THE VANGUARD BLOG
Physician-curated deep dives into the science of men's health optimization.
Protocol
30 May 2026
Protocol
30 May 2026
Protocol
30 May 2026
Protocol
30 May 2026
Monograph
Qsymia is a fixed-dose combination of immediate-release phentermine (a sympathomimetic appetite suppressant) and extended-release topiramate (an anticonvulsant with appetite-reducing properties through multiple mechanisms), FDA-approved in July 2012…
30 May 2026
Monograph
Presbyopia — the age-related loss of near vision accommodation that affects essentially all adults by their mid-40s — has been managed historically through reading glasses, bifocals, progressive lenses, contact lens monovision, and surgical…
30 May 2026
Monograph
Selective serotonin reuptake inhibitors (SSRIs) — fluoxetine, sertraline, citalopram, escitalopram, paroxetine, fluvoxamine — and the closely related SNRIs (venlafaxine, duloxetine) are among the most-prescribed medication classes in modern…
30 May 2026
Monograph
Pelvic floor physical therapy (PFPT) for men is one of the most under-prescribed, under-recognized evidence-based interventions in men's health. The male pelvic floor — including the levator ani, coccygeus, and supporting muscle groups — is integral…
30 May 2026
Monograph
Prostate-specific antigen (PSA) testing has been the central screening tool for prostate cancer since the late 1980s. The history of PSA screening is one of the most-debated topics in cancer screening medicine — early enthusiasm produced substantial…
30 May 2026
Monograph
Consumer microbiome testing has emerged as a substantial commercial category over the past decade, with companies including Viome, ZOE, Sun Genomics, Thryve, DayTwo, and various direct-to-consumer offerings sequencing stool samples and returning…
30 May 2026
Monograph
Bisphosphonates are the most-prescribed and best-evidenced class of osteoporosis treatment. They are synthetic analogs of pyrophosphate (a natural bone-binding compound) that deposit in bone at sites of active resorption. Osteoclasts take up the…
30 May 2026
Monograph
Denosumab (brand name Prolia for osteoporosis, Xgeva for bone metastasis applications, Amgen) is a fully human monoclonal antibody targeting RANKL (receptor activator of nuclear factor κB ligand). RANKL is the principal cytokine driving osteoclast…
30 May 2026
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