Winding Brook Direct Primary Care, PLLC

Winding Brook Direct Primary Care, PLLC Direct Primary Care in Wolfeboro, New Hampshire.

Dr. Owen, Dr. Polak, and LPN Laura provide accessible, unrushed, insurance-free primary care for individuals and families.

There is a new weight loss drug that was just FDA approved called Foundayo (Orforglipron).  It is in pill form, not inje...
04/08/2026

There is a new weight loss drug that was just FDA approved called Foundayo (Orforglipron). It is in pill form, not injectable. It starts at 0.8 mg per day and is incrementally increased each month to a max dose of 17.2 mg daily.
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What makes this medication unique compared to other GLP-1 weight loss drugs is that it is a "non-peptide" so it isn't broken down in the body the same way as Tirzepatide (Zepbound) and Wegovy (Semaglutide). It is metabolized in the liver (CYP3A4). In short, this has the potential to interact with other medications, making some more potent, and others less potent.
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Natural does NOT mean safe. Herbs and supplements also have the potential to impact the liver in this manner, interacting with this and other medications (St Johns Wort and grapefruit are examples)
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If you are prescribed this medication, make sure you are aware that your clinician has reviewed any other medications you are taking, checking for interactions.
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See the graphic below for some brief highlights.
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* I, Jon P***k, MD am an obesity medicine specialist w/ an AI background. I reviewed this information through the Eli Lilly prescribing information. The graphic below is AI generated, which I created and personally reviewed for accuracy.
* https://foundayo.lilly.com/how-to-take

What many doctors don’t explain — or don’t have time to explain — about weight loss… 👇If you’ve struggled to lose weight...
03/23/2026

What many doctors don’t explain — or don’t have time to explain — about weight loss… 👇

If you’ve struggled to lose weight or keep it off, it’s not just about willpower.

There are powerful biological systems working behind the scenes:

• 🍽️ Hunger hormones increase when you lose weight
• ⚖️ Your body has a “set point” it tries to defend
• 🔥 Your metabolism can slow down to conserve energy

⬇️

This is why so many diets fail.

Not because people aren’t trying — but because the body (and often the modern food industry) is working against them.

⬇️

The good news? 🙌
Once you understand how this works, you can start working with your body instead of fighting it.

⬇️

👨‍⚕️👩‍⚕️ As board certified obesity & weight loss physicians, Becky and I will be breaking this down step-by-step in an upcoming 6-week weight loss course.

⬇️

To join the waiting list, please email us your contact info at --> [email protected]

Coming very soon!  Stay tuned!
03/21/2026

Coming very soon! Stay tuned!

03/05/2026

Woo! What a busy couple of weeks here at Winding Brook! One of my “hats” is doing AI work related to healthcare and going to engineering school for AI. Last week, I (Jon) went to a conference at MIT about the impact of AI in healthcare over the next 5-10 years. Quite fascinating to say the least. Okay! This post is for the gentlemen:

🧠 Testosterone & Men’s Health

Studies suggest that roughly 1 in 4 men have testosterone levels below normal but most don’t know it, and many don’t have symptoms yet. Among men with obesity, the numbers are even more striking: about 30% have low testosterone, compared to only 6% of men at a healthy weight.*

Testosterone isn’t just about s*x drive. It plays a major role in energy, mood, muscle mass, bone density, mental clarity, and cardiovascular health.

Common signs that your testosterone may be low:

📉 Fatigue that doesn’t improve with rest
📉 Difficulty building or maintaining muscle
📉 Increased body fat, especially around the abdomen
📉 Brain fog or difficulty concentrating
📉 Low mood, irritability, or reduced motivation
📉 Decreased libido or s*xual function
📉 Poor sleep quality

These symptoms overlap with a lot of other conditions such as thyroid issues, sleep apnea, depression, metabolic syndrome so it’s important to get a proper workup rather than assume.

A good evaluation includes:

✅ Total and free testosterone (drawn in the morning)
✅ LH and FSH to understand WHY levels are low
✅ A full metabolic picture — because low T rarely exists in isolation

Lifestyle factors matter too. Poor sleep, excess body fat, chronic stress, and a sedentary lifestyle all suppress testosterone naturally.

In many men, addressing those root causes moves the needle significantly before any medication is needed.

If something feels off, it’s worth the conversation. Men’s health deserves the same attention we give everything else. 💪

*Feldman HA, et al. (2002). Age trends in the level of serum testosterone and other hormones in middle-aged men: longitudinal results from the Massachusetts male aging study. Journal of Clinical Endocrinology & Metabolism. |


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James Van Der Beek’s death at 48 is a painful reminder that colore**al cancer can affect people younger than we expect.S...
02/12/2026

James Van Der Beek’s death at 48 is a painful reminder that colore**al cancer can affect people younger than we expect.

