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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


Microplastics and Human Health: What Medicine Is Beginning to Understand.
Microplastics and nanoplastics have emerged as a previously unrecognized but increasingly relevant source of chronic environmental exposure. Once thought to be biologically inert, these particles—derived from degraded consumer plastics and industrial materials—are now routinely detected in human blood, stool, lung tissue, placenta, breast milk, and even atherosclerotic plaques. Their presence in these tissues challenges long-standing assumptions about plastic safety and raise

David S. Klein, MD FACA FACPM
Feb 35 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


Uric Acid and Colorectal Cancer: An Emerging Predictive Biomarker
Elevated uric acid is more than a marker for gout. Growing evidence suggests it reflects metabolic inflammation and oxidative stress linked to increased colorectal cancer risk. This physician-led review explores how uric acid functions as a predictive biomarker, its relationship to insulin resistance and chronic inflammation, and how average-risk screening tools like Cologuard fit into a modern preventive care strategy focused on early detection and risk reduction.

David S. Klein, MD FACA FACPM
Jan 255 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


Advanced Glycation End Products (AGEs):
Advanced glycation end products (AGEs) are biologically active compounds formed through non-enzymatic reactions between sugars and proteins, lipids, or nucleic acids. While AGE accumulation is a normal feature of aging, modern dietary patterns, insulin resistance, oxidative stress, and chronic hyperglycemia markedly accelerate their formation. Increasing evidence identifies AGEs as a central and under-recognized contributor to atherosclerotic cardiovascular disease (ASCVD) an

David S. Klein, MD FACA FACPM
Jan 164 min read


Huperzine A: Nitric Oxide for Erectile Dysfunction, Dementia. Benefits and Side Effects
Natural compounds can enhance both mental and physical performance while also protecting long-term health. One intriguing candidate is Huperzine A—an extract from the Chinese club moss Huperzia serrata. Traditionally used in Eastern medicine for memory and clarity, this alkaloid has gained attention in modern research for its role in nitric oxide (NO) signaling, neuroprotection, erectile dysfunction, and vascular function.

David S. Klein, MD FACA FACPM
Dec 26, 20256 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


The Value of Urine PCR in Diagnosing Persistent or Complicated Urinary Tract Infections
Urinary tract infections (UTIs) are traditionally diagnosed using urinalysis followed by culture and sensitivity testing. While effective in most cases, these methods may miss fastidious or slow-growing organisms, fail to identify mixed infections, or return negative results despite continued patient symptoms. Urine polymerase chain reaction (PCR) testing provides a highly sensitive molecular alternative that detects microbial DNA directly, identifies antibiotic-resistance ge

David S. Klein, MD FACA FACPM
Dec 18, 20255 min read
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