How I think about health
Mostly clinical pieces on chronic, complex cases - written the way I actually think about them in clinic.
Each piece starts from how these symptoms show up in clinic. When blood tests and scans have looked reassuring and you still do not feel yourself, Normal tests, persistent symptoms explains why the fragments often belong to one wider pattern, and how to explore from there.
Testing
Food Intolerance Test in Malta: Do IgG Tests Work? A Doctor's Review
Food intolerance test in Malta: are IgG tests accurate? A doctor reviews why most specialists advise against them, what the trials show, and current prices.
Read this piece →Which gut health tests are worth it? Microbiome, stool and SIBO breath tests compared
Which gut health tests are worth it? A doctor with no commission compares microbiome, stool and SIBO breath tests, the evidence for and against, and what helps.
Read this piece →DUTCH Test Review: Is It Worth It? An Honest Doctor's Guide
Is the DUTCH test worth it? A doctor in Malta with no commission weighs what it measures, the evidence for and against, what it costs, and who it suits.
Read this piece →Is a hair mineral test (HTMA) worth it? Minerals, heavy metals and copper: an integrative doctor's view
Is a hair tissue mineral analysis (HTMA) worth it? A doctor weighs the evidence on minerals, heavy metals and copper, for and against. No commission.
Read this piece →Is an organic acid test (OAT) worth it? An integrative doctor's review
An integrative doctor who earns nothing from testing reviews the organic acid test (OAT), and explains why the answer is more nuanced than a simple no.
Read this piece →Is a mycotoxin test worth it? An integrative doctor's view
Are mycotoxin and mould tests worth it? An integrative doctor reviews urine mycotoxin panels, CIRS, building assessment, and what to do with or without a test.
Read this piece →Conditions & symptoms
When anxiety is more than anxiety: the nervous system pattern standard care can often miss
Chronic hypervigilance, burnout and “treatment-resistant anxiety” are common front doors into integrative medicine, linked to digestion, hormones, exhaustion and unexplained aches. Written as a clinician, across conventional medicine, Chinese medicine and Ayurveda.
Read this piece →Fibromyalgia: what causes the pattern, and what actually changes it
A physician's take on why fibromyalgia tests are normal, what actually drives the pattern, and what three medical lenses can change about it.
Read this piece →What causes insomnia and how to sleep better
Wired at night despite exhaustion, anxiety and hormones, nervous-system dysregulation, when CBT-I and melatonin are not enough, and when a sleep medicine referral versus wider assessment fits.
Read this piece →Chronic fatigue: when sleep doesn't fix the exhaustion
If you are exhausted for months, your tests look normal, and nothing has moved the needle.
Read this piece →Normal tests, persistent symptoms: why the pattern hasn't been seen yet
If investigations look fine yet you feel far from okay, this joins the symptom clusters most specialists never see side by side.
Read this piece →IBS: when food rules keep growing but the symptoms do not stop
For people with bloating, pain, constipation, diarrhoea or unpredictable bowels who have had the tests, tried the diets, and still do not have a clear answer.
Read this piece →Nutrients & functional thinking
Should IV vitamin C be used for cancer patients? Benefits, risks and the bigger picture
How high-dose intravenous vitamin C may work, what the evidence shows, the safety checks that matter, and the wider integrative picture beyond any single treatment.
Read this piece →Magnesium for sleep, anxiety and stress: which form to use and when it may help
Glycinate vs citrate, when to take it, vitamin D, mental health, testing limits, and when IV magnesium genuinely makes sense.
Read this piece →Vitamin D deficiency in Malta: symptoms, testing habits, and what the 2021 primary-care audit showed
Why low Vitamin D is common even here, what deficiency can feel like, and how often doctors across Malta's health centres ordered the test, and for what reasons.
Read this piece →Where to buy good quality food and water in Malta
Farm routes, organic shops, meat and fish, reverse-osmosis water and sea salt, with supermarkets as backups for labelled products.
Read this piece →Ancient wisdom, modern science
Is Ayurveda Scientific? What quantum physics could reveal about healing
Where quantum science and Ayurveda may be converging and what that means for people with chronic illness.
Read this piece →Why Ayurveda will shape the future of medicine: a doctor's perspective
How the oldest continuously practised medical system lines up with where personalised, integrative care is headed: chronic patterns, constitution, body-mind coherence.
Read this piece →Are Chakras Real? What a doctor sees in clinic
Where the seven centres overlap with major nerve plexuses and glands, what has and has not been measured, and the colour patterns patients describe in clinic.
Read this piece →If one of these articles helps you see the pattern more clearly, that is the point. Details for getting in touch are on the contact page.