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Monday 9am - 1pm 2pm - 5:30pm Tuesday 9am - 1pm 2pm - 5:30pm Wednesday 9am - 1pm 2pm - 5:30pm Thursday 9am - 1pm 2pm - 5:30pm

Gerti Tashko, M.D.

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United States
Rockville, MD
Gerti Tashko, M.D.

• Endocrinology, Diabetes and Metabolism
• Obesity Medicine
• Hypertension
• Lipidology

http://www.healthgrades.com/physician/dr-gerti-tashko-xkycy

http://www.vitals.com/doctors/Dr_Gerti_Tashko/reviews

09/07/2025

A whole body scan can feel like the ultimate preventive checkup. While scans sometimes detect silent problems, they also produce frequent false alarms, financial stress, and no clear survival benefit for most people. This article explores the benefits, risks, and patient stories that show why individualized, guideline-based screening remains the most effective way to protect long-term health.

↘ A Growing Trend
↘ Why Some Consider a Whole Body Scan
↘ The Pluses of a Whole Body Scan
↘ The Minuses of a Whole Body Scan
↘ Balanced Perspective
↘ Patient Examples
↘ Summary Table
↘ A Thoughtful Approach

Read More ⤵

Dr. Tashko reviews the pros and cons of whole body scans, including cost, false positives, risks, and smarter screening options.

09/05/2025

An elemental diet uses amino acids, MCT fats, and simple sugars to nourish the body while resting the digestive tract. Absorbed early in the small intestine, it can reduce symptoms in SIBO, IBS, Crohn’s disease, and food intolerance. Typically lasting one to three weeks, this short-term plan works best when guided by a specialist who provides thoughtful, holistic care.

↘ How the Elemental Diet Works
↘ Table. Core Nutrients in the Elemental Diet and Their Gut Benefits
↘ Conditions That May Benefit
↘ 1. Small Intestinal Bacterial Overgrowth (SIBO)
↘ 2. Irritable Bowel Syndrome (IBS)
↘ 3. Crohn’s Disease
↘ 4. Food Intolerance and Malabsorption
↘ Patient Case Variations
↘ Risks and Limits
↘ A Balanced View

Read More ⤵

Dr. Tashko explains how the elemental diet helps SIBO, IBS, Crohn’s, and food intolerances with safe, short-term gut healing.

08/30/2025

Home blood pressure monitoring is a smart strategy for understanding your true numbers. It helps uncover white coat hypertension, masked hypertension, and daily patterns missed in the office. With a validated cuff, simple preparation, and regular logs, you can provide your doctor with reliable information that guides safer treatment, balanced lifestyle changes, and comprehensive long-term care.

↘ Why Home Blood Pressure Monitoring Matters
↘ How to Measure Blood Pressure at Home
↘ What Values to Look For
↘ Benefits of Home Monitoring
↘ Patient Examples
↘ Summary Table
↘ Takeaway

Read More ⤵

Dr. Tashko explains why home blood pressure monitoring matters, how to measure correctly, and what values guide personalized care.

08/29/2025

Two NEJM trials highlight CagriSema, a combination of cagrilintide and semaglutide, as a promising investigational therapy. Patients experienced weight loss exceeding semaglutide alone, with results comparable to tirzepatide. While not FDA approved, the research suggests CagriSema may offer a future option for obesity and diabetes management, complementing lifestyle and holistic care strategies already in use.

↘ Understanding the Medications
↘ The REDEFINE 1 Trial: Patients with Obesity Without Diabetes
↘ The REDEFINE 2 Trial: Patients with Type 2 Diabetes
↘ Comparison with Current Therapies
↘ Why Holistic, Individualized Care Matters
↘ Takeaway

Read More ⤵

Dr. Tashko reviews NEJM trials where investigational CagriSema shows greater weight loss than semaglutide and rivals tirzepatide.

08/23/2025

New biological clocks like PhenoAge and DunedinPACE measure more than birthdays—they track aging speed at the cellular and molecular level. These tests can highlight inflammation, immune aging, and metabolic strain. When repeated before and after an intervention, they show whether habits are shifting aging pace, offering guidance without replacing proven clinical evaluations.

