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Environmental Heat, Alcohol, and Hyponatremia. Deadly in Summer
Hot weather can create more than dehydration. Sweating causes water and sodium loss, while heat-related vasodilation can lower blood pressure. Add alcohol, medications, poor food intake, or excessive plain water and the result may be orthostatic dizziness, hyponatremia, instability, and falls. Learn why older adults are especially vulnerable, which medications increase risk, when electrolyte replacement may matter, and which symptoms require urgent medical evaluation.

David Stephen Klein, MD FACA FACPM
1 day ago14 min read


Extreme Heat, Heavy Sweating, and Salt Loss: When Water Is Not Enough
Extreme heat and prolonged sweating cause the body to lose more than water. Sodium losses during hiking, exercise, gardening, landscaping, and outdoor work can become substantial. Learn how much salt may be lost through sweat, when water alone is sufficient, when electrolyte replacement becomes important, why drinking too much plain water can also be dangerous, and which symptoms mean it is time to stop self-treatment and seek medical care.

David Stephen Klein, MD FACA FACPM
Aug 199 min read


Uric Acid and Hypertension: Is Your Uric Acid Helping Drive Your Blood Pressure?
Uric acid is best known for gout, but elevated levels are also associated with hypertension, kidney dysfunction, and cardiovascular risk. Research suggests that uric acid may influence blood pressure through oxidative stress, reduced nitric oxide, renin-angiotensin activation, renal vasoconstriction, and altered sodium handling. Learn how uric acid, kidney function, and hypertension may form a self-reinforcing cycle—and why lowering uric acid is not always the same as lowerin

David Stephen Klein, MD FACA FACPM
Aug 179 min read
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