hormones, menstrual health & menopause


Metabolic Conditions Don't Develop Overnight — And They Shouldn't Be Treated That Way

Insulin resistance. Type 2 diabetes. High blood pressure. High cholesterol. Fatty liver. These are among the most common diagnoses in modern medicine, and they are also among the most commonly undertreated — not because medications don't exist, but because medications alone cannot address what's driving the imbalance in the first place.

If your experience with metabolic health has been limited to prescriptions and brief follow-ups, you already know the gap. At The Buddha's Medicine, we work to close it.

How We Approach metabolic health

Lifestyle medicine is, by definition, the medicine of metabolic health — and Dr. Matt Van Auken, MD, MPH is board-certified in it. But what distinguishes our approach is that lifestyle medicine doesn't stand alone here. It's layered with the depth and precision of Ayurvedic assessment, which views metabolic conditions not as sets of lab results, but as reflections of deeper imbalances in digestion, tissue metabolism, nervous system status, constitutional patterns, and more.

Dr. Matt's approach to metabolic care includes:

Understanding your metabolic picture in full. High blood sugar, elevated cholesterol, and high blood pressure are downstream signals. Dr. Matt takes the time to trace those signals upstream — examining your dietary patterns, digestive function, sleep quality, stress levels, movement habits, constitutional factors, and the full landscape of your health history. When appropriate, targeted lab work will add objective data to fill small gaps in the overall clinical picture.

Personalized lifestyle intervention as primary medicine. This is where modern lifestyle medicine and Ayurveda converge powerfully. The vast majority of metabolic conditions are driven by — and responsive to — changes in how we eat, move, sleep, and manage stress. But "eat better and exercise more" is not a treatment plan. Dr. Matt builds detailed, step-wise protocols tailored to your constitution, your condition, your life circumstances, and what you can realistically sustain. This includes individualized nutrition guidance, movement recommendations matched to your body and capacity, sleep and circadian rhythm optimization, stress management practices, and herbal medicine where indicated.

Working with — not against — your existing care. Many of our metabolic health patients are already on medications prescribed by other physicians and care providers. That is not an obstacle for us at The Buddha's Medicine. Dr. Matt works alongside your existing care team to address what medications can't — the root-cause drivers that keep metabolic disease going and lab markers elevated (or depressed). For many patients, this root-cause work creates the conditions under which medication needs can be reassessed over time, in coordination with their prescribing providers.

Sustainable change, not crash protocols. Metabolic conditions develop gradually, and they resolve gradually too. Dr. Matt's approach is step-wise by design — building one change upon another so that improvements are lasting rather than temporary.

CONDITIONS WE COMMONLY SUPPORT

  • Insulin resistance and pre-diabetes

  • Type 2 diabetes

  • Type 1 diabetes and Type 1.5 diabetes (LADA)

  • High cholesterol and dyslipidemia

  • Hypertension / high blood pressure

  • Fatty liver and other liver disorders

  • Metabolic syndrome

  • Mitochondrial disorders

  • Hemochromatosis

  • And more

"Beginning his care in March 2019, Dr. Van Auken has been my MD for over five years. He's helped me with a lifestyle change (no longer pre-diabetic), my BP is excellent, and my recent blood results were all normal, all without medication."

Metabolic conditions are responsive to the right care — care that goes beyond prescriptions to address the patterns underneath. If you're ready for a more thorough, individualized approach, we invite you to schedule a complimentary 15-minute consultation with Dr. Matt — available in-person in Portland, Oregon and via telehealth across multiple states.