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Is It the Cause… or Just a Coincidence? Understanding Why Not Every Imaging Finding Explains Your Symptoms
Not every abnormal finding on an MRI or X-ray explains your symptoms. Many changes in the body are part of normal aging and may be coincidental. Understanding the difference between causal and incidental findings is essential before considering surgery or invasive treatments. A thoughtful, patient-centered approach ensures that care is directed at the true source of symptoms—not just what appears abnormal on imaging.

David Stephen Klein, MD FACA FACPM
Mar 255 min read


Seasonal Affective Disorder
Seasonal affective disorder is not simply “winter blues,” but a biologically driven condition caused by reduced light exposure and circadian disruption. Shortened daylight alters melatonin, serotonin, and cortisol signaling, leading to fatigue, low mood, sleep disturbance, and cognitive slowing. When recognized early and treated with targeted light therapy, vitamin D repletion, and circadian-based interventions, seasonal affective disorder is highly manageable and often fully

David Stephen Klein, MD FACA FACPM
Feb 284 min read


Overfunctioning: When Competence Becomes a Coping Strategy
Overfunctioning is not a psychiatric diagnosis but a behavioral pattern rooted in adaptation. It can create stability, achievement, and leadership—yet when rigid or chronic, it fuels burnout, resentment, and physiologic stress. This article explores how overfunctioning becomes harmful, how it affects relationships and stress hormones, and how to restore flexibility without sacrificing competence.

David Stephen Klein, MD FACA FACPM
Feb 285 min read


Persistent Fatigue Is Not a Diagnosis
Persistent fatigue is not a diagnosis but a signal of underlying physiologic imbalance. Chronic low energy is often driven by overlooked metabolic dysfunction, hormone signaling abnormalities, sleep disruption, immune activation, or autonomic imbalance—frequently despite “normal” labs. A systematic, physician-led evaluation can uncover reversible causes and restore vitality rather than merely suppress symptoms.

David S. Klein, MD FACA FACPM
Jan 284 min read


Is It Dementia — or Is It Something Else? Medical Conditions That Can Mimic Dementia and Cognitive Decline
Is It Dementia — or Is It Something Else?
Cognitive decline is frequently assumed to represent dementia, yet a wide range of medical conditions can closely mimic neurodegenerative disease and are often treatable when identified early. Acute delirium, commonly triggered by infection, dehydration, metabolic abnormalities, or medication effects, is one of the most frequently missed causes of sudden confusion and cognitive change. Medications themselves, particularly anticholiner

David S. Klein, MD FACA FACPM
Jan 265 min read


THC, REM Sleep, and the Quiet Disruption of Sleep Architecture
THC may shorten sleep onset, but research shows it suppresses REM sleep and disrupts normal sleep architecture. Over time, this can impair memory, mood, and restorative sleep—especially with nightly use. Understanding the difference between sedation and healthy sleep is critical.

David S. Klein, MD FACA FACPM
Jan 55 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


Peptide therapy: promise, pitfalls and what patients should know
Peptides are short amino-acid chains that act as highly specific signaling molecules and have become a major class of modern therapeutics. More than 80 peptide drugs are approved worldwide, including insulin, incretin analogues such as GLP-1 receptor agonists, vasopressin analogues and linaclotide. These agents provide effective, targeted therapy in endocrine, metabolic, gastrointestinal and oncologic indications, supported by robust randomized clinical trials and rigorous ma

David S. Klein, MD FACA FACPM
Dec 5, 20258 min read


Lactoferrin Containing Colostrum: Targeted Support for Sleep, Immunity, and Respiratory Health
Lactoferrin-rich colostrum occupies a unique niche at the intersection of mucosal immunity, systemic inflammatory control, and sleep regulation. By combining the broad matrix of colostrum with the targeted antiviral, antibacterial, and immunomodulatory activity of lactoferrin, these preparations can reduce the burden of upper respiratory infections, support resilient immune function, and modestly improve sleep quality in selected populations. As with any therapeutic nutrient,

David S. Klein, MD FACA FACPM
Dec 1, 20256 min read


Hearing Loss and Your Brain. Why Getting Hearing Aids Now Can Help Protect You From Dementia
Untreated hearing loss increases the risk of dementia by straining the brain and promoting social isolation. Early hearing-aid use helps preserve cognition and quality of life.

David S. Klein, MD FACA FACPM
Nov 18, 20257 min read
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