↘ What Do These Tests Measure?
↘ How Reliable Are They?
↘ Role in Clinical Practice
↘ Case Snapshots in Practice
↘ Why Holistic, Individualized Care Matters
↘ Summary Table
↘ Where Can Patients Access These Tests?
↘ Summary

Read More ⤵

Dr. Tashko explains GrimAge, DunedinPACE, PhenoAge, GlycanAge, and proteomic clocks with balanced insight into biological age.

08/21/2025

From blood sugar control to cardiovascular protection, GLP-1 therapies address the root causes of modern metabolic disease. They improve insulin sensitivity, promote weight loss, and lower long-term risks. These therapies are reshaping care across multiple conditions, delivering lasting benefits that place them at the forefront of chronic disease treatment.

↘ Introduction: A New Era in Metabolic Medicine
↘ Addressing the Epidemic: Insulin Resistance and Metabolic Disease
↘ How GLP-1 Medications Work
↘ Widespread Benefit Across Populations
↘ 1. PCOS and Reproductive Health Benefits
↘ 2. Low Testosterone and Metabolic Fitness in Men
↘ 3. Cardiovascular Protection That Saves Lives
↘ 4. Defending Kidney Health
↘ 5. A Shield for the Liver
↘ 6. Taming Systemic Inflammation
↘ 7. Emerging Benefits in Brain and Behavioral Health
↘ 8. Fighting Cancer and Supporting Longevity
↘ Real-World Impact and Patient Experience
↘ 1. Safety and Accessibility
↘ 2. A Paradigm Shift in Chronic Disease Treatment
↘ Why GLP-1 Medications Outpace Even the Biggest Cancer Challenges
↘ Conclusion: Looking to the Future

Read More ⤵

Dr. Tashko explains why GLP-1 therapies stand as the medication of the century, transforming diabetes, obesity, and metabolic care.

08/18/2025

mTOR is a master metabolic switch, sensing nutrients, insulin, and energy levels. It drives growth, repair, and hormone function when balanced.

In our Montgomery County, Maryland practice, we adjust mTOR activity with personalized nutrition timing, training, and hormonal care. We support muscle, prevent insulin resistance, and promote long-term metabolic and cardiovascular wellness.

↘ Understanding mTOR in Simple Terms
↘ The Physiology of mTOR
↘ mTOR Across the Lifespan
↘ Clinical Relevance in Endocrine and Metabolic Care
1. Insulin Resistance and Type 2 Diabetes
2. Obesity and Body Composition
3. PCOS and Hormonal Imbalance
4. Aging and Longevity Medicine
↘ Strategies to Modulate mTOR in Practice
↘ Patient Case Snapshots
↘ Why Holistic, Individualized Care Matters
↘ Summary Table

Read More ⤵

Dr. Tashko explains the mTOR pathway’s role in metabolism, aging, and hormonal health, with practical strategies for balance.

08/15/2025

Branched-chain amino acids are metabolized in muscle, not the liver. This makes them safer and more effective in liver cirrhosis, where traditional protein metabolism is impaired.

They help restore nitrogen balance, improve muscle mass, and lower the risk of hepatic encephalopathy—without raising ammonia. BCAAs also support appetite, strength, and physical performance in cirrhotic patients.

Though they don’t improve survival, BCAAs offer a meaningful approach to boost function and quality of life. They are often used as part of a broader, thoughtful care plan that includes medications, nutrition, and exercise.

↘ Summary Table
↘ Why the Liver Has Trouble with Regular Protein
↘ BCAAs Bypass the Liver—and That’s the Key
↘ Cirrhosis Often Comes with Low BCAAs
↘ Clinical Benefits of BCAA Supplementation
↘ But BCAAs Are Not a Silver Bullet
↘ Case Snapshots: How BCAA Supplementation Helps
↘ Why Holistic, Individualized Care Matters
↘ Conclusion

Read More ⤵

Dr. Tashko explains how BCAAs help cirrhotic patients by bypassing liver metabolism, reducing complications, and supporting muscle mass.

