Marcia A. Harris, MD, LHDPatients Medical
Please tell us whatyou liked and what you would like tosee from us in the       future!                      www.patientsm...
   A holistic medical center   Full-service                                www.patientsmedical.com
   Discover health, rediscover vitality   Focus on the root cause   Integrate modern medicine, holistic    practices, a...
   Our goal     Promote healing and prevent disease                                        www.patientsmedical.com
Physicians collaborate to approach each            patient holistically.                               www.patientsmedical...
Result:Gain health and nutritional wisdom that can       be applied for years to come.                                www....
   Conditions Treated       Chronic Fatigue Syndrome       Obesity/Overweight       Osteoarthritis (OA)       Rheumat...
   Staff     Medical Doctors      ▪ Internal Medicine      ▪ Family Practice      ▪ Gynecology      ▪ Osteopathy      ▪ ...
Integrative Medicine                       www.patientsmedical.com
This evening’s speaker:Marcia A. Harris, MD, LHD  Holistic Gynecologist  Anti-Aging Medicine                     www.patie...
   Received MD from Columbia University College of    Physicians and Surgeons   Awarded the Rudin Scholarship   Interns...
   Specialties include       Hormone Balancing       Nutrition       Detoxification       Weight Loss       Intraven...
14www.patientsmedical.com
   Cycles   Balance   Transitions                  www.patientsmedical.com
Progesterone, Estrogen and Testosterone Have over 400 functions in the body When lacking, cause previous symptoms and  s...
   1st uniquely female hormone   Considered the main female    hormone   Xenoestrogens-Man made    estrogen   Phytoest...
Type of Estrogen                  Name      E1           Estrone                   • Made in fat tissue                   ...
Estrone    Estradiol           EstriolStage                 (E1)        (E2)               (E3)Premenopausal     10-20%   ...
   Regrowth of menstrual tissue   Growth of follicle into an egg   Growth of breast   Support vaginal tissue   Develo...
 Breast tenderness Depression Fatigue Poor concentration Endometriosis Fibrocystic breasts PMS Fibroids Water ret...
   2nd uniquely female hormone   Made by the ovary after    ovulation   Can be made from wild    yam and soy beans   P...
   Pro-Gestation   Promote development of the fertilized egg   Natural Diuretic   Uses fat for energy   Natural antid...
 Breast tenderness Depression Fatigue Poor concentration Endometriosis Fibrocystic breasts PMS Fibroids Water ret...
25www.patientsmedical.com
www.patientsmedical.com
 As you age, the ovaries produce less estrogen  hormones Puberty  Turbulence The Reproductive Years     Estrogen, pro...
Peri-menopause is associated            with estrogen dominance. Increased PMS             Mood swings Breast swelling ...
   Permanent cessation of menstruation   Caused by decreased production of ovarian    hormones   Most commonly occurs b...
   Mood Swings              Decreased Sex Drive   Depression               Erectile Dysfunction   Panic Attacks      ...
   Menopause is NOT an estrogen deficiency    condition   External estrogen exposure is unchanged   Hot flashes diminis...
In the 1930’s several significant thingshappened Adolph Friedrich Johann Butenandt won the  Nobel Prize for isolating the...
   1938: Diethyl Stilbesterol (synthetic Estrogen)   Given to pregnant women to prevent    miscarriage   9 out of 10 da...
   1941 Study: Journal of Cancer Research –    Estrogen is a very important factor in Uterine    Carcinogenesis   1942: ...
Pregnant Mares’ Urine    #1 Prescribed STILL!                           www.patientsmedical.com
   1970’s Premarin – Gold Standard   1971: FDA revokes approval of DES   1975: Studies Endometrial Cancer Black Box    ...
1993-1998 by the NIH 17,000 healthy women 55-79 years old All had uterus Prevention of heart disease and hip fracture...
1.   Estrogen only (CEE)2.   Estrogen (0.625 mg CEE) + Progestin     (2.5 mg medroxyprogesterone acetate –     Prempro)3. ...
