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Health & Wellness

Evidence-based health, wellness, and longevity content from Dr. Tom Biernacki.

Diosmin for Diabetic Neuropathy

July 13, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Health supplements and vitamin capsules for daily protocol

Diosmin reduces vascular permeability and nerve edema in diabetic neuropathy. Dr. Tom reviews its microvascular mechanisms, comparison to hesperidin, and its role in a neuropathy protocol.

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Endometriosis: Estrogen Metabolism, Gut Microbiome, and Immune Dysregulation

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Blood test vials and laboratory equipment for health testing

The estrobolome — estrogen-metabolizing gut bacteria — drives endometriosis progression. Dr. Tom explains the estrogen-gut-immune axis and the functional medicine protocols that reduce disease burden.

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PCOS: Insulin Resistance, Inositol, Berberine, and the Gut-Hormone Axis

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Blood test vials and laboratory equipment for health testing

PCOS affects 10% of women of reproductive age — most have insulin resistance as the root driver. Dr. Tom covers myo-inositol, berberine, metformin alternatives, and the labs that guide treatment.

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Osteoporosis & Bone Health: Vitamin D, K2, Magnesium, and What DEXA Misses

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Health supplements and vitamin capsules for daily protocol

Bone loss accelerates after 35 — but DEXA scans miss early decline. Dr. Tom covers optimal vitamin D3/K2 dosing, the role of magnesium and boron, and resistance training for bone density.

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Silybin for Diabetic Neuropathy

July 13, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Health supplements and vitamin capsules for daily protocol

Silybin, the active flavonolignan in milk thistle, activates Nrf2, reduces hepatic AGE production, and protects Schwann cells in diabetic neuropathy models. Dr. Tom reviews its evidence.

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Rheumatoid Arthritis & the Gut-Joint Axis: Molecular Mimicry and LDN

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Blood test vials and laboratory equipment for health testing

Rheumatoid arthritis begins in the gut — specific microbiome signatures predict RA years before joint symptoms. Dr. Tom explains leaky gut, molecular mimicry, and the functional rheumatology protocol.

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Baicalein for Diabetic Neuropathy

July 13, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Health supplements and vitamin capsules for daily protocol

Baicalein, the primary active flavone in Scutellaria baicalensis, inhibits 12-LOX and reduces arachidonic acid-driven inflammation in peripheral nerves. Dr. Tom’s evidence review and dosing protocol.

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Icariin for Diabetic Neuropathy

July 13, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Health supplements and vitamin capsules for daily protocol

Icariin from Epimedium inhibits PDE5, increases cGMP, and promotes nerve growth factor expression in diabetic neuropathy models. Dr. Tom reviews its evidence and protocol relevance.

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Fibromyalgia & Central Sensitization: Low-Dose Naltrexone and Root Cause Medicine

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Blood test vials and laboratory equipment for health testing

Fibromyalgia is central sensitization — the nervous system amplifying pain signals. Dr. Tom covers the neuroinflammation model, low-dose naltrexone, sleep restoration, and the labs that guide treatment.

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Cortisol Dysregulation & Burnout: DUTCH Testing, Adaptogens, and HPA Axis Recovery

May 26, 2026May 19, 2026 by Dr. Tom Biernacki, DPM, FACFAS
Dr. Tom Biernacki presenting his daily supplement protocol — The Private Practice

Burnout isn’t just stress — it’s measurable cortisol dysregulation. Dr. Tom uses the DUTCH test to assess HPA axis patterns and guides evidence-based adaptogen protocols.

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