WOODSON C. MERRELL, M.D.

WOODSON C. MERRELL, M.D. 44 EAST 67th STREET NEW YORK, NEW YORK 10065 Teleph Fax Date: October 6, 2011 Patient: Jeffrey Epstein (Email: [email protected] • Eat a very soft, bland diet for the next 2-3 days • Continue off Aleve • Discontinue niacin for now until stomach symptoms are gone • If symptoms are not better in 2-3 days, or worsen before then you will probably need, ideally a stool culture, and antibiotics. For this, Dr. Cahill usually prescribes: o amoeba antibiotic: metronidazole (Flagyl) or Humatin (paromamycin) 250mg three times a day for 7 days; along with, o bacterial antibiotic: Cipro 250 mg or Doxycycline 50 mg one tablet twice a day • Use a probiotic (e.g. acidophilus) twice daily now, and especially if you use antibiotics • Call tomorrow to let me know how you are doing All supplements are available at: Willner Chemists 100 Park Avenue Life Science Pharmacy VitaHealth 144 Route 17M 1235 tat Ave 0926 New York, NY 10065 Pharmacist: Scott Berliner Pharmacist: David Restrepo EFTA01106919