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Magnesium Deficiency: The Overlooked Driver of Arrhythmia, Insulin Resistance, and Anxiety
Magnesium deficiency is common and often missed. Low magnesium contributes to arrhythmias, insulin resistance, anxiety, and metabolic dysfunction—frequently despite “normal” serum labs. Learn how magnesium affects cardiac stability, insulin signaling, and neuroexcitation, and why correcting intracellular deficiency may improve cardiometabolic and neurologic health.

David Stephen Klein, MD FACA FACPM
4 days ago4 min read


Insulin Resistance: The Hidden Precursor to Cardiovascular Disease, Dementia, and Accelerated Aging
Insulin resistance often develops years before diabetes, heart disease, or dementia are diagnosed. During this silent phase, metabolic dysfunction damages blood vessels, the brain, and cellular aging pathways. Understanding insulin resistance early allows for targeted intervention that can meaningfully reduce cardiovascular risk, cognitive decline, and accelerated biological aging.

David S. Klein, MD FACA FACPM
Feb 93 min read


Vitamin D is a Hormone
Vitamin D is commonly thought of as a simple nutrient, but medically it functions as a steroid hormone with effects far beyond bone health. Unlike true vitamins, vitamin D is synthesized in the skin, activated through the liver and kidneys, and acts on receptors throughout the body to regulate gene expression. This hormonal role explains its influence on immune function, muscle strength, cardiovascular health, and brain function. Because deficiency is widespread and supplemen

David S. Klein, MD FACA FACPM
Jan 244 min read


THE HIDDEN CAUSES OF PERSISTENT FATIGUE: A PHYSICIAN’S GUIDE TO OVERLOOKED METABOLIC AND ENDOCRINE DISORDERS
Chronic fatigue often signals hidden metabolic or endocrine disorders. Learn the overlooked causes—from thyroid and iron issues to insulin resistance and mitochondria.

David S. Klein, MD FACA FACPM
Dec 24, 20254 min read


Surgery, Anesthesia and GLP-1 Weight Loss Medicines: The Unseen Danger
If you are preparing for surgery, one of the most important safety steps is to inform your surgeon and anesthesia team if you are taking a GLP-1 medication. These include well-known names such as Ozempic®, Wegovy®, Mounjaro®, Zepbound®, Rybelsus®, Trulicity®, Victoza®, Saxenda®, Byetta®, and Bydureon®. While these drugs provide significant benefits for weight loss and diabetes management, they can also delay stomach emptying—a normal part of their mechanism of action. In ever

David S. Klein, MD FACA FACPM
Dec 16, 20256 min read


Essential Vitamins and Supplements for Liver Health: Managing Fatty Liver Disease MASLD
Managing fatty liver disease MASLD requires a comprehensive approach. Vitamins and supplements can support liver health by reducing oxidative stress, improving metabolism, and lowering inflammation. However, they are part of a broader strategy that includes diet, exercise, and medical care.

David S. Klein, MD FACA FACPM
Dec 11, 20255 min read


Have a Happy Holiday: Detox Essentials
Detoxification is often misunderstood as a fad, yet it remains a central physiological process essential for human survival. The holiday season—marked by stress, alcohol consumption, disrupted sleep, and poor dietary choices—places a substantial metabolic burden on the liver, gallbladder, kidneys, lungs, and intestinal tract. This blog outlines the science behind the body’s three-phase detox pathway and explains how targeted nutritional support can enhance natural clearance m

David S. Klein, MD FACA FACPM
Dec 2, 202510 min read


Zepbound® (tirzepatide) and Menopausal Weight Loss: A Promising Ally for a Challenging Transition
Menopause is a time of profound metabolic transition, and for many women, weight gain becomes an unwelcome companion despite disciplined efforts with diet and exercise. As estrogen levels fall, resting metabolism slows, visceral fat accumulates, and insulin sensitivity declines—creating a perfect storm that resists traditional weight-loss approaches. Zepbound® (tirzepatide) offers a meaningful breakthrough for women facing these challenges. By activating both GIP and GLP-1 re

David S. Klein, MD FACA FACPM
Nov 25, 20253 min read


Understanding the Connection Between Hypothyroidism and Atherosclerotic Heart Disease
Hypothyroidism is far more than a problem of low metabolism—it’s a quiet amplifier of vascular disease. By addressing thyroid imbalance, we not only restore energy and mental clarity but also protect the heart from atherosclerotic injury. Managing these conditions together yields the best outcomes for long-term vitality and longevity.

David S. Klein, MD FACA FACPM
Nov 13, 20255 min read


The Link Between Fructose Beverages and Non-Alcoholic Fatty Liver Disease
Understanding the connection between fructose-containing beverages and fatty liver disease empowers people to make informed choices. By reducing sugary drink intake and adopting healthier habits, it is possible to protect the liver and improve overall health.

David S. Klein, MD FACA FACPM
Nov 10, 20255 min read
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