Dr Lauri Brouwer, ND

Directions Website

Dr Lauri Brouwer, ND Naturopathic physician working in Phoenix to help women IN their prime to feel like they're AT their prime.

Dr. Brouwer creates individualized programs to help patients achieve their personal health goals so they can reach for their larger life goals. She creates individualized programs to help patients achieve their personal health goals so they can reach for their larger life goals.

10/06/2026
09/30/2026

Sleep tips

09/25/2026
Understanding how to read and interpret scientific papers is key to protecting yourself from being misled by headlines
09/19/2026

Understanding how to read and interpret scientific papers is key to protecting yourself from being misled by headlines

This headline is misleading.

A new meta-analysis did find a possible mortality signal with the antibiotic cefepime, but it did NOT find that cefepime increases a patient’s risk of death by 94.4%.

Here’s what the study actually found:

• Mortality was about 6.6% with cefepime vs 6.2% with comparator antibiotics.
• The estimated odds ratio was about 1.10, meaning roughly 10% higher odds in the statistical model, with uncertainty around that estimate.
• The 94.4% number refers to the Bayesian probability that the true effect is associated with some increase in mortality, but not a 94.4% increase in an individual patient’s chance of dying.

That distinction matters enormously.

Saying “94.4% higher probability of mortality” makes it sound like cefepime nearly doubles your risk of death.

That is not what this study found.

The study is still important. Cefepime can cause neurotoxicity, particularly in people with kidney dysfunction or excessive drug exposure, and this possible safety signal deserves further investigation. However, this analysis also cannot prove that cefepime itself caused the additional deaths.

A more accurate headline would be:

“Large analysis finds a small possible increase in mortality with cefepime compared with other antibiotics.”

Less terrifying. Much more accurate.

And this is exactly why I wrote my next book, Think Like a Doctor.

You don’t need to be a physician to learn how to look past a scary headline, understand what a study actually says, and ask the right questions before deciding what to believe.

Because a study can be real.

The numbers can be real.

And the way those numbers are presented can still completely mislead you.

Think Like a Doctor is available for preorder now.

This stuff can be confusing. 🫤 I’m here to help.
09/17/2026

This stuff can be confusing. 🫤 I’m here to help.

Almost every rule about when to take a supplement was invented rather than measured.

The default is that it does not matter. Creatine saturates muscle over days, so the only variable is whether the dose was taken. Magnesium and vitamin C have no absorption reason to be scheduled. For this group, adherence is the entire protocol, and advice about morning versus evening is preference presented as pharmacology.

Two compounds need a condition rather than a clock. Fat soluble vitamins are absorbed with dietary fat, and moving vitamin D to the largest meal of the day raised blood levels in patients who had been failing to respond. That study was small and had no control arm, so treat it as a sensible default rather than a measured effect size. The stronger case is omega-3. Ethyl ester fish oils, which is most of what is sold, require pancreatic lipase to cleave the ethyl group before the fatty acids can be absorbed, and that enzyme is released in response to fat entering the small intestine. Free fatty acid and triglyceride forms are less dependent on it. The instruction is not a time of day. It is that the capsule needs to arrive alongside food containing fat, which a black coffee does not provide.

Three compounds have genuine schedules, and each has a mechanism behind it.

Iron raises the hormone that blocks its own absorption. A dose of oral iron increases hepcidin, which suppresses uptake for roughly the next day. In iron depleted women, taking iron on alternate days rather than consecutive days raised cumulative fractional absorption from 16.3 to 21.8 percent and increased total iron absorbed from 131 to 175 milligrams. The same investigators found that splitting a daily dose into twice daily gave no advantage over a single morning dose. More frequent is not more absorbed.

Caffeine outlasts the evening. Its half life sits near five hours in most adults and considerably longer in some, which means a dose taken six hours before bed still has a substantial fraction circulating at lights out. When 400 milligrams was given at zero, three, and six hours before habitual bedtime, all three timings disrupted sleep relative to placebo, measured both by report and by a validated home monitor. The six hour condition is the one worth knowing, because it is well outside what most people treat as a cutoff. Note the dose is high, roughly four cups of coffee.