   Used conjugated equine estrogen (CCE) with    50% E1, E2, no E3 and 40% equine estrogen.   They also used medroxyprog...
   2002 – stopped study   35% initially enrolled, but dropped out   20% dropped out due to side effects or fear        ...
The Prempro Arm was halted           22% Increase in total CV DiseaseJuly 9, 2002, three years early        26% Increase i...
   54% Ovarian Cancer with Prempro   43% Ovarian Cancer with Estrogen alone   No improvement in most quality of life is...
   Herbal remedies   Phytoestrogens:    ▪ Black Cohash    ▪ St. John’s Wort    ▪ Dong Quai    ▪ Dietary Soy    ▪ Evening...
Biochemically, the body is not set up to convert   plant hormones into bio-identical human   molecular structures from raw...
   BHRT     Clinically proven     Safe     Effective     Replaces hormone deficiency     Biochemically resolve the p...
 Uses hormones made from soy  and wild yam Biologically identical in chemical  structure to the hormones  synthesized in...
A molecular structure that occurs in nature          cannot be patented.                        The Keys that Fit! Relati...
   BHRT: RBA 100%   At a cellular level, the body     Recognizes     Accepts     and Uses    …BHRT just as it would h...
SYNTHETIC HORMONES                          BIO-IDENTICAL HORMONES(PREGNANT MARE’S URINE)                                 ...
What is synthetic? “Patented” or “Conventional” or “Artificial” Usually not found in nature or at least not in  humans ...
 Dictates how the hormone is  metabolized and what bi-products result Changes in the position of even one  substituent c...
Are very different in molecular structure and function fromBio-Identical Estrogens Progesterone and Methyl Testosterone.  ...
Natural Hormones are Bio-Equivalent, also known as Bio-          Identical.                   Patches                   ...
 Peak and Trough daily has  liver bypass therefore  increasing clotting factors CEE has higher conversion  to 16OH Estro...
   Can be administered through patches, gels, sprays or creams   No liver bypass so they have the benefit of no increase...
    Estradiol levels are better than pills but still    get peak and troughs    Maintains E2-E1 ratio of 1:1   Adhesive...
   Good symptom relief   Some are toxic   Weekly or monthly Peaks & Troughs….                                   www.pat...
PELLET THERAPY (Subcutaneous Implants)   Discovered in 1935 In Europe, original studies done in    1939 by Dr. Greenblatt...
No roller coaster effect (i.e. no peaks and valleys)                                 Keep E2-E1 ration at 2-1            ...
   Rate in 2001 was 7%   WHI Study was halted because they saw an    INCREASE of 8%   So more than doubled your risk!!!...
Arizona Study – 976 Women      # at 7% = 7/100 → 976 (in study) → 70      8% incr. = 8/100 → 976           → 80           ...
   Definitely “cardio sparing” (protects the    heart)   “Bone sparing” (protects the bone   Does NOT increase dementia...
   Bio-identical is misleading (the chemical    structure is not exactly the same)   No BHRT has met federal standards f...
 The day of one size fits all hormone  replacement regimen used in  traditional medicine is over Bio-identical HRT allow...
   Natural decrease in male hormones   Starts as early as late 20’s   Very gradual, so not as dramatic (1-2% per year)...
   Money: Big pharma   Most MD’s only know what the drug rep tells    them (actual studies in the 80’s)   Managed care ...
1.   Education2.   Consultation3.   Blood draw and evaluation4.   Implant5.   4-6 weeks repeat blood draw6.   Booster (if ...
Q and A with the Doctor.                                       68                    www.patientsmedical.com
Get back on track with your health with Dr. Harris and     Patients Medical.                                         69   ...
Get started TODAY by making an appointment                with Dr. Harris.          Call 212-661-4441 or email         med...
Please tell us whatyou liked and what you would like tosee from us in the       future!                      www.patientsm...
www.patientsmedical.com
Stress Incontinence:   Why it Happens and How to Reverse it   Dr. Harris will explain how this uncomfortable andembarrassi...
