Endocrinology

  • Calcium and vitamin D: To supplement or not?
    Ian R. Reid, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 693-698; DOI: https://doi.org/10.3949/ccjm.85a.18026

    Current evidence suggests little reason to prescribe calcium, and vitamin D should be for patients with low levels.

  • Diabetes and pregnancy: Risks and opportunities
    Hannah Lewis, BA, MS, Robert Egerman, MD, Amir Kazory, MD and Maryam Sattari, MD, MS
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 619-628; DOI: https://doi.org/10.3949/ccjm.85a.16138

    Internists can reduce the risks by optimizing glycemic control before conception and providing effective counseling.

  • Phosphorus binders: The new and the old, and how to choose
    Phosphorus binders: The new and the old, and how to choose
    Arjun Sekar, MD, Taranpreet Kaur, MD, Joseph V. Nally, MD, Hernan Rincon-Choles, MD, Stacey Jolly, MD, MAS, FACP and Georges N. Nakhoul, MD
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 629-638; DOI: https://doi.org/10.3949/ccjm.85a.17054

    The pathophysiology and control of hyperphosphatemia in kidney disease, focusing on phosphorus binders.

  • Phosphorus in kidney disease: Culprit or bystander?
    Malvinder S. Parmar, MB, MS, FRCPC, FASN
    Cleveland Clinic Journal of Medicine August 2018, 85 (8) 639-642; DOI: https://doi.org/10.3949/ccjm.85a.18013

    As kidney function declines, phosphorus accumulates, but the process is complex.

  • How well do we understand calcium and vitamin D?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 505-506; DOI: https://doi.org/10.3949/ccjm.85b.07018

    I do not believe we truly understand the ideal amount of dietary and supplemental calcium or vitamin D for a given patient.

  • Osmotic demyelination syndrome due to hyperosmolar hyperglycemia
    Takanobu Hirosawa, MD and Taro Shimizu, MD, MPH, MBA
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 511-513; DOI: https://doi.org/10.3949/ccjm.85a.17020

    Rapid correction of chronic hyponatremia can trigger this rare but life-threatening disorder.

  • Optimizing calcium and vitamin D intake through diet and supplements
    Holly P. Kilim, MD and Harold Rosen, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 543-550; DOI: https://doi.org/10.3949/ccjm.85a.17106

    Set modest calcium targets, maximize dietary intake, and make up the defi cit with calcium citrate.

  • Reverse T3 or perverse T3? Still puzzling after 40 years
    Cristiane Gomes-Lima, MD and Kenneth D. Burman, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 450-455; DOI: https://doi.org/10.3949/ccjm.85a.17079

    Few situations require measuring reverse T3; diagnosis of euthyroid sick syndrome may be one of them.

  • Genitourinary syndrome of menopause: Common problem, effective treatments
    Nancy A. Phillips, MD and Gloria A. Bachmann, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 390-398; DOI: https://doi.org/10.3949/ccjm.85a.15081

    Half of all postmenopausal women experience these symptoms. Most do not seek relief.

  • A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

    She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

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