Melatonin is a timing signal rather than a sedative. Its effect on the circadian system follows a phase response curve, so administration in the evening shifts the clock earlier while administration in the morning shifts it later. Taken at the wrong point relative to your own rhythm, it moves you in the direction you did not want. This is why melatonin timing is not a matter of optimisation. Timing is the mechanism.

What deserves less attention is mineral separation. The instruction to space iron away from calcium comes from single meal absorption studies, where the effect is large and real. When the same question was asked over six months in iron replete adults taking calcium with meals, haemoglobin, haematocrit, ferritin and zinc protoporphyrin were all unchanged. Absorption from one meal does not predict status across months, because uptake adjusts to demand. The separation advice retains force where it originated, in people with high iron requirements or existing deficiency, and little elsewhere.

The usable test is whether a rule traces to something physical. Fat, a hormone, a half life, a circadian curve. If it does not, it is probably an absorption study that never became an outcome study.

Stoffel et al., Lancet Haematol 2017 · PMID 29032957
Drake et al., J Clin Sleep Med 2013 · PMID 24235903
Minihane and Fairweather-Tait, Am J Clin Nutr 1998 · PMID 9665102
Blair and Dhillon, Am J Cardiovasc Drugs 2014 · PMID 25234378
Lewy and Sack, J Biol Rhythms 1997 · PMID 9406034

09/16/2026

This is a great one. Hope you are inspired by it.

This might blow your mind with how little you need to do to improve your insulin sensitivity. (TL/DR: within ten minutes...
09/11/2026

This might blow your mind with how little you need to do to improve your insulin sensitivity.

(TL/DR: within ten minutes of finishing a meal, go for a walk or climb stairs for three minutes at an effort level of 2/10)

The amount of movement required to blunt a glucose spike is far smaller than almost anyone assumes.

Contracting muscle takes up glucose without insulin. The transporter responsible, GLUT4, moves to the muscle cell surface in response to two separate signals, and contraction is one of them. That is why movement lowers blood sugar in people whose insulin signalling works poorly, and why the effect appears within minutes rather than requiring any training adaptation.

A 2026 trial tested how small the dose could go. Thirty adults completed two evening sessions after a 75 gram glucose drink, one seated and one with a single minute of stair stepping at a self selected pace. Participants rated the effort 1.9 out of 10, which is barely above sitting. The rise in blood glucose from baseline to 60 minutes was 2.5 millimoles per litre after the stairs against 4.3 after sitting, a difference of about 42 percent. Total glucose exposure over the session was lower as well. The evening was chosen deliberately, because the same carbohydrate load raises blood glucose more at night than in the morning.

One minute sits right at the edge of what works, and it does not work everywhere. The same research group ran the identical comparison in the morning with 1, 3 and 10 minute bouts. Three minutes and ten minutes lowered glucose. One minute did not, and the result was nowhere near significant. Then they ran it again after a real mixed meal of 650 calories rather than a glucose drink, and one minute did work, lowering glucose by 14 milligrams per decilitre. So the honest reading is that one minute is enough after a normal meal and enough in the evening, but not reliably enough after a morning glucose challenge. Three minutes worked in every version. If you want a duration that is robust across conditions, it is three, not one.

Timing turns out to matter more than duration. A 2023 meta analysis of eight crossover trials in 116 people, about 40 percent of whom had type 2 diabetes, compared exercising before a meal, after a meal, and not at all. Exercising after the meal beat exercising before it and beat doing nothing. Exercising before the meal was statistically indistinguishable from doing nothing at all. The analysis also found that the gap between finishing the meal and starting to move independently predicted the size of the benefit, with shorter gaps producing larger effects. A short walk taken immediately outperforms a longer one taken an hour later.

What this changes: not whether you exercise, but what you do in the ten minutes after you finish eating. Sitting down is the default and, for some people, it is the worst option available. Stairs if you have them, a walk if you do not, and starting sooner matters more than going longer.

Morales et al., Exp Physiol 2026;111(6):2956 · PMID 39705060
Moore et al., J Exerc Sci Fit 2024 · PMID 38572086
Kressler et al., Nutr Metab Cardiovasc Dis 2022 · PMID 34896000
Engeroff et al., Sports Med 2023 · PMID 36715875

Address

4440 N 36th Street
Phoenix, AZ
85018

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm

Alerts

Be the first to know and let us send you an email when Dr Lauri Brouwer, ND posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category