Spring Cleaning: Easy and Delicious Detox   Dr. Vivian DeNise explains why everyone needs to   detox and healthy chef, Eli...
Get Fit for Spring with the HCG Diet  Dr. Harris demystifies the secret of the HCG Diet and whythere is so much buzz aroun...
Just for MEN: Boost Your Mojo NaturallyDr. DeNise and Nutritionist/Personal Trainer, Judy Pentaexplain how to improve your...
Come See Our Holistic Ophthalmologist      Dr. Ayman Matta will be seeing patients on          Friday, March 22nd in the a...
Dr. Rashmi Gulati,     Dr. Kamau Kokayi,                              Dr. Marcia A. Harris                                ...
www.patientsmedical.com
www.patientsmedical.com
To get more information or to schedule an               appointment,          call 212-661-4441 or  email media@patientsme...
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Balance Your Hormones - Balance Your Life! with Bio-Identical Hormone Pellet Therapy

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Dr. Marcia A. Harris, holistic gynecologist at Patients Medical explains why bio-identical hormones are WAY better for you than synthetic hormones and how pellet therapy can provide a more stable and convenient method of delivering the hormones to your body than pills or creams.

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Balance Your Hormones - Balance Your Life! with Bio-Identical Hormone Pellet Therapy

  1. 1. Marcia A. Harris, MD, LHDPatients Medical
  2. 2. Please tell us whatyou liked and what you would like tosee from us in the future! www.patientsmedical.com
  3. 3.  A holistic medical center Full-service www.patientsmedical.com
  4. 4.  Discover health, rediscover vitality Focus on the root cause Integrate modern medicine, holistic practices, and natural supplements www.patientsmedical.com
  5. 5.  Our goal  Promote healing and prevent disease www.patientsmedical.com
  6. 6. Physicians collaborate to approach each patient holistically. www.patientsmedical.com
  7. 7. Result:Gain health and nutritional wisdom that can be applied for years to come. www.patientsmedical.com
  8. 8.  Conditions Treated  Chronic Fatigue Syndrome  Obesity/Overweight  Osteoarthritis (OA)  Rheumatoid Arthritis (RA)  Diabetes  Heart disease  Crohn’s disease, IBS, IBD  Alzheimer’s disease  Lyme disease  Thyroid disease  Auto-immune diseases  Many other secondary medical conditions www.patientsmedical.com
  9. 9.  Staff  Medical Doctors ▪ Internal Medicine ▪ Family Practice ▪ Gynecology ▪ Osteopathy ▪ Holistic Oncology ▪ Alternative Pain Management ▪ Pediatrics  Nutrition  Kinesiology  Reflexology and Reiki  Oriental Medicine and Acupuncture  Homeopathy www.patientsmedical.com
  10. 10. Integrative Medicine www.patientsmedical.com
  11. 11. This evening’s speaker:Marcia A. Harris, MD, LHD Holistic Gynecologist Anti-Aging Medicine www.patientsmedical.com
  12. 12.  Received MD from Columbia University College of Physicians and Surgeons Awarded the Rudin Scholarship Internship in Internal Medicine at Harlem Hospital Center Residency in Obstetrics and Gynecology at NY Hospital, Weill Cornell Post-Graduate training at the American Academy of Anti- Aging Medicine (A4M) 37 years’ experience www.patientsmedical.com
  13. 13.  Specialties include  Hormone Balancing  Nutrition  Detoxification  Weight Loss  Intravenous therapy  Neuropathy  Thyroid Balancing  Feminine Wellness  Pain Management  Anti-Aging Medicine www.patientsmedical.com
  14. 14. 14www.patientsmedical.com
  15. 15.  Cycles Balance Transitions www.patientsmedical.com
  16. 16. Progesterone, Estrogen and Testosterone Have over 400 functions in the body When lacking, cause previous symptoms and subsequent disease www.patientsmedical.com
