Telt ithon Pax: Date: October 21, 2010 Patient: Jeffrey Epstein (Email: • Try of the following herbal nighttime sleep aids: o MyoCalm PM by Metagenics; 3 at bedtime, or o Deep Sleep by Herbs Etc.; 3 at bedtime • Send me copies of your MRI reports and other labs done in the last year • See me fo

ead right forearm TB skin test tomorrow (Friday); call if swelling (not redness) is more than 10mm • Herbal nighttime sleep aids: o Myocalm PM by Metagenics; 3 at bedtime, or o Sleep Aide by Vital Nutrients; 2 at bedtime • We will consider additional supplements once we review lab results. Possible fu

gue), 1 per day • Because of high homocysteine and absence of both MTHFR C6 folic acid enzymes, begin (folinic acid form of folic acid) FolaPro by Metagenics; 1 per day • Avoid extra vitamin D intake due to normal level (42) and high calcium • I don't believe I mentioned it today; heavy metals (mercur

ead right forearm TB skin test tomorrow (Friday); call if swelling (not redness) is more than 10mm • Herbal nighttime sleep aids: o Myocalm PM by Metagenics; 3 at bedtime, or o Sleep Aide by Vital Nutrients; 2 at bedtime • We will consider additional supplements once we review lab results. Possible fu

reventively/immediately upon exposure (ie for travel). • For Specific Symptoms: a. Sinus Blockage: add a decongestant. Try herbal Nazonal first (by Metagenics; has no pseudophedrine or other stimulants), then Sudafed (can be too drying/stimulating for some). b. For Chest and/or Sinus Congestion: i. Use a

eric-coated baby aspirin every 1 to 2 days o Because of partial folic acid enzyme converting deficiency (MTHFR), take FolaPro form of folic acid by Metagenics; 1 twice a week o Nordic Naturals Omega 3 Fatty Acid Fish Oil; 1 capsule twice a day or 2 capsules once a day (approx 800 mg OPA/DHA) o Magnesium

d homocysteine: o For now while in Europe, use a generic B complex; 50mg once daily o When back in NY, resume added FolaPro brand of folic acid by Metagenics; 1 daily • Because of slightly elevated blood sugar screening test (hemoglobin Alc), avoid as much as possible all refined carbohydrates from you