EFTA01071167.pdf

WOODSON C. MERRELL, M.D. 44 EAST 67th STREET NEW YORK, NEW YORK 10065 Telephone: Fax: Date: October 24, 2015 Patient: Jeffrey Epstein (Email: jeevacationagmalcom Asst: Follow-up of Labs from Oct 15 office visit (ones not in then): • Your PTH was normal again: 46 (normal < 651) • Your other hormones were all normal (growth hormone, insulin , DHEA), TSH) • Your liver enzymes were elevated. For this: o follow this carefully with starting the Lipitor o start supplements to help protect: • herbal milk thistle one daily (Jarrow brand) • amino acid NAC 500 mg (Jarrow again) one daily • Your homocysteine was elevated (15.6 with normal < 15.0) For this resume the MTHF form of folic acid (for which you are missing two converting enzymes from normal folic acid) Folapro by Metagenics is a good brand, one daily until Homocysteine is <12 • Your urine test showed some blood in it. I would retest this—and this is a reason to see urologist Harry Fisch for both this and the testosterone rx (per 10-15 instructions). • Other per 10-15-15 instructions • Call me next week to follow-up all this All supplements are available at: Willaer Chemists VitaHealth 100 Park Avenue 1235 1st Avenues (41st Street) (Between 66th & 67th Street) 65 WWW. willner.com Pharmacist: David Restrepo EFTA01071167