WOODSON C. MERRELL,

WOODSON C. MERRELL, 44 EAST 67th STREET NEW YORK, NEW YORK 10065 Telephone: Fax: Date: October 15, 2015 Patient: Jeffrey Epstein (Email: jeevacationftmail.com Asst: • Continue acupuncture series (done here Oct 14 and 15) • Due to lab results: o For high triglycerides a (1053 I) and cholesterol (270 with HDL 29: • Significantly change your diet---as dose to a plant-based one as you can (mainly vegetarian, fish , non-fat dairy and egg whites as your proteins and only complex carbos) • Read Dean Ornish's The Spectrum • Start Lipitor. To try to prevent side-effects, start very slowly: • 1/2 tablet (of lowest dose 10 mg called in to your pharmacy) twice week for one week, then • 1/2 every other day for two weeks, then • 1 tablet every other day, then • Wait one month then recheck your blood test before increasing (and of course making sure no side-effects) • See your cardiologist Rony Shimony, MD to review further (and do any additional testing. Let us know your apt date and we will send labs with a note (do you want copies of your own labs?) o For elevated HgbA1C (5.9 with normal < 5.7) avoid refined carbohydrates o For low Vit D 024.8 with ideal 40-50 for you) start Vit D3 4,000 daily o For low testosterone, see one of • Urologist Harry Fisch, MD who uses mainly Clomid (occasionally HCG); 944 Park Ave, NYC 10028, www.harryfisch.com • Endocrinologist Jeffery Mechanick, MD (less enthused about Clomid) • (my preference is Clomid one tablet daily---induces your body to make more of its own testosterone • Let us know appt date to send labs (if you don't have by then) o Use one enteric-coated baby aspirin daily • You have other labs pending—call in 3-4 days to review these (including PTH) All supplements are available at: Winner Chemists VitaHealth 100 Park Avenue 1235 1st Avenues (41•t Street) (Between 66'h & 67'h Street) NYC, NY 10017 New York, NY 10065 www.willner.com Pharmacist: David Restrepo EFTA01071145