08/05/2025

BCAAs bypass liver metabolism and are primarily broken down in skeletal muscle. This unique pathway supports energy during exercise and stimulates muscle repair. Leucine activates mTOR, helping trigger protein synthesis after workouts. For active individuals, this process promotes recovery, especially when timed around fasted training or caloric restriction.

↘ How BCAAs Are Processed Differently
↘ Muscle, Energy, and Protein Synthesis
↘ Interplay With Insulin and Glucose
↘ Fitness and Recovery Implications
↘ Summary Table
↘ Case Variations to Consider
↘ Why Holistic, Individualized Care Matters

Read More ⤵

Dr. Tashko explores how muscle-based BCAA metabolism affects fitness, recovery, and insulin resistance in personalized metabolic care.

08/01/2025

BCAAs can acutely raise insulin, helping with muscle recovery after exercise. But if levels stay high, especially in people with insulin resistance, they may contribute to metabolic dysfunction. This blog explores when BCAAs are helpful, when they’re harmful, and how a smart, personalized approach makes all the difference—especially in settings of diabetes, fatty liver, or metabolic strain.

↘ What Are BCAAs and Why Do They Matter?
↘ BCAAs and Insulin: A Closer Look
↘ When BCAAs Become a Concern
↘ Summary Table
↘ Personalized Responses Based on Health Status
↘ BCAAs Don’t Act Alone: The Bigger Picture
↘ Why Holistic, Individualized Care Matters
↘ Final Thoughts

Read More ⤵

Dr. Tashko explains how BCAAs impact insulin, muscle growth, and metabolic health—and when they may help or harm depending on context.

07/30/2025

The insulin index reveals how much insulin a food triggers, even if blood sugar stays low. Some proteins, especially animal-based ones like whey, spike insulin more than expected. In contrast, plant proteins tend to be milder. This blog explains how understanding these responses can guide smarter choices for weight, glucose control, and metabolic health.

↘ What Is the Insulin Index?
↘ Animal vs. Plant Proteins: A Surprising Difference
↘ Summary Table: Comparing Insulin Effects of Protein Sources
↘ Why Does Protein Trigger Insulin?
↘ When a Higher Insulin Index Is Helpful
↘ When a Lower Insulin Index Is Preferable
↘ Why Holistic, Individualized Care Matters
↘ Case Snapshots: How Protein Type May Affect Insulin Needs
↘ A Balanced Viewpoint on Protein and Insulin
↘ Summary: Tailor Protein Strategy to Metabolic Context.

Read More ⤵

Dr. Tashko explains how animal and plant proteins differ in their effect on insulin—and how to match protein choice to your metabolic needs.

07/27/2025

Glucose and insulin don’t always rise together. A food that barely nudges blood sugar may still demand a large insulin response. That’s why some patients feel hungry, tired, or gain weight—despite normal glucose. Understanding both indexes helps tailor nutrition to your body’s real hormonal patterns.

↘️ What Is the Glycemic Index?
↘️ What Is the Insulin Index?
↘️ Summary Table: Glycemic vs. Insulin Index
↘️ Why the Insulin Index May Be More Useful
↘️ Key Takeaways for Food Choices
1. Foods with Low GI and Low II (Ideal for Most)
2. Foods with Low GI but High II (Can Be Misleading)
3. Foods with High GI and High II (Best Minimized)
4. Foods with High GI but Low II (Rare)
↘️ Real-Life Patient Scenarios
↘️ Why Holistic, Individualized Care Matters
↘️ Summary

Read More ⤵️

Dr. Tashko explains the insulin index vs glycemic index and why both matter for weight, PCOS, and metabolic health.

Address

15204 Omega Drive, Suite 240
Rockville, MD
20850

Opening Hours

Monday	9am - 1pm
	2pm - 5:30pm
Tuesday	9am - 1pm
	2pm - 5:30pm
Wednesday	9am - 1pm
	2pm - 5:30pm
Thursday	9am - 1pm
	2pm - 5:30pm

Telephone

+13016583586

Website

http://GertiTashkoMD.com/

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