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How I Use High-Carb Fueling in Hybrid Training

Functional FitnessBy Ayla HopkinsFebruary 4, 2026

How I Use High-Carb Fueling in Hybrid Training Diaries of a Physician Athlete dr. audrey falconi, do, RMSK If you lift weights, do metabolic conditioning, and also care about your endurance—but feel wiped out, under-fueled, or stuck despite training hard—YOU ARE NOT ALONE. A lot of people are training in a way that blends strength…

Medicine: Re-Programmed

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Physician Coach Medical Services Tacoma

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So many words to attempt to encapsulate our birthd So many words to attempt to encapsulate our birthday girl 🥹Mommy, badass, and strong coming out on top 😆She truly is everything 💕Happy Birthday to our very special Dr. Audrey Falconi 🎉 Add your words in the comments!!👇👇👇
Quad tendon pain doesn’t just show up overnight. I Quad tendon pain doesn’t just show up overnight.It builds… then suddenly limits everything—squats, lunges, even walking stairs.Most people get told:👉 Rest👉 Ice👉 Or jump straight to surgeryBut that misses the real question:👉 What does the tendon actually look like?At Physician Coach, every patient gets a diagnostic ultrasound exam first—because treatment should match the actual injury, not just the symptoms.🧠 What we often find:Partial thickness tearsDegenerative tendon changesPoor healing response💉 Where PRP comes in:Platelet-Rich Plasma (PRP) helps stimulate healing directly in the damaged tissue.But here’s the key 👇👉 It’s not just the injection👉 It’s precision placement under ultrasound guidanceThat means:Targeting the exact tearAvoiding healthy tissueMaximizing healing potential🔁 The difference:❌ Blind or generalized treatment✅ Real-time imaging → precise diagnosis → targeted treatment → faster return to activity🏋️‍♂️ Who this is for:Active adults who want to avoid surgeryAthletes limited by quad/knee painAnyone stuck in the “rest isn’t working” phase🚨 Bottom line:You don’t need more guesswork. You need clarity.📍 Tacoma | University Place | Gig Harbor💻 Book online — link in bio💳 HSA/FSA accepted | Superbills available#TacomaSportsMedicine #PRPinjection #QuadTendon #KneePainRelief #UltrasoundGuidedInjection
📅 SATURDAY OPTION IN PUYALLUP! 💉Get your boost! 📅 SATURDAY OPTION IN PUYALLUP!💉Get your boost! ✨Bring a loved one you want to see taken care of 🫶See y’all soon!!
🥳🙌GET PUMPED!! 🤩The Physician Coach crew will be 🥳🙌GET PUMPED!!🤩The Physician Coach crew will be hanging out THIS SATURDAY at @theroostcrossfit @thetruchallenge competition! 👉We come to support the athletes kicking butt and showcasing their dedication and training on the competition floor! 💯Dump the jitters from your pre-workout and get something that will carry you through and make you better in the end - a vitamin & nutrient shot!!💉💉💉💉💉✨We will guide you on what’s best for your body - all shots catered to you and your desired outcome, administered by a physician. 💉Prices start at $35 and the shot is over in a jiffy so you can get back to prepping for your next event! ‼️Dr. Marlisa of @afterglowphysio will be hanging out too for that instant relief of tweaks and aches! See you soon!!!
Why does plantar fasciitis keep coming back? Beca Why does plantar fasciitis keep coming back?Because in many cases… it’s not really “fasciitis” anymore.Once symptoms persist, the tissue often shifts from an inflammatory process → to degeneration (plantar fasciosis):• Disorganized collagen• Microtearing at the heel• Thickened, poorly functioning fasciaThat’s why many people plateau with:– stretching– orthotics– restThese can reduce strain… but they don’t restore tissue health.This is where diagnostic ultrasound changes the game:✔️ You can actually see the tissue✔️ Identify degeneration vs irritation✔️ Guide treatment with precisionFrom there, treatments like PRP or prolotherapy are used to support healing—not just suppress symptoms.If your heel pain keeps cycling… it may be time to look deeper.#plantarfasciitis #injuryevaluation#regenerativemedicine #prptherapy #universityplacewa
👏 Practicing what we preach every day. 👉To our at 👏 Practicing what we preach every day. 👉To our athletes, our patients, and our community. 🤩We can’t wait to walk (push) alongside you.
This is where sports medicine and performance trai This is where sports medicine and performance training meet.As a sports medicine physician working with active adults and athletes, I’m not just thinking about strength — I’m thinking about durability, control, and long-term resilience.The bamboo overhead squat introduces controlled instability, forcing the shoulder to stabilize in real time under load.This is the type of training that:• builds true shoulder stability• reinforces movement quality• bridges rehab back into high-level performanceNot every exercise needs to be heavy to be effective.Sometimes, the right stimulus is precision and control.#SportsMedicine#ShoulderStability#AthleteTraining#InjuryPrevention#TacomaSportsMedicine
