Encore Concierge Medicine

Encore Concierge Medicine A boutique, membership-based concierge care clinic, led by 2025 Top Doc, Dr. Julia Gold.
📍River North, Chicago

As we get older, hydration becomes more complex than “just drink more water.”
 By the time we reach our mid-50s and beyo...
12/10/2025

As we get older, hydration becomes more complex than “just drink more water.”


By the time we reach our mid-50s and beyond, the body’s natural thirst cues begin to fade, kidney function changes, and cold weather reduces how often we reach for a glass of water. It’s one of the main reasons dehydration is so common during the winter, even for people who feel like they’re drinking “enough.”

What many adults don’t realize is that electrolytes play a major role in keeping the body balanced, especially when it comes to:

• Blood pressure regulation

• Steady energy throughout the day

• Cognitive clarity (“brain fog” often worsens with dehydration)

• Muscle function and cramping

• Heart health and temperature regulation

And because aging, medications, lower appetite, and chronic conditions can all shift the body’s fluid balance, relying on water alone sometimes isn’t enough.
This doesn’t mean you need expensive hydration supplements, but it does mean that being more intentional about fluids and electrolytes can make a meaningful difference in how you feel day-to-day.

Here are a few simple ways to support hydration in winter:
• Sip water consistently (don’t wait until you’re thirsty, that signal can be delayed)

• Add electrolytes when you’re dehydrated, ill, or more active than usual

• Include hydrating foods like soups, citrus, cucumbers, and berries

• Be mindful of caffeine and alcohol, which can increase fluid loss

• Pay attention to subtle signs: headaches, fatigue, dizziness, and trouble concentrating

Dehydration is a medical issue we take seriously because it impacts so many aspects of health. Be sure to pay attention to any signs that may be telling you to hydrate better!

You don’t need a diabetes diagnosis for blood sugar to matter. Glucose is one of the most reliable indicators of how wel...
12/03/2025

You don’t need a diabetes diagnosis for blood sugar to matter. Glucose is one of the most reliable indicators of how well your body is aging, and how steady your energy, focus, and resilience feel day to day.

Many people are surprised by how much even mild glucose shifts can influence:
• Afternoon energy dips
• Waking at 2–3 a.m.
• Weight changes that don’t match your efforts
• Increased inflammation or joint discomfort
• Brain fog or slower mental clarity
• Hormonal changes in menopause or andropause
• Long-term cardiovascular health

These patterns often show up years before anything looks “abnormal” on a traditional screening. That’s why we pay close attention to A1c, fasting glucose, and overall metabolic patterns as part of your long-term care plan.

Sometimes the solution is as simple as shifting nutrition, supporting sleep, managing stress, or (when helpful) using tools like continuous glucose monitors to understand how your body responds.

You don’t have to wait for a diagnosis to take glucose seriously. Understanding your numbers now is one of the most effective ways to support longevity, protect your heart and brain, and feel better throughout the day. If you’re curious what your glucose patterns may be telling you, Dr. Gold can walk you through it in a way that offers clarity and is manageable for your lifestyle.

We’re so grateful for patients who see the value in slower, more intentional care.Thank you for your trust and for letti...
12/01/2025

We’re so grateful for patients who see the value in slower, more intentional care.
Thank you for your trust and for letting us be part of your health journey.

This Thanksgiving, we’re especially grateful for the people who make this work meaningful.To everyone who has trusted us...
11/27/2025

This Thanksgiving, we’re especially grateful for the people who make this work meaningful.

To everyone who has trusted us with your health this year, shared your stories, asked thoughtful questions, and allowed us to be part of your life in ways that truly matter, thank you. The relationships we build together are what make this model of care meaningful. They’re also what make it feel so special to show up every day.

Our hope for you this Thanksgiving is simple: that you find moments of connection, moments of laughter, and a little extra space to rest.

We’re grateful for each of you.

The changes you notice in your immune system after 50 are real, but they aren’t inevitable. Many people feel like they g...
11/25/2025

The changes you notice in your immune system after 50 are real, but they aren’t inevitable.

Many people feel like they get sick more often in midlife, but immunity doesn’t suddenly weaken. It shifts gradually, influenced by hormones, sleep quality, nutrition, stress physiology, and even your gut microbiome.

Here’s what actually changes and what helps:

• Vitamin D naturally declines with age. Lower levels make it harder for immune cells to respond effectively. Testing and supplementation can be meaningful.

• Sleep often becomes lighter and less restorative. Deep sleep is where your immune system repairs and reorganizes, so shorter slow-wave sleep can impact resilience.

• Stress physiology shifts in midlife. Even when you don’t feel stressed, cortisol can stay elevated in the background and blunt immune response.

• Protein needs rise with age, but intake often drops. Adequate protein supports immune cells, muscle maintenance, and healthy metabolism, all of which influence immunity.

• The gut microbiome changes over time. A less diverse microbiome can weaken immune signaling and increase vulnerability to illness.

• Vaccines become even more important. Staying current on flu, COVID, RSV, and pneumococcal vaccines helps protect against the infections that hit hardest after 50.

The most encouraging part? Immune function is highly responsive to the choices you make. With the right habits, targeted support, and proactive monitoring, you can stay well, not just get well.