Screening saves lives and in many cases can prevent colon cancer by removing precancerous polyps via colonoscopy.

✅ Average-risk adults should start screening at age 45.

✅ Colonoscopy remains the gold standard, as it allows us to detect and remove precancerous polyps in the same procedure.

✅ There are also effective non-invasive options, including stool-based testing (such as Cologuard or FIT) and newer blood-based screening tests like Shield.

✅ If you have a family history, inflammatory bowel disease, iron-deficiency anemia, re**al bleeding, or other concerning symptoms, you may need screening earlier.

The best screening test is the one that gets done.

Are you and your loved ones up to date on their colon cancer screening?

**alCancerAwareness

Have a wonderful Sunday!  Let's go Patriots!
02/08/2026

Have a wonderful Sunday! Let's go Patriots!

Thank you to everyone who came out Thursday evening — we had a wonderful turnout!And thank you Nolan's Brick Oven Bistro...
02/07/2026

Thank you to everyone who came out Thursday evening — we had a wonderful turnout!

And thank you Nolan's Brick Oven Bistro for the beautiful setup and great food.

It meant a lot to meet so many thoughtful, curious, and engaged members of this community. Conversations like that remind me why I chose to practice medicine differently.

Direct Primary Care isn’t just a model — it’s a commitment to accessibility, time, and relationships.

We discussed some exciting ideas for the future… stay tuned. 😊

If you couldn’t make it but would like to learn more, feel free to message us directly or schedule a time to stop by the clinic and meet us.

📍 55 Mill Street, Suite 101
Wolfeboro, NH

📞 603-697-7047
📧 [email protected]

02/05/2026

Hope to see you at Nolan's between 6-8pm! Stop by and say "hello"! I'll be giving a brief presentation on what Direct Primary Care is and what Winding Brook has planned in the near future. There will be an opportunity to ask questions and simply chat!

This is Sarah who is 42 years old (*fictional character*)She’s exhausted all the time.  Not “I stayed up too late scroll...
01/30/2026

This is Sarah who is 42 years old (*fictional character*)

She’s exhausted all the time. Not “I stayed up too late scrolling” tired. The kind of tired where showering feels like a workout.

She’s gained weight despite eating carefully. Her sleep is broken. Her heart sometimes races for no reason. Her brain feels foggy and she doesn’t feel as sharp as she did.

She just feels… off.

After months of debating with herself (“Am I just being dramatic?”), she finally books a doctor’s appointment which isn’t for another 3 weeks.

Three weeks later, she checks into the appointment 10 minutes early. The appointment starts 30 minutes late.

The clinician enters the room like a hurricane, clearly in a rush.

“Hi, what brings you in today?”

Sarah begins:
“I’ve just been feeling really fatigued for months and—”

She’s interrupted.

“How many hours are you sleeping? Are you feeling anxious? Are you under stress?”

Caught a little off guard, she tries to explain that this feels different. That she knows her body. That something isn’t right.

“Well, your labs from your most recent annual appointment look normal. You’re probably just stressed. Try to exercise more and lose some weight. We can schedule a follow up in three months.”

Sarah leaves feeling embarrassed, ashamed for even bringing it up, and like she’s wasted everyone’s time.

She gets her appointment card on her way out, goes out to her car, and sits quietly.

“Maybe it is just me... No. Something isn’t right, I just know it...”

This is not rare. This is routine in modern healthcare in the United States. I don’t think it’s because doctors don’t care. Many do deeply. It’s because our healthcare system built around short visits, productivity quotas, insurance billing requirements, fragmented care. When time disappears, time and quality follows.

This is why some doctors, including myself, are leaving the conventional healthcare model. I don’t want treat people like they’re a widget on an assembly line.

My patients are mothers, fathers, wives, husbands, someone’s children, neighbors, friends, members of this community in and around Wolfeboro. Residents of New Hampshire.

I want to see patients on my terms with longer, thoughtful visits, direct access to me, returning to the time where the physician was the "town doc" that everyone knew, who did house calls. I want to give my patients the time they deserve and the expert level of care that a board-certified internal medicine physician can bring (board certified in obesity/weight loss too!).

This is Direct Primary Care.

01/21/2026

Hey folks! If you are a patient member here and have an appointment early next week, keep on eye on the weather Sunday night into Monday! If you need to be rescheduled, we will see you Tuesday or Wednesday.

❄️ ⛄️⛷️ 🏂

Address

55 Mill Street, Suite 101
Wolfeboro, NH
03894

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