Design Concept 5 · Evidence First
Issue 23 · Vol IX Sun · 07 Jun 2026
§ 01 · Premise

Evidence, organized.

A reference library for modern health, structured the way clinicians actually think — by biomarker, by compound, by mechanism, by population. Every claim cited1. Every page reviewed.

§ 02 · Reference

Biomarker panel for women, ages 40–60.

A starter reference. Optimal ranges based on the evidence we cite, not standard lab cutoffs — those are population averages, not health goals.2

Marker Standard range Optimal range Why it matters Evidence
ApoB < 100 mg/dL < 70 mg/dL Best single predictor of ASCVD risk Strong
hs-CRP < 3.0 mg/L < 1.0 mg/L Systemic inflammation; CV + metabolic Strong
Fasting insulin 2–25 µIU/mL < 8 µIU/mL Insulin resistance, decades before glucose Strong
Ferritin 12–300 ng/mL 50–150 ng/mL Iron stores; energy + cognition Moderate
Estradiol (premenop) 15–350 pg/mL cycle-dependent Bone, brain, vascular; not optional Strong
Free T3 2.3–4.2 pg/mL 3.2–4.0 pg/mL The active thyroid hormone Moderate
HbA1c < 5.7% < 5.4% 3-mo glucose; metabolic trajectory Strong
Sources [2]: Endocrine Soc. 2024 guidelines · ACC/AHA 2023 · Mayo Clinic 2025 · Cleveland HeartLab reference
§ 03 · Long reads

This week's deep work.

Hormones · 14 min · 42 sources

The HRT Conversation Every Woman Over 40 Should Have With Her Doctor — and How to Lead It.

A decade after the WHI re-analyses, the science has moved. Yet most women are still being prescribed — or denied — hormone therapy based on a study from 2002. We mapped the modern evidence, the timing hypothesis, and what to actually ask for.

By Dr. Sarah Kim, MD · reviewed by 3 endocrinologists
§ 04 · Subscribe

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One issue a week. A featured long read, this week's reference cards, and the new evidence worth knowing. Sent Sunday.

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