💉Top 4 Shot Favorites💉 ❕Many people are shocked t 💉Top 4 Shot Favorites💉❕Many people are shocked to hear that our most satisfied clients get more than one shot!💯Combo-ing injections tend to improve benefits due to their synergistic effect in the body! ✨Everything in balance is key, as our shots provide co-factors and supportive nutrients for very important biochemical reactions in a healthy body! Nothing works solo. Our most popular combo?👉The Ultimate B shot w/ stress support 👉Glutathione👉Metabolix👉NAD+🙌🙌These four shots provide a strong foundation for cellular health, metabolism, inflammation control, and longevity!SEE YOU THIS WEEK!!
Always a student. Just completed my Precision Nut Always a student.Just completed my Precision Nutrition recertification — not because I have to, but because I believe our clients deserve more than surface-level care.At Physician Coach, we don’t guess. We integrate.Every certification, every course, every hour spent learning is about one thing:➡️ Becoming better for the people who trust us with their health and performance.My approach will always pull from multiple lenses: • Conventional medicine • Functional medicine • Sports medicine • Nutrition science • Strength & conditioning • Rehab + movementBecause real results don’t come from one lane — they come from understanding how everything connects.This is how we deliver:Precision in diagnosis.Clarity in the plan.Confidence in execution.Always evolving. Always refining. Always raising the standard.If you’re looking for a different approach — one that actually makes sense for your body and your goals — we’re here. #PrecisionNutrition #SportsMedicine #FunctionalMedicine #PerformanceNutrition #TacomaFitness
This is the kind of timing that matters. “Big exp This is the kind of timing that matters.“Big expedition in 10 days… training had taken a toll, especially on my glutes.”We were able to quickly identify what was contributing to symptoms and use targeted dry needling to address it.Numbness improved.Confidence restored.Back to final prep.When you’re pushing your body, small issues can turn into bigger problems quickly.The key is getting the right treatment at the right time so you can keep moving forward — not shut things down.If you’re heading into an event or dealing with something that just isn’t improving, getting clarity early can make all the difference.#DryNeedling#InjuryRecovery#AthleteCare#TacomaSportsMedicine#returntosport
💉💕Vitamin & Nutrient Shots THIS WEEK! 🅱️ Although 💉💕Vitamin & Nutrient Shots THIS WEEK!🅱️ Although most start with a Vitamin B shot, we have a full menu of other key nutrients to support your health! 👉Our METABOLIX shot is quite popular for those seeking nutrients to support metabolism, weight loss, liver detox, and fat digestion. Give it a shot 😉 this week!
Hamstring pain that lingers — especially high up n Hamstring pain that lingers — especially high up near the glute — is often more than just a “tight muscle.”One of the most common things I see in runners and active adults is hamstring tendinopathy or partial tearing at the tendon.This type of injury can:• stick around for months• flare with running, hills, or speed work• not fully respond to rest or stretchingThis is where diagnostic ultrasound changes the game.During your appointment, we can:• visualize the hamstring tendon in real time• identify tendinopathy vs partial tear• pinpoint exactly where the injury isNo guessing. No waiting weeks for imaging.Once we know what we’re treating, we can guide recovery more precisely.Treatment options may include:• ultrasound-guided needling (tenotomy)• PRP injections to support tendon healing• progressive loading programs to restore strengthDon’t let a nagging hamstring injury keep you benched or off the trails.Get clarity. Treat it right. Get back to running.Tacoma | University Place#HamstringInjury#prpinjection #RunningInjury#TrailRunning#SportsMedicine
One of my favorite updates to receive 👇 This pati One of my favorite updates to receive 👇This patient recently shared her DEXA scan progress — and it’s exactly what we’re aiming for.Since July:• Weight: 152 → 138 lbs• Body fat: 26.9% → 18.2%• Lean mass: ⬆️ increased 💪🏽 Let’s pause on that last one.She lost body fat AND gained muscle ‼️That’s not accidental.That’s intentional.⸻When GLP-1 medications (like tirzepatide) are used correctly, the goal isn’t just weight loss.The goal is:• Improve body composition• Preserve (and build) lean mass• Support metabolic health• Create sustainable resultsThis patient also recently transitioned to a lower dose and continues to feel great — which is exactly what we want.Less medication.Better physiology.Stronger body.⸻This is why our approach is different.We don’t chase the scale.We build resilient, high-functioning bodies.⸻If you’re curious about a medical approach to body composition and performance — we can help guide you.⸻#GLP1#Tirzepatide#LeanMass#WeightLossDoneRight#TacomaHealth
