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We would like to help our patients find a way to introduce themselves to the wonderful world of healthful snacking and simultaneously getting a good dosage of essential carbohydrates (ECH).

Advertised on television, almost 8 to 10 times an hour, "Vegetable and Fruit" supplements are more prevalent now, than ever. Many of these products will cost between $45 and $110 per month. If you want to check out 'Garden of Nature,' you can use this link. I think you can save a significant amount of money and get additional nutritional benefit from doing this one, yourself.

Convenience in a can, capsule or tablet, I think that you can do better, by making your own smoothie in the kitchen or at work. There are a few simple tips from my "WMD." She is not weapon-of-mass-destruction, but more like:

"Wife of the MD."

The WMD, my wife, is better known to the grand children as "BIRDIE." So, for our first of many smoothie recipes, we will start with:

Birdie's Basic Smoothie

1/2 banana (FROZEN)

1/2 cup plain Greek yogurt. Sugarless is best

1 cup low fat milk or rice milk

1 cup of frozen fruits and greens, e.g. berries, kiwi, spinach, kale, pineapple, mango

Add a few ice cubes, if your banana or fruit was not frozen.

Use your Ninja TWISTi Blender on high-speed.

It comes out tasty enough for the Doc to enjoy. Like so many men, I would rather clean the gutters than eat Kale, but this smoothie is entirely different.

Note Well: Use frozen fruit, but the frozen banana is what makes it nice and creamy.

David S. Klein, MD, FACA, FACPM

Stages of Life Medical Institute

1917 Boothe Circle

Longwood, Florida 32750


Updated: 7 days ago

If this sounds a bit dramatic, it really is an understatement of fact!

  • You pay attention to the extra sanitary steps necessary to prevent UTI's. In women, it is time consuming but necessary. You are careful and yet you cannot rid yourself of the interval urinary tract infection.

  • Antibiotic therapy is often necessary to clear things up. The side effects are an expected inconvenience, the expense of time lost from work is an even greater inconvenience.

  • The loss of kidney function that can result with each and every kidney infection is an expense that we cannot afford, and every year, a significant number of persons (mostly women) die of URINARY SEPSIS.

I will share one little trick, in this post. There will be more in the near future.

The problem may have more to do with your laundry than you realize.

In these modern days, when conveniences have become necessities, and the necessities become essentials, we may hardly notice when an obvious problem stares directly at us, in the face!.

Our washing machines may be killing us with 'energy efficiency' and 'water savings.'

We have been sold on a fairy tale that you can adequately kill bacteria and clean clothes without getting the water very hot, or using much detergent or water. Your underwear are simply not getting clean in our 'ENERGY STAR' appliances.

A case in point:

Would you clean old fashioned diapers in your washing machine, with your favorite shirts?

The water cannot get hot enough to damage the bacteria, and the rinse cycle doesn't even get the soap entirely out of your garments.

Take a few pairs of 'clean' underwear, drop them into a near-boiling pot of water, simmer for a few minutes and then see what floats to the surface! Lots of waxy looking material that doesn't look like underwear.

Medical tip to treat chronic UTI's:

It is expensive and nearly impossible to get a non-'Energy Star' appliance, these days. In a sort of twisted way, the environmentalists (of which I may be one) inadvertently make people sick, while feeling good about the way they fouled things up.

Through a bit of trial and error, personal and family need for a solution to the UTI problem, my wife came up with a very easy and incredibly affordable way to put a dent in the problem. It is a simple additive to the laundry that costs no more than a few cents per wash.

This magical bottle costs far less than $10 and was a part of the solution to our family's UTI issue.

Add this to each wash, and the bacteria count on your clothes drops incredibly.

It contains no bleach, it has no scent, and it does not damage the color in your clothing.

Give this a try, it is cheap, easy and 'the doctor told you to do it!'

More suggestions to come. Urinary Tract Infections can be life threatening, and I have a few suggestions for you to use and/or keep around the house until you need them.

David S. Kle in, MD FACA, FACPM

Stages of Life Medical Institute

Longwood, Florida 32750


The sweetener fructose, sometimes labelled as 'high fructose corn syrup,' is found in many processed foods, soft drinks and confections. 

