
Hello, all, and happy August! It’s been a hot one, and this issue leans into that theme a bit — Dr. Phillips opens with a practical guide to keeping young athletes safe during California’s summer heat, covering hydration, acclimatization, and the early warning signs of heat illness every parent and coach should know. Having now been asked about this topic many times, I’ve put together a deep dive on GLP-1 medications walking through the real weight-loss numbers, the growing evidence for heart, kidney, liver, and sleep apnea benefits, and some guidance on cost and what happens when you stop.
On the women’s health side, Dr. Spira breaks down the recent renaming of PCOS to PMOS and what that shift means for how the condition is understood and managed going forward, while Dr. Jiang tackles a question we hear constantly in the office, how to tell perimenopause apart from anxiety when the symptoms overlap so closely. And as always, we close with a community note: it’s that time of year again for the Kings Mountain Art Fair up on the mountain this Labor Day weekend, a wonderful all-volunteer tradition supporting our local fire brigade — we hope to see many of you there.
In health,
Eric,
Eric Weiss, MD, August, 2026


Heat Safety for Young Athletes During California Summers…and beyond
As children head back to school and student athletes return to practices and games, late-summer heat can still pose serious risks. In this article, a pediatrician and parent shares practical tips for keeping young athletes safe during hot and humid conditions. Learn why the heat index matters, how to recognize when conditions are too dangerous for exercise, how much children should drink, and why gradual heat acclimatization is important. You’ll also learn the warning signs of heat-related illness and when symptoms require immediate attention. With the right preparation, families, coaches and schools can help kids stay active while staying safe in the heat.


How to Choose a GLP-1 : Weight Loss, Heart Benefits, and Cost Compared (2026)
GLP-1 medications like Mounjaro and Ozempic have become a major topic of conversation, but choosing between them involves more than comparing weight-loss numbers. This article breaks down what GLP-1 medications actually do, how semaglutide and tirzepatide compare, what clinical trials show about weight loss and other health benefits, and what to expect when starting treatment. You’ll also learn about side effects, dosing, muscle preservation, the realities of stopping medication, and who may need to think twice before taking a GLP-1. Get the fuller picture so you can have a more informed conversation with your healthcare provider.


What is—or was—PCOS?


Perimenopause or Anxiety? How to Tell the Difference
Perimenopause and anxiety can share many of the same symptoms, from racing heartbeats and poor sleep to irritability, fatigue, and difficulty concentrating. So how can you tell what’s really behind how you’re feeling? This article explores the key differences between perimenopause and anxiety, including the hormonal changes that can affect mood and sleep during midlife. Learn which symptoms may point toward the menopause transition, when anxiety may be playing a larger role, and why the two can often occur together. You’ll also discover when to talk to your doctor and what treatment options may help you feel more like yourself again.



It is that time of year again! Join us up on the mountain for the 2026 Kings Mountain Art Fair. The first Kings Mountain Art Fair was held in 1962 as a way to raise funds to establish a local volunteer fire department in Kings Mountain. From its inception, the fair has been organized and run entirely by volunteers—no corporate sponsors or public funding. So that is where you come in.
The Fair showcases juried original art by over 125+ independent artists and 23 Kings Mountain artists. The Fair is in-person and online! You can visit with the artists at the Fair or shop their websites for extraordinary art. Join this experience by visiting Labor Day Weekend (August 30, 31 & September 1 (Saturday, Sunday & Monday)). The Fair is open, 10 am – 5 pm, PDT.
Curious to learn/see more? Check out this video welcoming you to the Kings Mountain Art Fair!
If you are unable to shop, please consider making a donation to support our Kings Mountain Volunteer Fire Brigade. The Fair’s proceeds support this important community resource, which protects all of us in Woodside and on the Peninsula from wildfires and assists in medical aid and rescue. Our Fair is run 100% by volunteers who work hard to support the Fair and the KM Fire Department.
*****
Yours, in health and resilience,
Eric and the TVD MD team…
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The information contained in this newsletter is provided for general informational and education purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your physician or another qualified healthcare provider to discuss whether any treatment, medication, or information is appropriate for you, and for guidance on any emerging updates in care. Never disregard or delay seeking medical advice based on the information provided here.



