The Ultimate Human with Gary Brecka

267. Dr. Clay Moss: On Metabolic Health, Insulin Resistance, Peptides, & Sleep Hygiene

59 snips
May 5, 2026
Dr. Clay Moss, a functional medicine physician and physiatry trainee focused on metabolic rehab and peptides. He discusses metabolic syndrome and insulin resistance, a 7‑day inpatient metabolic rehab protocol, elimination diets and reintroduction, sleep hygiene and stress tools, the role and risks of GLP‑1s and peptides, and why strength and social connection are central to metabolic health.
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ANECDOTE

Looking Shredded But Getting Sick 22 Times

  • Clay looked shredded but had recurrent strep 22 times in college and poor recovery despite training seven days a week.
  • That mismatch between appearance and labs pushed him from aesthetics to root-cause medicine.
ANECDOTE

COVID Experiences Pushed Clay Toward Prevention

  • COVID-era experiences shifted Clay away from procedural medicine toward prevention after he had prolonged post-vaccine symptoms and saw hospital coding issues firsthand.
  • Those events, plus residency limits and insurance frustrations, pushed him to PM&R and functional practice.
ADVICE

Use Short Inpatient Rehab To Reset Metabolism

  • Intensive inpatient metabolic rehab works: full elimination diet, sleep hygiene, movement, stress work and community support.
  • The VA program produced large drops in triglycerides, LDL, glucose and homocysteine without new prescriptions.
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