The Pavino Journal
Notes on staying well.
Short, careful reads from our physicians on heart health, sleep, metabolism and the tests worth knowing about.
All articles
Heart
7 min read
What your ApoB number says that LDL doesn’t
LDL cholesterol is the number everyone knows. ApoB counts the particles that actually enter artery walls — and it often tells a different story.
Sleep
6 min read
The quiet cost of a short night
Six hours feels like enough — until you look at glucose, appetite and blood pressure the next day. Here is what a short night really changes.
Testing
8 min read
Fasting insulin: the early signal most panels skip
Blood sugar can stay normal for a decade while insulin quietly works overtime. Fasting insulin shows the strain long before diabetes does.
Nutrition
6 min read
Protein, timing and the muscle you’ll need at seventy
Muscle is the organ of longevity. How much protein you eat — and when — shapes how strong you will be decades from now.
Heart
5 min read
Blood pressure at home: a better way to measure
A single reading in a clinic tells us little. A week of quiet morning and evening readings at home tells us almost everything.
Mindset
7 min read
Stress is physical. Here’s how we measure it.
Chronic stress leaves fingerprints on sleep, heart rate variability and blood markers. Measuring them makes it easier to act.
Testing
4 min read
Why we test vitamin D in autumn, not spring
Timing changes the meaning of a lab result. For vitamin D, the season you test in matters almost as much as the number.
Sleep
6 min read
Caffeine, alcohol and the architecture of sleep
You can fall asleep after an espresso or a glass of wine. The question is what happens to the sleep that follows.