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Uric Acid and Hypertension: Is Your Uric Acid Helping Drive Your Blood Pressure?
Uric acid is best known for gout, but elevated levels are also associated with hypertension, kidney dysfunction, and cardiovascular risk. Research suggests that uric acid may influence blood pressure through oxidative stress, reduced nitric oxide, renin-angiotensin activation, renal vasoconstriction, and altered sodium handling. Learn how uric acid, kidney function, and hypertension may form a self-reinforcing cycle—and why lowering uric acid is not always the same as lowerin

David Stephen Klein, MD FACA FACPM
Aug 179 min read


Quercetin for Diabetes and Insulin Resistance: Could Nature's SGLT-2 Inhibitor Support Better Metabolic Health?
Quercetin is a plant compound found in onions, apples, berries, and capers. Emerging research suggests that certain forms may influence glucose absorption and some of the transport pathways associated with SGLT activity. Could this help support diabetes, insulin resistance, weight management, and metabolic health? Learn what is established, what remains theoretical, and why quercetin should complement—not replace—appropriate medical treatment.

David Stephen Klein, MD FACA FACPM
Jul 2413 min read


Uric Acid and Longevity: Live Longer by Keeping the Level below 5.5 mg/dl
Most people associate uric acid with gout, but emerging research suggests it may be far more important. Elevated uric acid has been linked to hypertension, cardiovascular disease, kidney disease, insulin resistance, endothelial dysfunction, and accelerated aging. While many laboratories consider levels up to 7.0 mg/dL “normal,” evidence suggests that levels below 5.5 mg/dL—and ideally near 5.0 mg/dL—may provide greater protection against vascular injury and chronic disease. U

David Stephen Klein, MD FACA FACPM
Jun 166 min read


Creatine: Is It Safe for Everyone? Hidden Kidney Risks and Safer Alternatives
Creatine is widely used to improve muscle mass and athletic performance, but it may not be appropriate for everyone. While generally considered safe in healthy individuals, concerns remain for patients with kidney disease, diabetes, hypertension, dehydration, or those taking medications that affect renal function. This article reviews potential risks, explains who should exercise caution, and discusses safer alternatives for preserving muscle mass and healthy aging.

David Stephen Klein, MD FACA FACPM
Jun 106 min read


Optimal Blood Pressure for Your Greatest Longevity.
What is the ideal blood pressure for living longer and staying healthier as we age? While there is no single perfect number for everyone, decades of research make one point clear: maintaining blood pressure in a normal or near-normal range dramatically reduces the risk of heart attack, stroke, kidney disease, and premature death.
For most adults, the range associated with the greatest longevity is a systolic blood pressure of approximately 120–130 mm Hg and a diastolic press

David S. Klein, MD FACA FACPM
Mar 315 min read
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