but damn, at least let me open first. 😂😘

08/05/2026

TRT is often viewed as a medication for muscle, libido, or body composition.

I think we’re missing a bigger part of the conversation.

For men with testosterone deficiency, low testosterone can contribute to symptoms like depressed mood, fatigue, low motivation, brain fog, irritability, and a reduced quality of life.

But in my own clinical practice, I’ve yet to have a man with appropriately diagnosed testosterone deficiency tell me TRT didn’t improve his mental well being in some way. Whether that’s mood, motivation, confidence, energy, or simply feeling like himself again.

What it does mean is that we should stop assuming every symptom starts in the brain before asking what’s happening in the rest of the body. I’d challenge more clinicians to dig a little deeper before reflexively reaching for an antidepressant.

A 2019 meta-analysis published in JAMA Psychiatry found that testosterone therapy significantly improved depressive symptoms in men with clinically low testosterone. The American Urological Association also recognizes that testosterone deficiency can present with symptoms like depressed mood and decreased energy.

As healthcare providers, we should be looking at the whole picture.

Sleep.

Nutrition.

Metabolic health.

Hormones.

Stress.

Lifestyle.

Mental health and physical health aren’t separate conversations. They’re the same conversation.

We need to treat it as such.

The goal isn’t to chase symptoms. The goal is to find the why.







References
• Walther A, et al. Association of Testosterone Treatment With Alleviation of Depressive Symptoms in Men: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2019.
• American Urological Association. Testosterone Deficiency Guidelines.

07/29/2026

One of the coolest moments from the FDA/PCAC hearing for me was seeing Dr. Ben Gonzalez advocating for patient access to peptides.

I first learned from Dr.Gonzalez at A4M last Spring in San Antonio. This past week, I watched him speak at the FDA/PCAC hearing advocating for patient access to peptides.

Brilliant clinician, excellent educator, and someone I have a lot of respect for on many levels.

If you’re a clinician (or even just someone interested in women’s metabolic health) he’s absolutely worth following.

Thank you for continuing to advocate for patients and women👏

07/29/2026

This is why I never encourage gray market/ black market peptides and to always know where you’re getting them from!

AJC EXCLUSIVE: Unannounced checks by the Georgia's medical board discovered medical services being provided by unlicensed workers, medications being unlawfully compounded, healthcare workers practicing outside of their scope of training and operators failing to track adverse events, such as bad reactions to treatments.

This new effort came after an AJC investigation exposed the risks in the state’s wellness and alternative medicine industry. More at the link in the comments 👇

07/28/2026

Normal isn’t always optimal.
Just because your labs are normal, doesn’t mean your symptoms aren’t real.

07/27/2026

Moving my family here felt equal parts exciting and terrifying.

We left behind familiarity, packed up our lives, and started over with one goal: Build the kind of healthcare experience I always believed should exist.

Coasta Vita isn’t just a business to me. It’s the culmination of every patient who was told they were “fine” when they knew they weren’t.

Bluffton… thank you for making us feel at home.

We’re just getting started.