Dr. Stephen Klein
speaker
550 appearances
1 recordings
1 series
first heard Jun 2026
last heard 25 Jun
Dr. Stephen Klein’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.
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Also, naltrexone is used in a somewhat interesting – going back to one of your earlier questions about abstinence versus moderation –
With alcohol, there can be different outcomes and different desired paths, one of which is called the Sinclair method, which is when someone takes naltrexone 30 minutes to an hour before drinking in the hopes that it mediates the number of drinks that they have during that episode.
Yes, largely so.
It's been one of the really great successes, I'd say, of public health initiatives in the addiction medicine space.
Insurance is not something that I feel like I have to contend with.
I can recommend MOUD to almost anyone.
Also with naltrexone, these things are widely covered and their injectable forms are actually really expensive.
Sublocade, Brixadi, and now Trexone comes as an injectable called Vivitrol.
They're very expensive, but luckily addiction medicine practices have gotten really good at doing those prior authorizations and getting patients on monthly injections, probably because the number needed to treat is so low.
And when we keep people away from doing substances and treating their substance use disorders, I think it's one of the great kind of public health successes in that we can really have them reintegrate into society.
They have less comorbid issues.
And overall, I'm not an insurance company calculus major, but I would imagine overall the cost savings is huge for patients with addiction.
They can last forever.
I would say the limit doesn't exist.
There's really the ability to be on these medications for the long term, especially with the injectables.
I will say anecdotally, just going back to maybe the foundation of this conversation, there's treating the symptoms of addiction, and then there's really treating addiction.
For me, treating addiction is recovery.
So I do work with men who have been sober for long amounts of time, have very strong foundational roots in 12-step recovery, but then return to use.
What's interesting that I see, again, and I don't have data to back this up, it's more of an anecdotal observation, is there are men that I serve as patients that are
Yeah.
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