Evidence-based health, wellness, and longevity content from Dr. Tom Biernacki.
Medically Reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist & Functional Medicine Practitioner | Balance Foot & Ankle, Howell & Bloomfield Hills, MI | Updated May 2026 Quick Answer Zone 2 training — sustained aerobic exercise at 60–70% of maximum heart rate where fat is the primary fuel and lactate stays below 2 mmol/L … Read more
CIRS (Chronic Inflammatory Response Syndrome) affects 24% of people with HLA-DR susceptibility. Standard allergy testing misses it. The correct protocol: VCS testing, C4a, TGF-beta-1, MSH, urine mycotoxins, cholestyramine binders, and MARCoNS treatment.
Medically Reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist & Functional Medicine Practitioner | Balance Foot & Ankle, Howell & Bloomfield Hills, MI | Updated May 2026 Quick Answer Inflammaging — the chronic, low-grade sterile inflammation that accompanies aging — is the common upstream driver of virtually every major age-related disease: cardiovascular disease, Alzheimer’s, … Read more
PCOS affects 8-13% of reproductive-age women. The root cause is insulin resistance driving hyperandrogenism — not the cysts. The functional protocol: inositol (4g/day restores ovulation in 60-70%), berberine, low-GI diet, Zone 2 exercise.
Medically Reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist & Functional Medicine Practitioner | Balance Foot & Ankle, Howell & Bloomfield Hills, MI | Updated May 2026 Quick Answer Mitochondrial dysfunction — impaired energy production, excessive oxidative stress, and accumulated mitochondrial DNA damage — is one of the nine hallmarks of aging identified in … Read more
Estrogen dominance affects ~50% of women over 35. Driven by xenoestrogens, impaired liver detox, gut estrobolome dysbiosis, and progesterone deficiency. DIM, calcium D-glucarate, high fiber, and targeted progesterone support restore balance.
Subclinical heavy metal exposure from mercury, lead, arsenic, and cadmium causes neurological, thyroid, cardiovascular, and metabolic damage below “toxic” thresholds. Validated testing, exposure reduction, and glutathione/MCP support are the evidence-based approach.
Medically Reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist & Functional Medicine Practitioner | Balance Foot & Ankle, Howell & Bloomfield Hills, MI | Updated May 2026 Quick Answer Finnish sauna use 4–7 times per week is associated with a 40% reduction in cardiovascular mortality and a 65% reduction in dementia risk compared to … Read more
Perimenopause is 4-10 years of erratic estrogen fluctuations, progesterone deficiency, and declining testosterone. Insulin resistance worsens all symptoms. The functional medicine protocol: metabolic optimization, targeted supplements, and evidence-based hormone therapy guidance.
Medically Reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist & Functional Medicine Practitioner | Balance Foot & Ankle, Howell & Bloomfield Hills, MI | Updated May 2026 Quick Answer Adults over 50 need 1.2–1.6 grams of protein per kilogram of body weight daily — 50–100% more than the current RDA — to prevent sarcopenia, … Read more