Inside Concierge Medicine: Burnout, Breakthroughs, and Better Care | Ep 100!

The sirens have faded, but the lessons haven’t. After years as a hospitalist navigating COVID’s most chaotic moments—silent hypoxia, back‑to‑back codes, and the helplessness of uncertain protocols—Dr. Chase Van Mol rebuilt her practice around something most systems can’t deliver: time, access, and relentless prevention. We walk through the shift from volume‑driven care to concierge medicine, where a smaller panel and 24/7 access allow deeper work on cardio‑metabolic health and long‑term resilience.

We get specific. How do you actually assess heart risk beyond a standard lipid panel? Start with family history, layer in ApoB, Lp(a), and hs‑CRP, and use coronary calcium scoring or CTA to see what blood tests miss. When calcium is present, you’re in secondary prevention—lower ApoB and LDL aggressively, calm vascular inflammation, and optimize glucose. From metformin to GLP‑1s like semaglutide and tirzepatide, we break down mechanisms, dosing philosophy, and how to preserve muscle with progressive strength training, adequate protein, and, when appropriate, adjunct peptides such as CJC‑1295 with ipamorelin or tesamorelin for visceral fat.

We also tackle the messy parts: FDA shifts, compounding quality, internet “research” vials, and why evidence literacy beats headline anxiety. Beyond protocols and biomarkers, the daily levers matter most—sleep, resistance training, real food, stress control, and modeling habits for kids in a world of ultra‑processed convenience and dye‑laden “treats.” If you’ve ever felt lost in the system, this conversation offers a clear, evidence‑driven approach to getting ahead of disease while living a full, active life.

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