Personal Physicians
David Katzman, MD & Jennifer DeLaney, MD Internal Medicine Specialists
Get Your Booster!
David Katzman, MD
Although the primary vaccination series against COVID has shown great effectiveness in preventing symptomatic infection, hospitalization and death, we strongly recommend receiving a booster dose for those over 16. Here’s two studies that explain why:
    1. An Israeli study recently found that boosted individuals at 30 days had a 93% reduction in COVID-positivity compared to their non-boosted peers.                           
    2. A recent analysis comparing Florida and California is enlightening as well.  Although both states had roughly 10% of the population test positive for COVID in the recent Omicron wave, the death rate per capita in California was 33% less than Florida.  After controlling for age and other factors, the author speculates that the much higher booster rate in California explains this difference.

    So, get your booster!  It will help prevent you from getting COVID and, equally important, reduce the chances for a severe infection if you do become positive.


    Vaccination locations can be found at


    As always, please contact us if you have any questions.

    Weight Management
    Jennifer DeLaney, MD

    Forty-two percent of Americans are obese, and another twenty percent are overweight. Inactivity and poor dietary choices can contribute, but it is not as simple as calories in, calories out. We have many patients who are active and eat carefully but still feel punished by the inability to lose weight. Why does this happen?


    For one thing, calorie absorption varies depending on a complex interaction between the food you eat, your intestinal lining and the bacteria that colonize your gut.


    In addition, what you eat influences hormone secretion, fat deposition, metabolism and even the feeling of hunger. New studies show that diets high in starch and high fructose corn syrup and/or sugar increase fat deposition and increase appetite by making you resistant to Leptin, the hormone that helps you feel satiated.


    So, what are you to do?

    • Avoid stress/boredom/mindless eating
    • Eat when hungry and eat mindfully, set your fork down between bites
    • Avoid processed foods including sweets, chips, crackers, bread, pasta, white rice and sweetened drinks and replace with "whole foods" like fruit, vegetables, whole grains, nuts, and seeds
    • Exercise daily

    If these efforts don’t get you to a healthy weight, there are new medication options that can lead to a 15% loss of your body weight. However, these drugs are VERY costly ranging from $900-$1500 a month if insurance does not cover them, which is typically the case in the absence of diabetes or another qualifying condition. So give the low-cost options above a try first, and if that's not working for you, reach out to us for more information on medication options.

    Getting Back on Track With Your Heart Health
    Jane Kozlowski, RN

    February is American Heart Month, so it’s a great time for you to evaluate your lifestyle and reduce your risk for heart disease!


    According to the American Heart Association, heart disease and stroke has remained the leading cause of death over the last two years and, in part, the long-term threat has worsened due to the pandemic. With on-going concerns of COVID, many people have delayed or avoided seeking medical care. In addition, more people report lower physical fitness and decreased emotional wellness after nearly two years of more-restricted lifestyles and increased stressors. Some have turned to an unhealthy use of alcohol and other substances during this time. Unfortunately, all of these factors can increase your risk of heart disease substantially.


    Fortunately, there are many things you can do to take control of your heart health and get back on track to reducing your overall risk of heart disease. I'd like to highlight a few links that illustrate ways to reduce the top risk factors:

    And of course, feel free to reach out to your doctor if you have any specific concerns regarding your heart health.

    COVID Prevention and Treatment Options for the Immunocompromised
    For those who are immunocompromised (i.e., taking an immunosuppressive medication, actively receiving chemotherapy, or have had an organ transplant), some options have recently become more available to help prevent and treat COVID. 
    Evusheld is used as a pre-exposure prophylaxis to help prevent getting COVID and is mainly designed for those who have been unable to build up a response to the vaccine. Evusheld therapy consists of two long-acting injections of monoclonal antibodies given at an infusion center every six months. If you fall in to the above categories and would like more information on Evusheld, please contact your doctor.
    In addition, Paxlovid is an oral, antiviral medication becoming more widely available for treatment of COVID infection. It should be initiated within the first 5 days of symptoms. This treatment is mainly limited to those who are immunocompromised or at higher risk of complications. If you become positive for COVID and think you may meet these requirements, please contact your doctor for a prescription. 
    Appointments Back to Normal
    COVID rates have decreased in our area to a point where we feel comfortable discontinuing our hybrid appointments and returning to our normal process for appointments beginning March 1. Unless you prefer otherwise, your appointment will take place in its entirety in the office. We still ask that you continue to call from the parking lot when you arrive though, so we can coordinate flow in and out of the office. 
    New Insurance, Address or Email?
    Please let us know at your next point of care if your insurance, address, email, or any other demographics have changed. It's important to keep your chart up to date as we utilize this information for office tasks such as placing outside orders/labs and sending invoices. Thank you!
    Please visit our website if you have missed any past newsletters. The newsletter archives can be found by hovering your mouse over the "Medical Links" tab.

    11709 Old Ballas Rd. Suite 101, St. Louis, MO 63141

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