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Propst Metabolic Health

Strength is Medicine. Muscle is Healthspan. Helping adults 40+ build strength, preserve muscle, and stay strong for life.

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Your Calcium Score Isn't Zero. Now What?

A positive coronary artery calcium score means atherosclerosis is present. But a score of 10, 100, and 1,000 do not mean the same thing.

Your Calcium Score Is Zero. What Does That Actually Mean?

A zero coronary artery calcium score is reassuring. It is not the same as zero plaque, zero future risk, or a lifetime warranty.

What Muscle Ultrasound Adds to a Muscle Evaluation

Useful information, real limits, and why the image should be interpreted beside strength and function

The FDA Peptide Vote Could Change Access, Not the Evidence

An advisory panel backed six peptide families for possible 503A compounding. That is not FDA approval, and it does not prove that the peptides work.

The GLP-1 Muscle-Loss Debate Is Asking the Wrong Question

Lean mass matters, but it cannot tell us whether a patient is stronger, weaker, better nourished, or more capable.

The FDA Is Discussing Peptides. That Does Not Mean It Is Approving Them.

A guide to the July 23–24 meeting, the 503A Bulks List, and four regulatory questions that should never be collapsed into one.

GLP-1 Medicines Do More Than Lower the Number on the Scale

What cardiovascular, kidney, and liver outcome trials tell us about semaglutide's broader role.

No, Berberine Is Not "Natural GLP-1"

Berberine has been studied. That is not the problem. The problem is what the studies actually show.

World Sarcopenia Day 2026: Strength Is the Signal

Sarcopenia is not just "muscle loss." It is the loss of strength, function, and physical reserve. Here is the updated blueprint to screen, train, fuel, and protect muscle health

Medicare GLP-1 Bridge Starts Today: Who Qualifies?

Eligible Medicare Part D patients may have a new $50/month pathway for certain GLP-1 weight-loss medications, but eligibility and prescription routing matter.