NOTE WELL:  This is the carbohydrate found in those wonderful fruit drinks that we feed our little children. This may be one of the main issues leading to pediatric obesity.

1. It has  been found to cause leptin resistance, one of the hormones found to control hunger, thereby linking it directly to weight gain and obesity.

Shapiro A, Mu W, Roncal CA, et al: Fructose-induced leptin resistance exacerbates weight gain in response to subsequent high fat feeding. Am J Physiol Regul Integ Comp Physiol. 2008.

2. Fructose corn syrup (HFCS) has been found to be as addictive, if not more addictive than alcohol, tobacco, opiates and cocaine.

3. When combined with salt, and saturated fats, (e.g. candy, ice cream, coffee creamer), it is even more addictive.

4. Sadly, pediatric obesity is a leading risk factor for adult obesity. Due to both development of unhealthy eating habits, it changes the nature of the insulin receptor, leading to insulin resistance syndrome, pre-diabetes, and the game is heading for a big time disaster.

5. Focus on Hemoglobin A1c as a primary medical indicator of how well the patient is doing ignores the fact that A1c remains within what is now considered to be 'normal' for at least 10 years before the patient is handed the 'DIABETES' diagnosis.

Insist that your doctor monitor insulin to glucose ratios several times a year. In health, the lower the insulin level, the better.

Optimal insulin levels are below 10, best if below 5. When insulin levels climb above 15, it is time to take action.

Glucose levels optimally should be below 85. When the level creeps above 90, it is time to take action.

The insulin receptor is very, very complex. There are hundreds of places in insulin receptor metabolism that are vulnerable to dysfunction. This is why the approach to lowering blood sugar is not as easy as a selection of a single medication. You simply have to use the right approach to fix the problem, AS IT EXISTS.

Actions to be taken:

  1. Avoid eating prepared foods that contain high fructose corn syrup, dextrin, dextrose or 'added sugar.'

  2. Look to 'Weight Watchers' for diet suggestions. For the money, it is a great program.

  3. Supplements should include a balanced chelate containing the appropriate amounts of zinc, selenium, chromium and vanadium.

  4. NOTE: Too much can be dangerous. Ask your physician for advice.

  5. Suggestions from Stages of Life will be listed, below. You can do this on your own, if you pay close attention not only to the dose of the mineral, but also the form that is in. The chemical moiety affects absorption, toxicity and dosing.

  6. Herbal products that improve insulin resistance include olive leaf extract, green tea extract, inositol. and bergamot. There are many others, and I plan to discuss them, later.

When starting an insulin resistance or diabetes mellitus nutraceutical program, it is best to start with the basic replacements, and then introduce them one at a time, observing morning (fasting is best) glucose levels. You can do this with a finger stick machine, or your physician can order the glucose and insulin blood work. Try to stay consistent with all medicine usage and try to get the blood work done at a consistent time of the day.

Start with a complete vitamin and mineral product. It need not be expensive, but the quality of the ingredients is of paramount importance. When you buy 'store brand' products, they tend to move toward the cheapest ingredients and they are not necessarily consistent in potency.


Down to basics without iron is where I prefer to start. We have a sister product with iron, but it can cause constipation and iron deficiency is not all that common.

Down to basics is very strong, and should be taken two capsules with breakfast and two capsules with lunch. If causes upset stomach, start with 1 capsule twice daily, and then increase 1 capsule per day, per week, until you get to 2 capsules twice daily.

After a month of the Down to Basics, you ADD to the multivitamin an additional dosage of vanadium & chromium, with cinnamon and alpha lipoic added. The product is called "DiabetStat." One of these twice daily with meals is as much as you should take. DO NOT TAKE additional zinc, vanadium or chromium, as the combination of the Down to Basics with Diabet Stat gets you to the safe limit of these minerals.

After a month on the Down to Basics and Diabet Stat, you can start Berberine 500 mg twice daily, inositol 500 mg (2 twice daily) and Olive Leaf Extract


David S. Klein, MD, FACA, FACPM

Stages of LIfe Medical Institute

Longwood, Florida, 32750

Tel: 407-679-3337

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