Dr. Tom Biernacki, DPM, FACFAS 
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Total cholesterol is a poor predictor of cardiovascular risk. What matters is the type and size of lipid particles, your triglycerides-to-HDL ratio, ApoB particle count, Lp(a) levels, and your inflammatory … Read more
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: After age 30, most adults lose 3–8% of their muscle mass per decade — accelerating sharply after 60. This isn’t inevitable. Sarcopenia is driven by inadequate protein intake, insufficient resistance … Read more
Elevated nighttime cortisol blocks adenosine and GABA — suppressing deep sleep by up to 40%. A surgeon explains HPA axis dysfunction and the evidence-based fix.
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Intermittent fasting works — but not for the reasons most people think. The benefits go far beyond weight loss: autophagy activation, improved insulin sensitivity, reduced inflammation, and metabolic flexibility. However, … Read more
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Chronically elevated cortisol from unmanaged stress doesn’t just make you anxious — it physically damages your cardiovascular system, suppresses immunity, disrupts blood sugar, causes visceral fat accumulation, and accelerates cellular … Read more
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Poor sleep is not just fatigue — it is a direct driver of chronic disease. Getting fewer than 7 hours per night raises your risk of heart disease, type 2 … Read more
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Creatine monohydrate is the most rigorously studied supplement in existence — with over 1,000 peer-reviewed trials — and its benefits extend far beyond exercise performance. It supports brain function, helps … Read more
Most fish oil supplements are the wrong form at the wrong dose. A surgeon explains triglyceride vs ethyl ester, therapeutic dosing, and the omega-3 index.
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Chronic inflammation is a low-grade, persistent immune activation that silently damages arteries, brain tissue, joints, and organs over decades — without causing any obvious symptoms until disease has already developed. … Read more
✅ Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS Board-certified podiatric surgeon · 3,000+ procedures · The Private PracticeLast reviewed: May 17, 2026 Quick answer: Most adults need 2–4 grams of combined EPA and DHA daily from high-quality fish oil — far more than the standard 1,000 mg capsule provides. Omega-3s only work if your … Read more