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Dr. Karen Koffler

Internal Medicine
FL
33 years experience female

About

Bio

Professionally, I have trained and certified in Internal Medicine (University of Colorado), Integrative Medicine (University of Arizona) and Functional Medicine (Institute for Functional Medicine). My approach to health is preventive and wholistic and I prefer to use more gentle strategies like food, herbs, supplements, acupuncture, mind-body techniques, to help restore the natural capacity of the body. I will, when appropriate, use conventional medicine but I fundamentally believe in the body's ability to heal itself and see it as my job to help this natural capacity.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Internal Medicine

Licenses

United States: Florida

Languages spoken

English

Doctor Q&A

47 Answers
24 Agrees
The number of answers this doctor has agreed with.
A 31-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Yes but caution: Tylenol (acetaminophen) and alleve work in distinct ways to alleviate pain. But just because they are available over-the-counter doesn't mean they ar... Read More
A 29-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Yes but....: Many people get an upset stomach when they take B vitamins, so to avoid this, I usually recommend taking it with food. Remember to drink green tea as... Read More
A 24-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Sure can: Certainly sounds like food poisoning (and food poisoning is caused by a "bug"). Can you identify what food may have caused it? If it is food poisoni... Read More
A 23-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Could be: This could easily be checked through a blood test. A full series of blood work should be drawn if it hasn't been to evaluate the hepatomegaly and el... Read More
A 31-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Not a panacea: B12 shots can be great but in my experience, do not result in people feeling immediately better that often. There are other things that cause these s... Read More
A 19-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Magic magnesium: Not completely clear on the dx, but one thing that might address your issues is magnesium glycinate starting at 400 mg and increasing up to 1000mg/d (... Read More
A 27-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Have it checked: Really, someone needs to examine what you have described. I would recommend you start with your primary care doc so they can get a full history and ha... Read More
A 38-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
A few causes: The first thing I think of is your vitamins. Do they contain zinc, copper, or chromium? If so, this may be the source and you may need to change form... Read More
A 34-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Yes: There are hormones that overlap what you are describing: thyroid and cortisol come to mind. But perhaps more likely you have significant fluxes in blo... Read More
A 38-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Don't be!: I am not sure why you are receiving B12 injections but your levels will slowly drift down. I have never seen toxicity due to elevated B12 levels, eve... Read More
A 36-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
More info needed: Without examining you and taking a good history, it is hard to comment on your situation. I would want to know why you are suddenly having these sympt... Read More
A female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Be careful: Both tumeric and ginger can increase the efficacy of your medication to treat blood clots resulting in an increased tendency to bleed. I would not e... Read More
A 25-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Complex question!: Take these supplements with a meal as the digestive enzymes will help increase absorption. Theoretically taking additional digestive enzymes could hel... Read More
A 25-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Likely infection: Sounds like food poisoning. If the nausea is resolved, soon the diarrhea should taper off as well, Keep well-hydrated with water or coconut water, no... Read More
A 23-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Absolutely!: At the risk of grossing you out, the fact is, there are germs on the chairs, counter tops, every surface you see and spiraling around in the air. Obv... Read More
A 24-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Help on the way: Tonsil stones can be a nuisance but they can be prevented. Be sure you are on a clean, plant-based diet and minimize dairy. Take probiotics designed f... Read More
A 30-year-old member asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Good question: The data certainly points to an association between low folate (folic acid) levels and incidence of UC. Furthermore, folate (folic acid) is protective... Read More
A member asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Very unusual: This sounds like an unusual symptom but if you suspect high blood pressure, you should check it and see what it is. My first thought would be neurolo... Read More
A 24-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Food first!: The absolute most effective way to lose weight is a healthy diet (plant-based) and exercise, plus patience. Weight loss should be slow (1-2 lbs/week) ... Read More
A 27-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Yes to fish!: There have been numerous studies supporting fish oils in lowering cholesterol and triglycerides and providing protection to blood vessels. I would ha... Read More
A 37-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Not sufficient!: Align is great for maintenance, but when you are given potent antibiotics (such as levaquin), you need a broader range and higher colony count of bac... Read More
A 54-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
The right path...: Looks like you are doing a lot right having improved your ejection fraction and exercising regularly. I have had patients live long and strong after ... Read More
A 22-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Food-based multi: A food based multi from your natural foods store makes the most sense as it is all derived from fruits and vegetables. There are also delicious tastin... Read More
