Writing
Analysis, handbooks and essays. On the science of obesity, remote medicine, and what good digital health requires.
The science of obesity: three analyses
Three related analyses prepared for BMJ submission, each addressing a distinct failure in how obesity is understood and treated. Together they make the case for a clinical definition beyond BMI, a new risk-factor category, and long-term management as the default.
Oral Wegovy: the weight-loss pill, explained
A connected set of plain-language and clinical explainers on oral Wegovy (oral semaglutide): what it is, how it differs from Rybelsus and the injection, how it is taken, and what safe prescribing requires. Written for patients and for prescribers.
Oral semaglutide in practice: three patient questions
Three connected patient guides on the practical questions that come up once oral semaglutide (oral Wegovy, or Rybelsus) has been prescribed: how to take the tablet so it actually absorbs, how it fits alongside thyroid medication, and what stomach surgery means for a pill that works in the stomach.
Oral semaglutide for prescribers: three clinical briefings
Three connected clinical briefings on prescribing oral semaglutide (oral Wegovy, or Rybelsus): why absorption variability rather than pharmacodynamics drives the spread of response, and how to audit it; the three separate mechanisms when co-prescribing with levothyroxine; and why altered gastric anatomy is a route-selection question, with the case for the injectable.
Remote Consultations Handbook
A practical handbook for clinicians conducting video and telephone consultations safely and effectively. Written at the height of the shift to remote medicine during the Covid-19 pandemic, it covers setting, the consultation structure, the patient-doctor relationship in a remote context, system-specific remote examination techniques, and special situations including paediatrics, care homes and mental health.
The second edition was produced in collaboration with the RCGP. All royalties were donated to Médecins Sans Frontières.
Royal College of
General Practitioners
Remote Consultations for GPs
A learning module for family physicians on conducting safe and effective remote consultations, produced for BMJ Learning, the continuing medical education platform of the British Medical Journal. Covers the evidence base for remote consultation, the adaptations required for different clinical presentations, and the ethical and professional considerations specific to remote practice.
My Approach to Weight Loss
Why the way we think about weight has had to change, and what that means now that medicine can finally act on the biology underneath it. The essay covers the shift in scientific understanding, the three pillars that underpin good clinical practice in this area, and what it means for digital health delivery.
Selected publications
A selection of published research and case reports I have contributed to, from clinical neurology to umbrella reviews of observational evidence and a physical-activity trial protocol.