Leakage, urgency, constipation, dyspareunia, and chronic pelvic pain are treated here as real pelvic floor symptoms rather than background noise. The practical gain is learning when Kegels are the wrong first step, and how bladder diaries, down-training, and vaginal oestrogen fit selected cases.

The clue is that a glucose peak is less useful than what happens two to three hours later. This is worth opening if CGM data, ApoB, sleep and training advice are starting to crowd judgement, because it brings cardiometabolic prevention back to mechanism and priorities.

The clue is the incidental adrenal mass that looks benign enough to ignore. This episode earns its place because it makes the work-up concrete: malignancy risk on imaging, cortisol screening for everyone, and shared decisions about adrenalectomy without forgetting postoperative adrenal insufficiency.

A low short-term cardiovascular risk score can under call risk in younger adults. ApoB, lipoprotein(a), metabolic syndrome features, and coronary artery calcium refine prevention decisions, and any positive calcium score in a younger patient should be treated as a meaningful red flag.

Eating-disorder assessment is clinical, not questionnaire-led. Three-minute orthostatic observations, ECG, and electrolytes help expose medical instability, while weight-loss prescribing with GLP-1 agents can be unsafe in underweight or actively restrictive illness unless specialist psychological and dietetic support is built in.