Search
Substance Over Noise
Sign Up
Login
Home
Archive
Recommendations
Authors
Oliver Buchannon
Michael Albert

Physician dedicated to reimagining obesity care in the US.

The Drug That May Redefine What's Possible

The Drug That May Redefine What's Possible

Retatrutide may be the first pharmacotherapy to approach bariatric surgery–level weight loss. Phase 3 data now confirm what phase 2 only suggested: this is a categorically different molecule.

Mar 19, 2026

•

14 min read

The Peptide Wild West (Part II)

The Peptide Wild West (Part II)

The compounds with almost no human data — and one with an active safety signal. Plus the full scorecard and what to actually make of all this.

Mar 14, 2026

•

14 min read

The Peptide Wild West (Part I)

The Peptide Wild West (Part I)

RFK Jr. wants to unlock 14 banned compounds. Before you inject one, here's what the human evidence actually says.

Mar 11, 2026

•

12 min read

SPECIAL EDITION: I've Been Taking Low-Dose Tirzepatide for Two Years. Here's What I've Learned.

SPECIAL EDITION: I've Been Taking Low-Dose Tirzepatide for Two Years. Here's What I've Learned.

A physician's honest account of off-label self-experimentation — and why I don't recommend you follow my lead.

Mar 9, 2026

•

8 min read

Why Weight Returns After Stopping GLP-1 Therapy: The Biology You Need to Understand

Why Weight Returns After Stopping GLP-1 Therapy: The Biology You Need to Understand

Across randomized trials, stopping GLP-1/dual incretin therapy is typically followed by clinically meaningful weight regain and loss of cardiometabolic gains—often within months—highlighting obesity as a chronic, relapsing condition.

Mar 6, 2026

•

20 min read

Why Obesity Is Not a Choice

Why Obesity Is Not a Choice

The neuroscience and evolutionary biology behind a widely misunderstood disease

Feb 28, 2026

•

12 min read

Obesity Care: Past, Present, and Future

Obesity Care: Past, Present, and Future

How history can inform a more equitable future.

Feb 25, 2026

•

12 min read

Beyond Blame: Reclaiming Nuance in Our Understanding of Obesity

Beyond Blame: Reclaiming Nuance in Our Understanding of Obesity

Feb 25, 2026

•

6 min read

Appetite, Food Noise, and What We've Been Getting Wrong

Appetite, Food Noise, and What We've Been Getting Wrong

Feb 25, 2026

•

5 min read

The GLP1 Problem

The GLP1 Problem

Feb 25, 2026

•

5 min read

Substance Over Noise

SUBSCRIBE TO MY NEWSLETTER

© 2026 Substance Over Noise.
Report abusePrivacy policyTerms of use
beehiivPowered by beehiiv