10/05/2026
Your doctor isn't the problem. The system is.
Medical schools spend 10-15 hours total on exercise science across four years. Pharmacology gets hundreds.
Insurance reimburses a metformin prescription. It doesn't reimburse a progressive barbell program.
A doctor who prescribes a drug is following standard of care. A doctor who says "skip the drug and lift" is exposed to liability.
So the drug gets prescribed. Not because it's better. Because the system can deliver it.
Meanwhile: → Exercise is 1.5x more effective than medication for depression → Exercise matches metformin for diabetes prevention → Exercise matches first-line drugs for blood pressure reduction
Published meta-analyses. Major journals. The evidence is there.
The system just wasn't built to use it.
Full post on the Substack. Link in bio.