A 50-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Probably OK: Wheezing after bronchitis is not unusual. You do not receive general anesthesia for a colonoscopy so you will likely be just fine. The anesthesiologis... Read More
A 22-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Depends!: Both tyrosine and glutamine can be good for the body. Tyrosine is used to form the neurotransmitters dopamine and norepinephrine and glutamine is used... Read More
A 19-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Don't freak out: See your doctor for an exam and urinalysis but relax. The likelihood of cancer in a 19 yo is EXTREMELY remote. There are other things I would conside... Read More
A 23-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
A few can: Several vitamin deficiencies can cause muscle aches but the most common reasons I see are vitamin D3 deficiency and magnesium deficiency (especially i... Read More
A 22-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Secret to losing: What most people do not realize is that weight loss is about 80% diet and 20% exercise,etc. Of course running for an hour will help utilize calories y... Read More
A 44-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Absolutely: I do not know why you are taking it, but this dose is safe and often the dose I start at when using it with my patients. In general, I am typically wo... Read More
A male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Do see a doc...: A new growth like you described, needs to be examined by a doctor. It may be either of the things you described or something else but only by seeing t... Read More
A 20-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Many things can help: A good diet that is plant-based is a good start. Bone broth is excellent. Remember that smoking destroys the skin. Supplements like omega 3 fats, anti... Read More
A 17-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
There are dozens!: Burrpees are perhaps the best overall best single exercise you can do especially if you pair them with a push up and a jump at the end of each one. S... Read More
A 33-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
No!: Natural ways of increasing dopamine like foods containing tyrosine, listening to music, meditation and most significantly exercise are excellent ways ... Read More
A female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Lysol ok: Once you have been treated, all linens , clothing, towels,etc that you may have used in the last 3 days need to be washed in hot water and dried in a ... Read More
A 17-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
No...: In fact, taking a bath at the end of a day is a great way to relax. I can see no downsides to it.
A 25-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Get to the root: Consider your diet as a culprit: often wheat and perhaps dairy but there are other foods that can cause dermatitis. I use coconut oil as a great moist... Read More
A female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Can't be sure: You can try using black tea bags on your closed eye (steep in warm water to activate first, then place over your closed eye- not hot!). Do this for 1... Read More
A 18-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Don't do that...: I suspect you are "popping" your ribs where they meet your sternum or breast bone. I would not think that is a good idea to intentionally do. So, no, ... Read More
A 37-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Lots of causes: You will need to be systematic to figure this out but your diet is a likely contributor if not culprit: too many carbs, too much fiber for your gut ba... Read More
A 22-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Breast tissue is fat: Breast tissue is made up of connective tissue, ducts, glands, tiny muscles, lymph, and predominantly fat. When we lose weight, we lose it from everyw... Read More
A 33-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Not entirely clear.: Your question is a good one. Most manufacturers of probiotics simply direct you to take one tablet daily. Others state it should be taken at the sta... Read More
A 23-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Not likely: The size of a glucose molecule is small enough to penetrate the skin and in skin products, glucose often is used as a humectant, to keep moisture in.... Read More
A 19-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Not likely: Weight gain is dependent on the quality of your food, calories, as well as activity level, in addition to other variables. You are upping your intake ... Read More
A 47-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Several things: Without examining the area, it is hard for a doctor to tell what is going on. Depending on location, could be bursitis, muscle injury, phlebitis, jo... Read More
A 34-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Time to see the doc: You are doing so much right! But a month-long productive cough suggests to me it is time to have a doctor listen to your lungs, check your sinuses, p... Read More
A 44-year-old female asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
Highly unlikely: You may be referring to animal studies whereby sheep were fed kale exclusively and often developed goiters. However, if kale smoothies are a part of ... Read More
A 48-year-old male asked:
Dr. Karen Koffler
Internal Medicine 33 years experience
I would look further: You are young and have signs of an enlarged heart. I would be aggressive and I would want to see and echo report and make sure you do not have sleep a... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

42
Thank you notes
HealthTap member
Thank you Dr Koffler. I appreciate your response very much. I agree with what you stated. Yes I think something is wrong but every test, every examination, etc come back to no avail. No one helping
HealthTap member
This made me feel good. Thanks! Thank you. I have an appointment with my PCP in three weeks and will ask then. It makes me feel better to know this is not an emergency.
HealthTap member
This was very helpful. Thanks! I appreciate it very much. No pain yet just uncomfortable--hopefully I can get it managed before any worsening. thank you again

Education & Training

Medical/Graduate school

University of Miami
Graduated 1989MD

Awards

HealthTap Doctor Mom
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less