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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


Can Vitamin D Supplementation Cause Kidney Damage?
Vitamin D deficiency is not simply a consequence of kidney disease—it can actively accelerate renal injury. Proper vitamin D signaling suppresses harmful hormonal pathways, protects glomerular structures, and limits fibrosis. Concerns about kidney damage stem from rare cases of vitamin D toxicity, not physiologic replacement. When dosed appropriately and monitored, vitamin D supports kidney health rather than harming it.

David Stephen Klein, MD FACA FACPM
Feb 63 min read


Why Can’t My Doctor Find My Thyroid Problem?
Many patients experience fatigue, weight gain, cold intolerance, and brain fog despite being told their thyroid tests are “normal.” This article explains why thyroid disease is frequently missed, how temperature, genetics, inflammation, diet, and hormone conversion affect symptoms, and why a normal TSH does not rule out clinically meaningful hypothyroidism. Understanding thyroid function beyond basic labs often leads to answers patients have been seeking for years.

David Stephen Klein, MD FACA FACPM
Feb 46 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


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 Essential Nutrients: What Makes a Superior Multivitamin and Mineral Supplement?
Introducing an outstanding multivitamin and mineral product, offering a great value and spectacularly complete coverage. Down to Basics

David S. Klein, MD FACA FACPM
Mar 31, 20257 min read
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