WOODSON C. MERRELL, M.D. 44 EAST 67th STREET NEW YORK, NEW YORK 10065 Telephone. Fax: Date: August 1, 2011 Patient: Jeffrey Epstein (Email: [email protected]) • Contact your parathyroid specialist at Yale to let him know latest result of 104 (calcium normal at 96), and if he needs to do anything more • Because of low blood folic acid blood test (low normal B12) and elevated 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 your diet (e.g. sugar, white flour, white rice, potatoes, rolls, etc.) Use vegetables and minimal fruit as your main source of starches • Your vitamin D is low normal (30, with normal 30-40); because of elevated PTH and risk of hypercalcemia, its best to keep it at this level. • Your HDL (good) cholesterol is low and your LDL (bad) cholesterol is a bit high; these are improved, but still need some correction. Recheck cholesterol blood test in September • I added DHEA to your blood test; the result will be back by Friday • I don't recommend treating it, but if you want to have a consultation about low testosterone, my favorite consultant for this is senior Columbia urologist, Dr. Harry Fisch 944 Park Avenue NY NY 10028 - - 212-879-0800. He has been using Clomid more successfully for this • See me for a follow up in September/October, or sooner as needed All supplements are available at: Milner Chemists 100 Park Avenue NYC, NY 10017 www.willner.com Life Science Pharmacy 144 Route 17M Harriman, NY 10926 VitaHealth 1235 1st Ave New York, NY 10065 www.lifesciencepharmacy.com Pharmacist: Scott Berliner Pharmacist: David Restrepo EFTA00587631