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Hyperuricemia and Eye Disease: The Ocular Consequences of Elevated Uric Acid
Elevated uric acid is increasingly linked to glaucoma, retinal vascular disease, macular degeneration, and ocular inflammation. Through endothelial dysfunction and oxidative stress, hyperuricemia may impair ocular microcirculation. Evaluating uric acid levels may be an overlooked step in protecting long-term visual and vascular health.

David Stephen Klein, MD FACA FACPM
Mar 73 min read


Seasonal Affective Disorder
Seasonal affective disorder is not simply “winter blues,” but a biologically driven condition caused by reduced light exposure and circadian disruption. Shortened daylight alters melatonin, serotonin, and cortisol signaling, leading to fatigue, low mood, sleep disturbance, and cognitive slowing. When recognized early and treated with targeted light therapy, vitamin D repletion, and circadian-based interventions, seasonal affective disorder is highly manageable and often fully

David Stephen Klein, MD FACA FACPM
Feb 284 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
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