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The Bone-Loss Problem in the GLP-1 Era

In the GLP-1 era, practitioners are helping patients lose weight faster and in larger amounts than before. That makes skeletal protection increasingly important. This article examines five signals that change during weight loss—mechanical loading, estrogen, calcium balance, gut delivery, and rate—and translates them into practical considerations for screening and intervention.

Glaucoma Reframed: Targeting RGC Death, Not Just IOP

Glaucoma management focused exclusively on IOP reduction addresses one risk factor while leaving the primary pathological mechanism—RGC apoptosis driven by mitochondrial failure, neuroinflammation, cortisol-mediated trabecular meshwork dysfunction, and autonomic vascular dysregulation—substantially unaddressed.

The Cascade and Its Limits: Interferon, Homeostatic Capacity, and Treatment Variability in Lupus (Part 2)

Systemic lupus erythematosus does not emerge randomly in patients carrying latent EBV. In this Part 2 of our Systems Homeostasis series, we trace how EBNA2-driven B cell reprogramming, the IFN-I amplification loop, and depleted “circuit breakers” such as IL‑10, Tregs, DNase activity, and antioxidant capacity converge to determine disease expression and treatment response. Clinicians gain a practical framework for reading IFN-I signatures and upstream signal environment data long before full diagnostic criteria are met.

How Chronic Stress Enables EBV-Driven Autoimmunity in Lupus (Part 1)

This clinical briefing connects recent mechanistic findings on EBV reprogramming of autoreactive B cells to HPA axis–mediated failure of cytotoxic surveillance and enteric immune dysfunction. It outlines measurable upstream markers — diurnal cortisol/DHEA profiles (Fluids-IQ SHP), circadian inversion patterns, and midday enteric melatonin — that can identify patients at elevated risk for EBV-driven autoimmunity and inform earlier, mechanism-targeted interventions.