Dr. Santa Maria is a concierge physician working in Boca Raton, FL. He works with all types of patients and specializes in cardiovascular disease treatment and prevention, nutrition, lipid management, weight control and chronic illness.

Working with patients with rare, genetic, and autoimmune diseases — helping them to manage their condition with ease and comfort..

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Ask Dr. Santa Maria: What Causes Brain Fog? And How Can We Treat It?

Ask Dr. Santa Maria: What Causes Brain Fog? And How Can We Treat It?

Many POTS patients suffer with brain fog—a symptom that causes patients to feel confused, lack clarity, and feel inattentive or unable to stay focused on a thought. Though it may not possible to test for brain fog, it’s a symptom that patients will learn to recognize on their own. It is a common complaint of patients with Chronic Fatigue Syndrome (CFS), Fibromyalgia, and Postural Orthostatic Tachycardia Syndrome.

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Ask Dr. Santa Maria: Albumin, Bilirubin and AST Blood Results

Ask Dr. Santa Maria: Albumin, Bilirubin and AST Blood Results

What does it means when your Albumin, Bilirubin and AST are all low?

Albumin is a major blood protein that will either go up or down in many different situations. Poor nutritional intake or excess protein losses through bowel movements or urination can cause it to drop. It will also drop when there is systemic inflammation (also known as a reverse acute phase reactant.)

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Ask Dr. Santa Maria: Why Do P.O.T.S Patients Pass Out?

Ask Dr. Santa Maria: Why Do P.O.T.S Patients Pass Out?

These “black-outs” where you constantly feel like you are going to pass out—but may not completely lose consciousness may be related to a lack of volume or lack of blood flow to the brain. Medically, we use the terms “dehydration” and “hypovolemia.” These terms are not interchangeable (although you will see that quite frequently” and each has a specific meaning.

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The Trouble with AGE (Advanced Glycation Endproducts) is Glucose—and You Can Stop It.

The Trouble with AGE (Advanced Glycation Endproducts) is Glucose—and You Can Stop It.

AGE is the technical term for a protein plus a sugar. Proteins are all over the place—whether it’s in the form of an enzyme or a structural protein like the ones in your eyes or heart. Proteins get sugar coating and that makes them dysfunctional. It’s kind of like the bottom of a ship that gets barnacles and then it won’t float so well anymore. When this happens, the body has to throw out those proteins or recycle them—or its very stressful to the body, and it’ll wear down.

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