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David S. Klein, MD, FACA, FACPM


The market is full of powders that make all manners of claims, nearly all of which are impossible to document. What cannot be debated is that millions of people use them, in powder form, making shakes for a variety of reasons.


Another thing that is not debatable is that people do not buy anything, month over month unless they derive some benefit from it. This product does just that. It delivers a remarkable slug of protein, anti-oxidants, phytonutrients and micronutrients. Within a very short period of time, the typical patient starts to 'feel better.''


Pro Lean Greens is a high quality supplement that is manufactured in the United States under the strictest of manufacturing conditions. It is only sold in health care professional's offices. The price is very reasonable, particularly when compared to the well known capsules advertised about every 10 minutes on television.


No enormous advertisement budget translates into lower cost to the patient. In the powder form, mixed with water or something tasty like almond milk, Pro Lean Greens Chocolate delivers many times that amount of nutrients than do the capsules advertised on television and the monthly cost is around half as much.


If you want to give this a try, you can order it on stagesoflifevitamins.com or you can get it online using our code "18368" and open an online account with them. Of course, you can stop by our store, we would love to meet you!

Stages of Life Medical Institute Partner


Note: if you go to the Nutritional Frontiers Order site, use our code 18368 to create your own account, and you can choose from other flavors, and other products as well. I will feature products that I have personally tried, and if you leave me feedback on others, I'll be happy to personally get it, try it, evaluate it and stock it in the SOLMI Store.


Pro Lean Greens

Features:

  1. Great tasting, easy-to-mix powder.

  2. Combines nutrient rich vegetables, fruits and herbs with enzymes, and probiotic cultures.

  3. Supports the body’s ability to cleanse, detoxify, and rejuvenate.

  4. Supports the body’s antioxidant defense system and immune system functioning

  5. Supports detoxification and G.I. Tract health.


Now with a Complete Detoxification Matrix!


Spirulina Whole Plant Powder, Chlorella Powder, N,N-Dimethylglycine HCl,Patented Trademark Ingredient: Emothion® S-Acetyl-L-Glutathione, and N-Acetyl-L-Cysteine!


Spirulina and Chlorella are both sources of blue-green algae, which has a rich nutrient profile and is a potent antioxidant.

Spirulina supports healthy functioning of the liver and immune system to aid in

detoxification.

Chlorella supports cell reproduction, as well as restorative processes that promote healthy organs and tissues. Chlorella also aids the body in the breakdown of unwanted materials like heavy metals and supports proper digestion by promoting the growth of beneficial bacteria and assisting in the elimination of unwanted materials from the body.


Antioxidant Support


Red Raspberry supports capillary strength. – Cranberry supports urinary tract health and function by keeping unwanted materials from adhering to the walls of the bladder.

Blueberry supports eye, urinary tract and cardiovascular health, and gastrointestinal function.

Bilberry has traditionally been used to support proper functioning of the eye. It helps to synthesize compounds that maintain artery walls, support connective tissue health and strengthen capillaries.

Grape Seed Extract plays a role in the stabilization of collagen and maintenance of elastin, thereby supporting organ, joint, blood vessel, and muscle functions.


Digestive Support


FOS aids in the elimination of unwanted substances and supports G.I. Tract health. Fructooligosaccharides (FOS) are considered a soluble fiber and pre-biotic that support the growth of beneficial bacteria. Since FOS is not digested it increases the material in the digestive tract and promotes regularity.


Immune System Support


Oat Beta-Glucans support immune system function. Non-allergenic Oat Beta-1,3-Glucans extracted from oats are a highly researched polysaccharide with immune supporting properties. They support the activity of macrophages that clear away cellular debris and other unwanted materials by digesting them.



1917 Boothe Circle

Longwood, Florida 32750

copyright 2023 Stages of Life Medical Institute





An essential accessory for the Asthmatic


What is an asthmatic without the obligatory 'inhaler.' Used by physicians for many decades, these portable devices have delivered life-saving medications at the moment that the medication is needed. Sprayed directly into the mouth, timed precisely with inspiration, and after significant practice, the asthmatic might get it right.


The Philips Respironics Optichamber


There is a simple device, remarkably inexpensive, that takes much of the worry out of timing the 'squeeze.' Teaching a child to do it right is very difficult, expensive if you consider the waste of medicine that is involved in 'practicing.'


The Philips Respironics Optichamber makes it very easy to administer the bronchodilator and increases the amount of medication delivered to the lungs by around 60%. I have patients that are able to get by with one puff instead of two on their Ventolin, saving more than a few dollars by reducing the frequency of inhaler refill.




