Sage reports

Full philosophy-of-medicine essays. Each report has a matching Coach page and a Surfer outline on Surfer. Cross-link these URLs from Store, Shore, and other lessons.

Beside Fuel · Circadian · Strength — Does not replace the ride pillars. Sections: Clean Line · Wipeout · The Kit.

Good Doctor

  • Good Doctor hub Surfer Coach Sage
  • Clean Line Surfer Coach Sage
  • Philosophy of Medicine: Disease as chronic compensatory mode Surfer Coach Sage
  • Aging: Loss of ATP generating capacity Surfer Coach Sage
  • Mitochondrial Gate: Epigenetic reprogramming / plasticity gated by mitochondrial competence Coach Sage
  • Warburg and Crabtree: acute and chronic compensation Sage
  • Beauty: Beauty cues as readouts of cellular energy; mimics versus restoration (hypothesis) Sage
  • Natural Intelligence: Biology as the original inference engine: free energy, Markov blankets, mitochondria as substrate (philosophy) Coach Sage
  • Brown Fat: Engine capacity versus dashboard readings; nocturnal cardiac buffering (testable hypothesis) Coach Sage
  • Neanderthal Extinction: Mitochondrial hypothesis: the complete replacement of maternal lineages, mitonuclear hybrid costs, climate-adapted mtDNA Coach Sage

Wipeouts

Overview: Surfer Coach Sage

Cardiopulmonary

Chapter: Surfer Coach Sage

  • Cardiac: Atherosclerosis as energy failure; NO flux manager / scar grammar Surfer Coach Sage
  • Nitric Oxide: NO flux manager / scar grammar Sage
  • Hypertension: Pressure as readout, resistance as scar: nitric oxide, endothelium, wall, kidney (hypothesis) Coach Sage
  • Pulmonary: The lung as oxidizer organ: asthma, COPD, sleep apnea, lung cancer, infection, fibrosis (hypothesis) Coach Sage
  • Heart Failure: Cardiomyopathy and heart failure as chronic energy starvation under sustained load (hypothesis) Coach Sage
  • Arrhythmia: Electrophysiology: energy-dependent ion homeostasis (hypothesis) Sage
  • Arterial and Venous Occlusions: Retinal artery and vein occlusions, NAION, and the same failure in heart, brain, and leg (hypothesis) Coach Sage
  • Brown Fat: Engine capacity versus dashboard readings; nocturnal cardiac buffering (testable hypothesis) Coach Sage
  • Kidney Disease: The kidney as an energy engine: mitochondria, nitric-oxide matching, diabetic and hypertensive kidney disease (hypothesis) Coach Sage

Dental

Chapter: Surfer Coach Sage

Dermatology

Chapter: Surfer Coach Sage

Endocrinology and metabolism

Chapter: Coach Sage

  • Endocrinology and metabolism Coach Sage
  • Diabetes: Sequestration; water, water everywhere Surfer Coach Sage
  • Obesity: Engine vs GLP-1 dashboard Surfer Coach Sage
  • Thyroid / Temperature: Thermal chapter; thyroid as tempo governor; 24h temp curve Surfer Coach Sage
  • Signals: Cell-signaling dysfunction; energy-signal cluster; NO matching nest Surfer Coach Sage
  • Serotonin: Bioenergetic flux manager; oxygen/carbon matching (not a happiness molecule) Surfer Coach Sage
  • Calcium: Bone as the dynamic reservoir, not a static scaffold (hypothesis) Sage
  • Adenosine: Primary energy-stress signal; hormesis requires recovery (hypothesis) Sage
  • Breast Cancer: Insulin receptors, high insulin, and fasting-mimicking and ketogenic diet trials alongside chemotherapy (hypothesis) Sage
  • Brown Fat: Engine capacity versus dashboard readings; nocturnal cardiac buffering (testable hypothesis) Coach Sage
  • Kidney Disease: The kidney as an energy engine: mitochondria, nitric-oxide matching, diabetic and hypertensive kidney disease (hypothesis) Coach Sage
  • Liver Disease: The liver as the body's energy manager: zonation, alcohol and fructose, fatty liver, fibrosis (hypothesis) Coach Sage

Gastroenterology

Chapter: Surfer Coach Sage

  • GI Surfer Coach Sage
  • Ferritin: Iron sequestration as sentinel of bioenergetic integrity and redox coherence (hypothesis) Sage
  • Autoimmune gastritis: Parietal energetics; ferritin as bioenergetic sentinel (hypothesis) Sage
  • Forced Differentiation: Colon-cancer reversion: a forced phenotype is not a moved set point (commentary) Sage
  • Colorectal Cancer Sage
  • Liver Disease: The liver as the body's energy manager: zonation, alcohol and fructose, fatty liver, fibrosis (hypothesis) Coach Sage

Genetics

  • Brain: Excerpt — neurodegeneration chapter Surfer Coach Sage
  • Neurodevelopment: Autism and Down syndrome read as metabolic compensation Surfer Coach Sage
  • Neanderthal Extinction: Mitochondrial hypothesis: the complete replacement of maternal lineages, mitonuclear hybrid costs, climate-adapted mtDNA Coach Sage

