Beyond the Scale

The woman who walks into our office in her early 40s is usually not having hot flashes. She is still menstruating on schedule every month, which is the part that convinces her nothing is really wrong. Yet she is sleeping badly and snapping at her family. Rebecca Komara, MSN-FNP-C, and I go through what is happening underneath that. Estrogen and progesterone swing month to month in this window, and...

In this episode of Beyond the Scale, Dr. Piper Gibson and I close the AIMPrint series with the subject we deliberately saved for last: what your genetics have to say about weight loss medications. We run a large weight loss practice in Pittsburgh, and we watch the same thing every week. Two patients, same medication, same dose, wildly different outcomes. Blood work alone did not explain it. This e...

In this episode of Beyond the Scale , Dr. Piper Gibson and I take the AIMPrint panel and point it straight at the question everybody actually wants answered: why does the diet that transformed your neighbor do absolutely nothing for you? This is part three of our AIMPrint series, and where part two went gene by gene, this one puts those genes to work. We start with carb and fat tolerance, because...

Kent Chevalier baptized me in October of 2018, so getting to have him on Beyond the Scale on his birthday was a gift. Kent is the chaplain for the Pittsburgh Steelers, which means he spends his weeks around men whose nutrition, training, and recovery are handled by professionals. He still tells them the same thing he tells the CEOs and business leaders he works with. Your inside game will impact y...

In this episode of Beyond the Scale , I go deep with Dr. Piper Gibson on the part of weight loss most people never get to see: their own genetics. This is part two of our AIMPrint series, and instead of talking in generalities, we open up the panel and go gene by gene through the roughly ten that matter most for metabolism and weight. We cover the FTO "fat gene" and how certain variants...

I get genuinely giddy talking about genetics, and this episode is a great example of why. I sat down with Dr. Piper Gibson, one of the sharpest people I know in nutrigenomics, to unpack why so many people do everything right and still feel stuck. We break down the Aimprint, our 121-SNP genetic test, and why matching your genes to your bloodwork paints a far clearer picture than either one on its o...

This is a conversation I had wanted to record since the day we started the podcast. I sat down with Dan Powell, someone I have known and trusted for more than 15 years, to talk about something almost nobody thinks about: where your medication is actually made. Not all compounding pharmacies are the same, and that difference comes down to safety, sterility, and whether every batch is made the same...

On this episode of Beyond the Scale , Dr. Darren Dubyak sits down with registered dietitian Kristi Belohlavek for a clear, no-hype look at one of the most confusing aisles in health: supplements. With 20-plus years in clinical nutrition and 15 years inside a professional supplement company, Kristi explains what ‘medical grade’ or practitioner-grade actually means, from rigorous testing for identit...

Peptides are getting a lot of attention, but the real question is whether people understand how to use them wisely. In this episode of Beyond the Scale , Dr. Darren Dubyak and Alexandra Dubyak explain peptides in simple terms as short chains of amino acids that act like messengers in the body, then focus on two of the most talked-about options: BPC-157 and GHK-CU. They break down why BPC-157 is kn...

Most health plans fail when they start with guessing instead of data. In this episode of Beyond the Scale , Darren Dubyak and Alexandra Dubyak explain what Body by Aim 360 is, why their approach begins with testing, and how customized programs, health coaching, nutrition, supplements, IV therapy, medications, hormones, gut health, weight loss, and genetic insights come together to support the whol...

Sometimes, the most powerful health story is the one behind the people giving the advice. In this opening episode of Beyond the Scale , Dr. Darren Dubyak and Alexandra Dubyak introduce themselves, share how their relationship grew alongside their work, and explain how Body by AIM 360 came to life as an integrative medicine practice outside Pittsburgh. They also reflect on Alexandra’s transition fr...

Welcome to Beyond the Scale!