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Environmental Heat, Alcohol, and Hyponatremia. Deadly in Summer
Hot weather can create more than dehydration. Sweating causes water and sodium loss, while heat-related vasodilation can lower blood pressure. Add alcohol, medications, poor food intake, or excessive plain water and the result may be orthostatic dizziness, hyponatremia, instability, and falls. Learn why older adults are especially vulnerable, which medications increase risk, when electrolyte replacement may matter, and which symptoms require urgent medical evaluation.

David Stephen Klein, MD FACA FACPM
Sep 1014 min read


Hormone Replacement Therapy (HRT) and Osteoporosis: Prevention and Treatment
Hormone decline is a primary cause of osteoporosis. This article explains how hormone replacement therapy (HRT) restores estrogen and testosterone balance to prevent bone loss, improve bone density, and reduce fracture risk. Learn when HRT is appropriate and how it compares to traditional osteoporosis treatments.

David Stephen Klein, MD FACA FACPM
May 83 min read
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