From the KAYU clinical team

Science you can actually use.

Evidence-based articles on peptides, hormones, and longevity - written by the providers and clinicians who prescribe them.

Women's Health7 min read

Perimenopause vs Menopause: What's the Difference?

People use the words interchangeably, but they are not the same thing. One is a years-long transition of wild hormone swings. The other is technically a single day. The difference matters for how you're treated.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Hormones7 min read

Dutasteride vs Finasteride: Which Is Stronger for Hair Loss?

Both block the hormone that shrinks your follicles. Dutasteride just blocks more of it. Whether that extra suppression is worth the tradeoffs depends on where you are and what finasteride has already done for you.

Dr. Aram Mkhitarian, DO·June 25, 2026
Weight Loss7 min read

How Much Do GLP-1s Cost? Semaglutide and Tirzepatide Pricing

The sticker prices are eye-watering and the coverage is a maze. Here's an honest breakdown of what semaglutide and tirzepatide cost, brand versus compounded, and where the real tradeoffs are.

Dr. Aram Mkhitarian, DO·June 25, 2026
Weight Loss7 min read

Compounded GLP-1s: What They Are and How to Use Them Safely

Compounded semaglutide and tirzepatide are how many people afford GLP-1 therapy. They can be a legitimate, safe option, or a sketchy one, depending entirely on who is making them. Here's the difference.

Dr. Aram Mkhitarian, DO·June 25, 2026
Women's Health7 min read

Signs You Might Need Hormone Replacement Therapy

There's no single test that says 'you need HRT.' It's a pattern of symptoms plus the right labs plus your goals. Here are the signs that make the conversation worth having, and what to rule out first.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Women's Health9 min read

The 34 Symptoms of Perimenopause (and What's Driving Them)

Hot flashes are the one everyone knows. The other 33 are why so many women spend years being told their labs are 'normal' while they feel anything but. Here's the full list and the biology underneath it.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Hormones8 min read

Finasteride vs Minoxidil: Which Works, and Why Most Men Use Both

One blocks the hormone that shrinks your follicles. The other wakes the follicles back up. They are not competitors, they are a pair, and understanding why is the difference between keeping your hair and watching it go.

Dr. Aram Mkhitarian, DO·June 25, 2026
Weight Loss9 min read

GLP-1 Patches: Do They Actually Work?

Transdermal GLP-1 patches are marketed as a needle-free shortcut. The molecular reality is less convenient, and the FDA has approved none of them.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Weight Loss9 min read

Semaglutide Weight Loss Dosage Chart: Titration Explained

The semaglutide dose escalates over months, not weeks, and that pace is the point. Here is the standard titration schedule and the reasoning behind each step.

Kiana Golfeiz, PA-C·June 25, 2026
Hormones9 min read

Topical Finasteride: Same Results, Fewer Side Effects?

Topical finasteride applies the same active ingredient directly to the scalp, lowering DHT where hair loss happens while reducing systemic absorption. Here is what the trials actually show.

Kiana Golfeiz, PA-C·June 25, 2026
Hormones9 min read

Finasteride for Women: Does It Work and Is It Safe?

Finasteride is approved for men only, but clinicians do use it off-label for female hair loss. The evidence is mixed and the safety rules are strict. Here is what actually matters.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Women's Health9 min read

Perimenopause Weight Gain: Why It Happens and What Helps

The scale shifts in your forties even when your habits do not. Here is the physiology behind perimenopause weight gain and the interventions with the strongest evidence.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Women's Health9 min read

Perimenopause Supplements: What the Evidence Actually Supports

Supplement aisles promise menopause relief, but the evidence is uneven. Here is an honest, graded walk-through of what helps, what is mixed, and what to skip.

Narine Chilyan, DNP, AGNP-C·June 25, 2026
Hormones9 min read

Is TRT a Steroid? The Honest Answer

Testosterone is technically an anabolic-androgenic steroid, so the short answer is yes. But TRT and steroid abuse are not the same thing, and the difference matters clinically.

Dr. Aram Mkhitarian, DO·June 25, 2026
Women's Health9 min read

Low Testosterone in Women: Symptoms, Causes, and Treatment

Women produce and need testosterone too. When levels fall, the result can be low libido, fatigue, and low mood, though diagnosis is genuinely harder than it is in men.

Kiana Golfeiz, PA-C·June 25, 2026
Weight Loss10 min read

Tirzepatide vs Semaglutide: How to Actually Choose

One drug hits a single receptor. The other hits two. That difference shows up in the trial data, the side-effect profile, and the price. Here's the honest comparison your provider should be walking you through.

Dr. Aram Mkhitarian, DO·June 24, 2026
Hormones9 min read

Why a 6-Marker TRT Panel Misses 80% of the Story

If your TRT clinic runs Total T, Free T, estradiol, hematocrit, PSA, and lipid panel - that's six markers. Here's the 40+ they're skipping and what those missing numbers actually tell your provider.

Dr. Aram Mkhitarian, DO·April 13, 2026
Longevity8 min read

Labs-Only Subscriptions vs Provider-Led Protocols: What Each Actually Fixes

$499/yr for 100+ markers and no prescriber, vs $149/mo for a thin panel and a faceless prescription. Most patients need the missing third option - and don't realize it exists.

Narine Chilyan, DNP, AGNP-C·April 13, 2026
Weight Loss10 min read

GLP-1 Without the Metabolic Workup Is Just Guessing

GLP-1 medications work. They work better when paired with the metabolic workup most online clinics skip - fasting insulin, full thyroid, HOMA-IR, and a muscle-preservation strategy. Here's the framework KAYU uses.

Narine Chilyan, DNP, AGNP-C·April 13, 2026
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