HDL vs. LDL Cholesterol: Why Ratios Matter More Than Total Numbers Now
By Harveer Parmar, MD – Family Physician, Lewisville, TX So here’s what I tell patients about cholesterol tests these days—the total number? It’s kind of... outdated. Not completely useless, but not the main thing we look at anymore. What really matters is the balance...
Can Tirzepatide Cause Depression? A Doctor Explains Mood Changes & Coping Strategies
So here’s what I tell patients when they ask me, “Can tirzepatide cause depression?” Short answer: Maybe. It's rare, but I’ve seen it. It’s not listed as one of the major side effects like nausea or fatigue, but in practice—especially with GLP-1 meds like tirzepatide...
Tirzepatide Side Effects: Managing Nausea, Fatigue & Long-Term Risks (Doctor Review)
So here’s what I tell patients about tirzepatide side effects—especially the nausea and fatigue stuff. If you’re on Mounjaro or Zepbound (that’s tirzepatide), and you're feeling wiped out or queasy... yeah, that’s actually pretty common. I see this all the time,...
Bioidentical Hormones vs. Traditional HRT: Which Is Safer in 2025?
By Harveer Parmar, MD – Board-Certified Family Physician, Medical Director at Health Express Clinics, Lewisville, Texas So here’s what I tell patients about bioidentical hormone therapy vs. traditional HRT—because I get this question at least twice a week now, no...
Top 10 Peptides for Anti-Aging: How GHK-Cu, Epitalon, and BPC-157 Turn Back Time
By Harveer Parmar, MD – Board-Certified Family Physician & Medical Director, Health Express Clinics, Lewisville, TX So here’s what I tell patients when they ask about anti-aging peptides: It depends. (I know, I say that a lot. But medicine isn’t a menu—it’s a...
Is Peptide Therapy Safe? Side Effects, Risks, and FDA-Approved Peptides (2025 Update)
So here’s what I tell patients about peptide therapy when they ask if it’s safe: It depends. I mean... really depends on which peptide, who’s prescribing it, where you’re getting it, and what you’re expecting from it. In my practice here in Lewisville, I see patients...
IV Therapy for College Students: Can Drips Cure All-Nighter Burnout? (2025 Debate)
So I'm sitting in my office last Thursday, and this kid walks in – maybe 19, 20 years old – looking like absolute hell. Bloodshot eyes, that particular shade of gray you only see during finals week, and she's clutching one of those massive energy drinks like her life...
Wegovy vs. Zepbound: 5 Questions to Ask Your Doctor Before Choosing
So here's what's happening in my office these days. Every other patient wants to talk about these new weight loss drugs – Wegovy, Zepbound, Ozempic... and honestly? I'm getting whiplash trying to keep up with all the questions. Last Tuesday, I had three different...
Ozempic for Diabetes vs. Zepbound for Weight Loss: Which Delivers Faster Results?
Let me tell you something I hear almost daily in my office here in Lewisville: "Doc, my neighbor lost 30 pounds on Ozempic, but I thought that was for diabetes. Should I be asking for Zepbound instead?" It's a fair question. And honestly? The confusion makes perfect...