Marathon DPC Blog

Welcome to the Marathon Direct Primary Care blog.  Here you will find practical strategies, guidance, and updates designed to help you live stronger, healthier, and longer.

High cholesterol guidelines
John Wenhold

The New High Cholesterol Guidelines Are Out And They’re Still Getting It Wrong

In March 2026, the American College of Cardiology and American Heart Association released new guidelines on the management of dyslipidemia.  It was the first major update since 2018.  I was hoping these guidelines finally caught up with the best evidence in lipidology but unfortunately they did not.  The 2026 ACC/AHA Dyslipidemia Guideline is a step forward but not the leap we needed.

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An image illustrating how dietary fiber feeds the gut, creating a gut micribiome that can produce short chain fatty acids
John Wenhold

What is The Gut Microbiome

Maintaining a healthy gut microbiome is very important.  Not doing so leads to dysbiosis and chronic low grade inflammation which can present as a broad range of diseases,

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DEXA scan machine used for bone density and body composition testing
John Wenhold

Preparing for a DEXA scan

Preparing for a DEXA scan is essential because of small factors — like what you eat, drink, or do before your appointment — can noticeably affect the results. By following the same guidelines each time, you eliminate variables that could throw off your measurements.

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An image that shows a white label that reads testosterone replacement therapy
John Wenhold

Testosterone Replacement Therapy in Men

Testosterone replacement therapy in men can help with clinically low testosterone by improving energy, mood, muscle mass, bone density, and sexual health. It must be carefully monitored to balance effectiveness with safety, ensuring treatment is tailored to each individual’s needs.

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Popular Topics

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