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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


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
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