Michael Kleerekoper, MD, MACE, has joined the faculty at the University of Toledo Medical School where he is Professor in the Department of Internal Medicine and section chief of the Endocrinology Division. The author of numerous journal studies, Dr. Kleerekoper serves on the editorial boards for Endocrine Today, Endocrine Practice, Journal of Clinical Densitometry, Journal of Women's Health, Osteoporosis International and Calcified Tissue International. Dr. Kleerekoper is also a founding board member of the newly formed Academy of Women’s Health.

Caveat Emptor!

August 9, 2011

It seems that once a week the FDA reports a worrying adverse effect of a previously approved therapy — not infrequently, a drug that has been used successfully for 10 or…

Low T without elevated gonadotropins

July 27, 2011

TV advertising for ‘Low T’ (testosterone) has brought a spate of new patients to the clinic. Their ages range from the mid-20s to older than 70 years; most of the older…

Clinical judgment is paramount

June 30, 2011

Some months ago I posted a blog pointing out discordance between levels of thyroid-stimulating hormone and free thyroxine that were making it difficult to make a correct…

Biochemical markers of bone remodeling: Do the guidelines help?

May 23, 2011

Referenced below is a citation from the Osteoporosis International journal reviewing 157 articles on biochemical markers of bone remodeling. Researchers concluded that…

Preventing atypical femur fractures in patients treated with bisphosphonates

May 11, 2011

A 62-year-old woman made an appointment to see me because she had read about unusual fractures caused by taking too much alendronate (Fosamax, Merck). She did not…

Hypoglycemia

March 30, 2011

Over the years I have seen a number of patients with a chief complaint of low blood glucose and insatiable appetite. If the blood glucose measured in the clinic is…

HbA1c — 2B or not 2B?

March 24, 2011

There is an interesting commentary in a recent issue of the Journal of the American Medical Association on the value and limitations of HbA1c for the diagnosis of…

Hair loss and thyroid disease

March 7, 2011

We all see patients with a chief complaint of hair loss — “My hair falls out in clumps when I brush it” is a common refrain. Many patients with this…

Work-up for calcium-containing kidney stones

February 22, 2011

I am surprised at how often I see a new patient for an endocrine disorder who nonchalantly reports a past medical history of kidney stone. Even more surprising is that…

Management of type 2 diabetes in older married couples

January 26, 2011

There are many published guidelines for management of diabetes beginning with monotherapy and ending with insulin therapy, with or without oral medication. I have read…