Fishtown Medicine Library
The Pillars of Medicine 3.0
We move beyond simply treating disease after it shows up. We use data, strategy, and systems thinking to optimize how you function today and twenty years from now.
The Performance Physical: 4 Numbers That Predict How You'll Age
A performance physical measures how well you are aging: VO2 max, grip strength, mobility, and body composition - the 4 tests that predict healthspan.
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Social Health Is Healthspan
More than 80 years of research connects relationships and community to how long and how well you live. A Philadelphia doctor on what to do about it day to day.
Environment: The Silent Third Party
How the physical world shapes your biology hour by hour: air, water, light, the house you live in, the city around it, and the digital inputs you bring inside.
Genetics: The Dial, Not the Verdict
How we actually use genetic data at Fishtown Medicine. Which tests change the plan, which ones are expensive curiosity, and why your DNA is a modulator, not a sentence.
The New York Times is Right (and Wrong) About Supplements
Why 'just eat real food' is lazy advice, and why 'take everything' is dangerous. A look at precision medicine and why testing beats guessing.
Healthspan vs Lifespan: The Years That Matter
Americans live to about 78 but spend the last 12 years sick and dependent. A Philadelphia primary care practice on why healthspan is the real metric.
Early Cancer Detection
Go beyond standard cancer screening. A Philadelphia primary care practice using liquid biopsies and whole-body MRI to find disease earlier.
The Missing Horseman: Why Road Safety is the Ultimate Longevity Strategy
The number one cause of death for people under 45 is not cancer or heart disease. It is accidental injury. How to prevent the unforced error in your longevity plan.
The Biology of Despair: Why Emotional Health Is a Survival Metric
Suicide and overdose are leading causes of death for adults under 45. How a Philadelphia primary care practice integrates emotional health into longevity care.
ApoB vs LDL: Why Your "Normal" Cholesterol Score Might Be Misleading
A guide to ApoB vs LDL and why a normal cholesterol report can still hide real heart risk. From a Medicine 3.0 practice in Philadelphia.
Beyond the Scale: Why We Focus on Body Composition, Not Weight Loss
Move beyond the scale. We focus on muscle mass and metabolic health using DEXA scans, in a HAES-aligned, Medicine 3.0 practice in Philadelphia.
Preventing Alzheimer's: The Medicine 3.0 Approach to Cognitive Longevity
Address brain fog and protect long-term memory. A Philadelphia primary care practice helping APOE4 carriers and busy professionals build cognitive reserve.
Why Your "Normal" LDL Can Hide Real Heart Risk
Standard cholesterol panels miss most heart attacks. See how a Philadelphia preventive cardiology approach uses ApoB, Lp(a), and modern imaging to catch risk early.
Precision Hormone Health: Beyond "Normal"
Hormone optimization for men (TRT, fertility) and women (BHRT, menopause). A Philadelphia primary care practice using a precision, longevity-focused approach.
The Two Best Predictors of Longevity: VO2 Max and Muscle Mass
Cardiorespiratory fitness and muscle mass are two of the strongest predictors of how long and how well you live. A Medicine 3.0 approach in Philadelphia.
What Is Medicine 3.0? Moving from Reactive to Proactive Health
What Medicine 3.0 means and how a Philadelphia primary care practice uses it to extend healthspan, not just lifespan.
Menopause 3.0: Why Hormone Optimization Is a Longevity Strategy
Move beyond symptom relief. A Philadelphia primary care practice using bio-identical hormone therapy and lifestyle care to protect brain, bone, and heart health.
Why "Low T" is the Wrong Metric: Precision Men's Health
Stop settling for "normal." Fishtown Medicine offers precision TRT and fertility-preserving strategies (HCG, Enclomiphene) for driven men in Philadelphia.
Tired of "Normal" Labs? Why Metabolic Health is the Missing Piece of Your Performance
Stop settling for "normal" lab results. Our Philadelphia metabolic health clinic uses advanced testing (HOMA-IR, CGM) to detect insulin resistance and optimize energy.
Precision Nutrition: Why "Eating Healthy" Is Not a Strategy
Stop chasing weight loss. Optimize for muscle mass and metabolic flexibility with Medicine 3.0 nutrition. Led by Ashvin Vijayakumar MD.
Why 8 Hours of Sleep is the Wrong Metric: Sleep Architecture in Medicine 3.0
Optimize your sleep architecture for longevity. We use Oura, Whoop, and Apple Watch data to dial in REM and Deep Sleep. Led by Ashvin Vijayakumar MD.
BHRT & Menopause 3.0: Protecting Brain and Bone
Navigate perimenopause and menopause with confidence. We offer Bio-Identical Hormone Replacement Therapy (BHRT) aimed at symptom relief and long-term neuroprotection.