Dr. Arnold L. Goldstein, MDVIP

02/09/2026

For Valentines Day
Check your Heart
Carotid Intama-Media. Thicknes ultrasound
Call 215 752 8889

01/13/2026

February is heart health month.
Everyone should take an aggressive approach to reduce cardiovascular risk.
CIMT(carotid in medial thickness) is an ultrasonic measure of arterial wall, thickness, and identification of plaque. This can help your doctor assess Ways to lower your. LDL or bad cholesterol. How to go with your LDL depend depends on your history and other health issues. You may have such as diabetes and family history.
Dental health is important for good heart, health and proper brushing, flossing, and dental cleaning will help reduce your risk.
Treating metabolic syndrome(insulin resistance) newer drugs by GLP 1(Ozempic,Wegovy,Mounjoro and Zepound) have been shown to reduce cardiac events.
Coronary order disease is a foodborne epidemic. Reducing carbohydrates to keep body mass index between 20 and 25 will help. Make sure you add at least 30 g of fiber to your diet.(fruit, grains, and vegetables.)
Reducing or eliminating alcohol may reduce heart disease, risk and reduce breast cancer risk in women.
Eliminating all to***co products is essential.
Exercise, including resistance training, two days a week and 20 minutes of aerobic activity daily is essential. Muscle strengthening helps lower cholesterol and reduces blood sugar.
Omega-3 fish oil, either as a supplement or naturally by eating cold water, fish such as salmon, tuna or trout three times a week has been shown to lower cardiac risk.
Sleep is important. 6 to 8 hours of sleep each night is beneficial. If you snore testing for sleep apnea and treating it with weight loss, CPAP device or inspire device reduce the strain on your heart.
Stress reduction is crucial. Meditation, yoga and mindfulness will help reduce stress and it affects on your body.
Hope for a healthy year ahead. 

01/06/2026

https://www.mdvip.com/patients/resources/managing-cortisol-levels-can-help-you-achieve-your-health-goals

A hormone our bodies produce naturally is linked to a surprising number of adverse issues, including sleep deprivation, weight gain, headaches, acne, fatigue, muscle weakness, insulin resistance/type 2 diabetes, weak immune system and high blood pressure. The culprit? Cortisol.If you’re trying to ...

12/31/2025

Happy Philadelphia New Year

12/28/2025

Modern Medicine

12/24/2025

Happy holidays from all of us at personalized internal medicine. We will be celebrating over the next few days and the office will be closed Christmas and Friday reopening on Monday. As always, I am available by phone.

12/22/2025

Happy Holidays from all of us at Personalized Internal Medicine MDVIP

12/09/2025

Movement can be a powerful medicine for people with diabetes and other forms of insulin resistance. But intensity and timing can make a difference.

11/28/2025

https://go.mdvip.com/dc/FDsVYyfzGKTvJT0jRULYBimUpemH6FEhxJ4xkYvZ-f176omuHvEir-k9eK8P_nVi7s91VGnJZk_nxxa4GC3nrVkgMcLxTdoRpBgzhbRJTL2t_wio1az51Jk-kkl0eWqK78ZDdTYP_JDpzQuoNPEwrXpePYOBsD-VydW0nIgaF6oQDTCLLkb_8YyUDiN24coIxN4chHTxr4pPPnZNtXOKQqXsiRc7xK2aI_R1d8O5muu8oAYG2J9bi1zE7mEFOMJLSW8LHyphfjKQ05oqSbWimg==/MDAyLUNUUC0xNjQAAAGeRgMX9ZCwT10vxDhwxppRQn4-lmDimbEN-LfCL2hemDCBm1h3Gj8PX1z5EOgsWf2_YoKb6lw=

11/26/2025

A happy healthy Thanksgiving from me and my staff

11/25/2025

Melatonin.
Recent concerns about long-term melatonin use and heart failure were presented at a recent meeting of cardiologist.
Although melatonin which is used for insomnia, has potentially cardioprotective effects based on reduce reduced inflammation. Long-term use i.e. greater than one year I’ve been associated with an increased risk of poor cardiac output commonly called heart failure.
Major references still describe melatonin as generally safe for short-term use with common adverse effects, which include daytime, sleepiness, dizziness, headache, and rarely blood pressure changes.
For a patient with stable heart, failure, and significant insomnia, short term, low-dose shoes, (0.3–3 mg at bedtime ) would be reasonable.
Long-term night leaves, especially greater than 12 months should be approached carefully and consider alternative strategies for insomnia. 

11/25/2025

https://youtu.be/FDiXrd-R68U?si=xcPMked_yfmKNjHZ

This may not be one of Paul Simon’s most successful songs, but it was a fun vibe to work up at the start of a new school year – getting instruments out for t...