Hepatology

Chapter: Coach Sage

  • Liver Disease: The liver as the body's energy manager: zonation, alcohol and fructose, fatty liver, fibrosis (hypothesis) Coach Sage
  • Liver Cancer Sage

Infectious Disease

Chapter: Sage

  • Viruses and Prions: Nested memory, energy-flux constraints, and compensatory locking (hypothesis) Sage
  • Dental: Mouth as mitochondrial canary Surfer Coach Sage
  • Immune: Excerpt — chapter in Philosophy Surfer Coach Sage
  • Pulmonary: The lung as oxidizer organ: asthma, COPD, sleep apnea, lung cancer, infection, fibrosis (hypothesis) Coach Sage
  • Leprosy: Mycobacterium leprae and the dismantling of host mitochondria (hypothesis) · spiritual reading: Jesus and the leper Sage
  • mRNA Vaccine-Associated Cancer Relapse: Proteomic load, mitochondrial insufficiency, and Warburg-like rescue (hypothesis) Sage
  • Lyme and Alpha-Gal Coach Sage
  • POTS Sage

Nephrology

Chapter: Coach Sage

  • Kidney Disease: The kidney as an energy engine: mitochondria, nitric-oxide matching, diabetic and hypertensive kidney disease (hypothesis) Coach Sage
  • Kidney Cancer Sage

Neurology / brain

Chapter: Coach Sage

  • Brain: Excerpt — neurodegeneration chapter Surfer Coach Sage
  • Signals: Cell-signaling dysfunction; energy-signal cluster; NO matching nest Surfer Coach Sage
  • Neurodevelopment: Autism and Down syndrome read as metabolic compensation Surfer Coach Sage
  • Serotonin: Bioenergetic flux manager; oxygen/carbon matching (not a happiness molecule) Surfer Coach Sage
  • Tau pathology: Phosphorylated tau and reverse electron transport as a self-reinforcing loop (hypothesis) Coach Sage
  • Stroke and arterial occlusion Coach Sage
  • Viruses and Prions: Nested memory, energy-flux constraints, and compensatory locking (hypothesis) Sage

Obstetrics and Gynecology

  • Reproductive / infertility Surfer Coach Sage
  • Childbirth planning Coach Sage
  • Breast Cancer: Insulin receptors, high insulin, and fasting-mimicking and ketogenic diet trials alongside chemotherapy (hypothesis) Sage

Oncology

Chapter: Surfer Coach Sage

  • Cancer: Energy crisis plus glycolytic selection Surfer Coach Sage
  • Warburg and Crabtree: acute and chronic compensation Sage
  • Forced Differentiation: Colon-cancer reversion: a forced phenotype is not a moved set point (commentary) Sage
  • mRNA Vaccine-Associated Cancer Relapse: Proteomic load, mitochondrial insufficiency, and Warburg-like rescue (hypothesis) Sage
  • Breast Cancer: Insulin receptors, high insulin, and fasting-mimicking and ketogenic diet trials alongside chemotherapy (hypothesis) Sage
  • Colorectal Cancer Sage
  • Skin Cancer Sage
  • Retinoblastoma Coach Sage
  • Kidney Cancer Sage
  • Liver Cancer Sage

Ophthalmology

Chapter: Coach Sage

  • Ophthalmology Coach Sage
  • Eye: Excerpt — organ prototype Surfer Coach Sage
  • Glaucoma: Lamina cribrosa energetics; nitric oxide in outflow; corollaries with hypertension (hypothesis) Sage
  • Ocular surface (dry eye) Coach Sage
  • Blue Eyes: Iris depigmentation as circadian entrainment optimization (hypothesis) Sage
  • Retinitis Pigmentosa and Inherited Retinal Disease: Photoreceptor energy flux relative to load, embryologic lock-in, variable penetrance (hypothesis) Coach Sage
  • Retinoblastoma Coach Sage
  • Hypertension and Glaucoma Coach Sage
  • Fuchs’ Dystrophy: Cornea: endothelial pump energy failure, cataract surgery as stress test, band keratopathy (hypothesis) Coach Sage
  • Arterial and Venous Occlusions: Retinal artery and vein occlusions, NAION, and the same failure in heart, brain, and leg (hypothesis) Coach Sage

Rheumatology, inflammation and immunology

Chapter: Surfer Coach Sage

  • Immune: Excerpt — chapter in Philosophy Surfer Coach Sage
  • Warburg and Crabtree: acute and chronic compensation Sage
  • Autoimmune gastritis: Parietal energetics; ferritin as bioenergetic sentinel (hypothesis) Sage
  • Leprosy: Mycobacterium leprae and the dismantling of host mitochondria (hypothesis) · spiritual reading: Jesus and the leper Sage
  • Viruses and Prions: Nested memory, energy-flux constraints, and compensatory locking (hypothesis) Sage
  • Lyme and Alpha-Gal Coach Sage

Kit

Overview: Surfer Coach Sage

MB, aspirin, sulindac, catecholamine modulators — education only; no dosing from Surfer. Board first (Fuel · Circadian · Strength); Kit last.

The Shore

Ride pillars

See the notice at the top of this page. Working hypothesis, not medical advice.