⭐️TACOMA📍FEDERAL WAY📍BELLEVUE⭐️ If feeling more… ⭐️TACOMA📍FEDERAL WAY📍BELLEVUE⭐️If feeling more…✅ ENERGIZED✅ FOCUSED✅ HAPPY … sounds like your 2026 goal list, we’ve got you covered!!💉💉💉VITAMIN & NUTRIENT SHOTS:📍TACOMA / 10-2 @marlenesnaturalfoods 📍FEDERAL WAY / 10-3 @marlenesnaturalfoods 📍BELLEVUE / 11-2 @itsmatchamagic 📞Always available to book a drop-in at our clinic in Tacoma also!See you this week!
This one made us 🥹 ⭐️⭐️⭐️⭐️⭐️ Reading reviews from This one made us 🥹⭐️⭐️⭐️⭐️⭐️Reading reviews from patients always reminds us how lucky we are to be doing the work we love to do everyday. Proud of our team, proud of our mission, and proud of all the patients who seek something better for their lives and their healthcare. #sportsmedicine #vo2max #tacomawa #activeadults #universityplaceathlete
PRP is one of the most powerful tools we have in s PRP is one of the most powerful tools we have in sports medicine—but only if it’s done correctly.The biggest mistake I see?➡️ Blind injectionsIf you’re not using ultrasound, you’re guessing where the needle is going—and in tendon injuries, millimeters matter.At Physician Coach, every PRP injection is:✔️ Physician-performed✔️ Ultrasound-guided in real time✔️ Based on a full diagnostic examBecause your diagnosis should be seen, not assumed.If you’ve been told you have:“Tendinitis”“Wear and tear”Or you’ve failed PT or injections…There’s usually more to the story.📍 Tacoma sports medicine📍 Ultrasound-guided PRP📍 Precision care for active adults👉 Book your evaluation and get answers — not guesswork.#TacomaSportsMedicine #PRPTherapy #UltrasoundGuidedInjection #SportsMedicineDoctor #GigHarborFitness
⭐️SATURDAY⭐️SHOT⭐️POP-UP!!⭐️ 📍Find us in Bellevue ⭐️SATURDAY⭐️SHOT⭐️POP-UP!!⭐️📍Find us in Bellevue to help kick off your weekend feeling energized and optimized!🤩🤩🤩Vitamin and Nutrient Shots all week!💉💉💉👉Tuesday 10a-2p TACOMA @marlenesnaturalfoods 👉Wednesday 10a-3p FED WAY @marlenesnaturalfoods 👉Thursday 11a-2p BELLEVUE @bellevueclub (members only)👉Saturday 10a-1p BELLEVUE @upgradelabsbellevue (open to all!)Always here to answer your questions! ✌️
“This was my second time seeing Dr. Falconi… there “This was my second time seeing Dr. Falconi… there was no question of where I needed to go when I found myself needing care again.”Nothing means more to us than when someone trusts us with their care again.At Physician Coach in Tacoma, our goal is simple:Find the real cause of your injury and create a clear plan to get you back to training, working, and living actively.Every sports medicine visit includes:• A detailed musculoskeletal exam• Diagnostic ultrasound when needed to look at the injury in real time• A personalized treatment and rehab planWhether you’re dealing with a new injury or something that hasn’t improved with PT or rest, getting the right diagnosis changes everything.Thank you for trusting our team with your care.– Dr. Falconi📍 Tacoma, WAHelping active adults and athletes recover smarter.#TacomaSportsMedicine #TacomaAthletes #GigHarborAthlete #PuyallupAthletes #UniversityPlaceWA
💉💉March coming in hot 🔥 Boost your potential with 💉💉March coming in hot 🔥 Boost your potential with Vitamin & Nutrient injections!! Drop in during selected times, no appointment necessary!💙TUES / 10-2 in TACOMA @marlenesnaturalfoods 💜WED / 10-3 in FED WAY @marlenesnaturalfoods 💛THUR / 11-2 in BELLEVUE @itsmatchamagic 👇👇👇📆Mark your calendar:SATURDAY MARCH 21 10a-1p in BELLEVUE @upgradelabsbellevue
One of the coolest things I get to witness in clin One of the coolest things I get to witness in clinic is the healing capacity of the human body 🤯This ultrasound image shows a grade 3 medial gastrocnemius tear with significant retraction — the kind of injury that can look pretty dramatic early on and leave athletes wondering if they’ll get back to their sport.Fast forward 5 weeks ⏳After a PRP injection 💉 and — just as important — a progressive PT loading program 🏋️‍♂️, we’re already seeing some amazing changes on ultrasound.The retraction has reduced, and we can see healthy fibrotic scar tissue forming — part of the body’s natural repair process.Watching tissue reorganize and heal in real time on ultrasound never gets old.Pretty incredible what the body can do when we give it the right environment to heal. 🔬#DiagnosticUltrasound#MuscleInjury#CalfTear#SportsInjuryRecovery#TacomaSportsMedicine
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