I found that you can get these with a detachable mask, something that might be worth having around, but it works very well if you place the mouthpiece directly in your mouth.


The Inhaler, mine is Ventolin (albuterol, Ventolin is the better of the generics) attaches on the opposite side of the chamber.




  1. Attach your inhaler mouthpiece to the opening in the spacer.

  2. Shake the inhaler, before each use.

  3. Exhale and just as you begin to inhale slowly, you actuate the inhaler into the chamber.

  4. Precise timing is not essential as it is without the Spacer. This device is equipped with a high volume whistle that fires if you inhale 'too fast.' Perfect feedback, actually.


My First Impression


I was admitted in January 2023 with asthmatic respiratory failure after a two week long bout of pneumonia (Mycoplasma Pneumoniae.) I had been doing well, I thought, working full time in the clinic. One Thursday afternoon, however, I was escorted out of the office and ended up in the hospital.


Antibiotics, oral steroids and 3 days later, I had a discussion with the respiratory therapist who was giving me my nebulizer treatments. He looked at my inhalers and asked: "Hey, Doc, where are your spacers?" Well, it is not my field of expertise, but I know better now. The spacer makes the inhaler work like a champ.

The Test


Being a bit skeptical, I needed to be convinced. The RT suggested that I try two puffs without the spacer, and see how well I'm breathing. He was withholding the nebulizer, I might add.


Then, he told me to take one 'hit' on with the spacer. I did as I was told, and moments later, the effect was unlike any I had previously experienced with the albuterol. I did not take a second inhalation, as it was entirely unnecessary.



The principal advantage to the spacer is efficiency. The principal disadvantage is bulk. It does not fit neatly in my trouser pocket. It is the Essential Accessory for the Asthmatic.



The spacer increases the efficiency of the inhaler by 40 to 60%


The device is probably a reasonable device to carry in a purse, folio or whatever the garment that men are seen carrying through the airports.



I bought three of them, leaving one at the office, one in my bathroom and one in my car.


I have been a physician for 42 years, and I rarely pick up pearls of wisdom as I did from that Respiratory Therapist.


It is now a frequently used piece of armamentarium in the treatment of my patients with asthma and chronic bronchitis.



I provided a link to an Amazon page where you can see the instructions for use.



I chose not to use the facemask, for my own situation.



Functional Medicine Physician
David S Klein MD FACA FACPM


David S. Klein, MD, FACA, FACPM

Stages of Life Medical Institute

1917 Boothe Circle

Longwood, Florida 32750

Pregnenolone is an Adrenal Hormone, essential to life as the root hormone for all other Adrenal Hormones. It is converted directly from cholesterol, then it is converted to progesterone and on to DHEA, Cortisol, Testosterone, Estriol, and Estradiol, just to name a few.




A hormone is a chemical entity that acts directly a class of signaling molecules. Inducing or inhibiting a gene to produce a protein, to cause a cell or tissue to behave in a predictable manner, or after having been secreted by one tissue, it would cause a tissue in a remote portion of the body to have a change in physiology or behavior.


Little understood as a primary hormone, low pregnenolone levels are often seen in patients with Adrenal Insufficiency, low levels may be present in patients receiving 'statin' drugs to lower cholesterol. Additionally, low levels occur in patients who receive oral, injectable and inhalational corticosteroids.


This Misunderstood Wonder Hormone is Important for Memory, Cognition and Sexual Health


Of note, low levels of pregnenolone may be associated with memory impairment and cognition, low levels of sex hormones and may be associated with dementia.


At Stages of Life Medical Institute, we have been testing our patients over the age of 60 for pregnenolone levels, and using a device called a "Cognivue" to assess cognitive impairment. Over the past 2 years, we have found that low levels of Pregnenolone were associated with mild to moderate cognitive impairment, and with treatment with pregnenolone, the cognitive impairment measured on the COGNIVUE improved in a matter of a few months.


Additionally, the use of oral pregnenolone can increase progesterone levels in women who have post menopausal hypogonadism, that is low estradiol and progesterone.



We monitor pregnenolone levels most commonly, twice yearly. It is an inexpensive blood test and yields a tremendous amount of value.


We typically start our patients on 60 mg twice daily, but it should be taken concurrently with a fish oil. The reason for this is that pregnenolone is oil soluble and the stomach is a water environment. Pregnenolone will not absorb well unless it is taken concurrently with an easily absorbed oil.



David S. Klein, MD, FACA, FACPM

Stages of Life Medical Institute

1917 Boothe Circle

Longwood, Florida 32750

Tel: 407-679-3337

www.suffernomore.com

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