WOODSON C. MERRELL, M.D.

WOODSON C. MERRELL, M.D. 44 EAST 67th STREET NEW YORK, 5 Telepho Fax: Date: October 9, 2014 Patient: Jeffrey Epstein (Email: [email protected] Asst: • Start doxycycline antibiotic now: 100 mg twice/day for 7 days. Call Tuesday for preliminary results of today's tests. • Start supplements; o Beta GIucan Probiotic by Biolmmersion, one scoop in liquid once daily (Take 20-3 hrs away from antibiotics0: contains excellent pro- and pre- biotics. You can alternate this with Bio-K o Take Colostrum Plus by Symbiotics: two chewable tablets once daily ( to help bowel lining integrity and immunity) o Start red yeast rice (RYR): use Thorne's Chol-East brand, two 600 mg capsules twice/day. Check the cholesterol test numbers one month after starting—then consider with Rony about cautiously adding very small amounts of a statin if needed. o Continue with one baby aspirin every other day o Resume MTHF form of folic acid: you are missing two of the 4 enzymes (MTHFR) needed to metabolize folic acid to the active form. My favorite brand is Folapro 800 mcg by Metagenics, one daily o Resume magnesium—helpful for muscle and vascular relaxation (and bowel movement): use 200 mg magnesium citrate twice/day: you can double this easily if need be o I sent you Curcumin—but this is preventive and not as important as the above. It is nature's most powerful anti-inflammatory—and also happens to be a delicious spice---have your chef make some dishes with it for you • Consider doing an acupuncture series with me for your spinal stenosis • I will check with Joe Purita, MD in FL to see if his stem cell injection work would be useful for your neurologic problem (www.stemcellorthopedics.com ) • Make sure to have another consult with a back specialist: my favorite is Paul Kuflik at the Spine Center at Mt Sinai • With your recent elevation of PTH have a consultation with your Yale parathyroid specialist. • Consider seeing Columbia urologist Harry Fisch, MD to discuss using Clomid to stimulate your body to make more of your own natural testosterone rather than topical synthetics-if your levels are still < normal (which is another cardiovascular risk); 944 Park Avenue NYC 10028 • Make sure to consume only whole grains re: your elevated triglycerides and tendency to elevated HbAl C (sugar metabolism/glycosylation). • You said your sleep apnea is nearly gone now—without need of CPAP • Call me in 7-10 days to review today's final test results All supplements are available at: Milner Chemists VitaHealth 100 Park Avenue 1235 1st Avenues at the Continuum Center (41" Street) (Between 66th & 67th Street) for Health and Healing 065 Pharmacist: David Restrepo EFTA01106926