Almost every blog I write ends with a recommendation, and almost every time, the first email I get back asks the same thing: which brand, and where do I buy it? Until now, my answer has been scattered across a dozen posts and a lot of office visits. So I built two stores, and I want to explain why there are two of them, because the line between them is deliberate. Anything you swallow comes from my Fullscript store. Everything else, the RO water filter, the nasal spray, the glass containers,...

On Wednesday, a panel of outside experts advising the FDA voted in favor of approving Galleri, a single blood test that looks for more than fifty types of cancer at once. The vote on safety was unanimous. If the FDA follows its panel, and it usually does, Galleri will become the first multi-cancer screening test ever approved in this country. I have been ordering this test for my patients for a while now, and I have looked closely at every competitor that has come along. Galleri is still at...

I keep an eye on a number most people have never heard of: how much COVID virus is showing up in Wake County’s sewage. It is the most honest early-warning signal we have. If the virus is moving through the community, it shows up in the wastewater first, usually a week or two before I see it in the office. That number is going up. In early July, the largest treatment plant serving Raleigh was reading close to zero. By the end of August it had climbed roughly forty-fold, and every monitored...