We’re living longer than any generation before us, but longevity alone isn’t the goal. The real shift in modern medicine...
11/21/2025

We’re living longer than any generation before us, but longevity alone isn’t the goal. The real shift in modern medicine is toward healthspan, the number of years you stay strong, mobile, clear thinking, and connected to the life you want.

Healthspan focuses on the functions that truly shape quality of life: mobility, cardiovascular fitness, muscle mass, cognitive clarity, energy, mood, and independence. These are the pillars that determine not just how long you live, but how well you get to live.

Small, consistent habits can meaningfully influence your vitality over the next decade and beyond.

A few evidence backed ways to support your healthspan:
• Prioritize strength training. Maintaining muscle mass is one of the strongest predictors of healthy aging and long term independence.
• Protect your sleep. High quality rest supports cognition, hormone balance, immune strength, and metabolic health.
• Check key labs regularly. Thyroid, metabolic markers, vitamin levels, and other labs help identify issues early and guide personalized prevention.
• Support cardiovascular health. Walking, zone 2 cardio, stress management, and blood pressure awareness all matter more as you age.
• Nourish your brain. Hydration, omega 3 intake, ongoing cognitive challenges, and stress regulation support long term brain health.
• Stay socially engaged. Meaningful connection is one of the most powerful protective factors against cognitive and emotional decline.

The goal isn’t just adding years to your life. It’s keeping those years sharp, strong, and fully yours.

A forgotten word, a misplaced item, a moment of mental fog - these things happen. But they don’t always signal decline. ...
11/19/2025

A forgotten word, a misplaced item, a moment of mental fog - these things happen. But they don’t always signal decline.

Cognitive health is deeply connected to the everyday choices we make, especially after 55.

Sleep, hydration, stress levels, nutrient status, and hormonal shifts all play a measurable role in how our brains age.

Even mild deficiencies (like low B12) can mimic cognitive decline and are far more treatable than people realize.

Routine cognitive screenings also matter as they help create a baseline, identify changes early, and give you the clarity to act before problems grow.

The goal isn’t just preventing decline, it’s protecting your ability to think clearly, stay independent, and enjoy the life you’ve built. With the right support, brain longevity is possible. Reach out to our team if you have any questions!

Most men wait until something feels off before scheduling a doctor’s visit.Heart palpitations, fatigue that doesn’t fade...
11/14/2025

Most men wait until something feels off before scheduling a doctor’s visit.
Heart palpitations, fatigue that doesn’t fade or a number on a lab test that suddenly feels alarming.

In reality, many of the conditions that impact men later in life (heart disease, hormone imbalance, prostate changes, metabolic decline) start developing quietly years earlier.

Prevention isn’t just about avoiding illness. It’s about protecting energy, focus, and quality of life. It’s about knowing your numbers before they start to shift, so you can stay ahead of them.

We use advanced annual screenings to help men better understand and optimize their health:

-Comprehensive bloodwork that tracks key markers for heart, hormone, and metabolic health.
-Cardiac assessments that identify risk long before symptoms appear.
-Hormone evaluations to restore balance, stamina, and mood.
-Prostate screenings tailored to your personal risk and family history.

Longevity isn’t just about adding years to your life, it’s about making those years stronger, sharper, and fuller.

As temperatures drop, viruses spread faster, but prevention goes a long way. Flu and COVID vaccines are a simple way to ...
11/11/2025

As temperatures drop, viruses spread faster, but prevention goes a long way.

Flu and COVID vaccines are a simple way to protect yourself, your family, and your community. They help reduce severity, shorten recovery time, and keep you doing what you love through the season.

Don’t forget to schedule your flu shot or COVID vaccine soon if you haven’t already. Let’s make sure we head into the holiday season feeling our best.

Stay healthy and stay ahead.

As the weather gets colder, our skin feels it long before we do. Dryness, tightness, irritation is all very normal this ...
11/06/2025

As the weather gets colder, our skin feels it long before we do. Dryness, tightness, irritation is all very normal this time of year, especially here in Chicago.

A few small shifts can protect your skin barrier and keep things calm and comfortable through winter:

• Hydrate while skin is still damp.
After bathing, gently pat dry and moisturize right away so your skin can actually absorb and hold onto hydration.

• Keep it simple.
Gentle, fragrance-free products really are best for most people. CeraVe and Vanicream are reliable, barrier-supportive options we often recommend in practice.

• Add a thicker layer when you need it.
Areas like lips, hands, and elbows sometimes need extra support — Aquaphor is a good option when your skin needs a little protection.

• Mind the heat.
Hot showers feel wonderful, but they can strip moisture quickly. Warm is kinder.

• Consider a humidifier.
It helps your skin, and your sinuses — stay happy in dry indoor air.

Winter skincare doesn’t need to be complicated. A little intention now keeps your skin healthy, calm, and comfortable all season long.

Can you spot the 5 differences in these photos? At first glance, the difference might be hard to spot.But the biggest on...
11/05/2025

Can you spot the 5 differences in these photos? At first glance, the difference might be hard to spot.
But the biggest one isn’t even in the photo - it’s in the experience.

Here, you’re not a number on a chart or a name on a schedule. You’re a partner in your own health, with direct access to your physician and with a relationship built on trust.

Just remember, the most meaningful difference in medicine isn’t how it looks. It’s how it feels for you.

Address

460 W Chicago Avenue Suite 410
Chicago, IL
60654

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