  17. 17.  1st uniquely female hormone Considered the main female hormone Xenoestrogens-Man made estrogen Phytoestrogens-Plant estrogen www.patientsmedical.com
  18. 18. Type of Estrogen Name E1 Estrone • Made in fat tissue • Holds cancer-causing properties E2 Estradiol • Made by the ovary • Active: relieves symptoms E3 Estriol • Highest amount in pregnancy • Weak estrogen • Not much help with symptoms www.patientsmedical.com
  19. 19. Estrone Estradiol EstriolStage (E1) (E2) (E3)Premenopausal 10-20% 10-20% 60-80% Post- 60-80% 10-20% 10-20% menopausal Premarin 50% 0.5% 0% (CEE) www.patientsmedical.com
  20. 20.  Regrowth of menstrual tissue Growth of follicle into an egg Growth of breast Support vaginal tissue Develop sex characteristics STORES FAT! Decreases thyroid hormone 20 www.patientsmedical.com
  21. 21.  Breast tenderness Depression Fatigue Poor concentration Endometriosis Fibrocystic breasts PMS Fibroids Water retention and bloating Fat gain around hips and thighs Breast and Uterine Cancer 21 www.patientsmedical.com
  22. 22.  2nd uniquely female hormone Made by the ovary after ovulation Can be made from wild yam and soy beans Provera and Depo Provera - Are not progesterone www.patientsmedical.com
  23. 23.  Pro-Gestation Promote development of the fertilized egg Natural Diuretic Uses fat for energy Natural antidepressant (calming effect) Restores sex drive Promotes regular sleep patterns Protects against cancer Balances Estrogen (growth) www.patientsmedical.com
  24. 24.  Breast tenderness Depression Fatigue Poor concentration Endometriosis Fibrocystic breasts PMS Fibroids Water retention and bloating Fat gain around hips and thighs Breast and Uterine Cancer 24 www.patientsmedical.com
  25. 25. 25www.patientsmedical.com
  26. 26. www.patientsmedical.com
  27. 27.  As you age, the ovaries produce less estrogen hormones Puberty  Turbulence The Reproductive Years  Estrogen, progesterone, testosterone are in optimum balance  High energy  Strong sex drive! www.patientsmedical.com
  28. 28. Peri-menopause is associated with estrogen dominance. Increased PMS  Mood swings Breast swelling  Depression Headaches  Fluid retention Decreased sex drive  Fibroids Weight gain  FCBD Foggy thinking  Migraine headaches www.patientsmedical.com
  29. 29.  Permanent cessation of menstruation Caused by decreased production of ovarian hormones Most commonly occurs between ages 48-52 It’s not a disease, but a natural transition from one life cycle to another Progesterone falls disproportionately greater This creates estrogen dominance www.patientsmedical.com
  30. 30.  Mood Swings  Decreased Sex Drive Depression  Erectile Dysfunction Panic Attacks  Vaginal Dryness Irritability  Painful Intercourse Bloating  Irregular Cycles Indigestion  Palpitations Gas  Dizzy Spells Brain Fog  Insomnia Difficulty Focusing  Difficulty Sleeping Osteoporosis  Night Sweats Varicose Veins  Hot Flashes Lower Back Pain  Urinary Leakage Body Aches  Crawly Skin Chronic Fatigue  Thinning Hair Weight Gain  Facial Hair (in women) www.patientsmedical.com
  31. 31.  Menopause is NOT an estrogen deficiency condition External estrogen exposure is unchanged Hot flashes diminish in 2-5 years Rx with natural progesterone is effective in 60% of menopausal women Doesn’t have the advantages of exogenous replacement www.patientsmedical.com
  32. 32. In the 1930’s several significant thingshappened Adolph Friedrich Johann Butenandt won the Nobel Prize for isolating the sex hormone (1939) Schering Pharmaceuticals (who sponsored his work) introduced  Progynum (synthetic estrogen)  Prolutum (synthetic progesterone)  Testorion (synthetic testosterone) www.patientsmedical.com
  33. 33.  1938: Diethyl Stilbesterol (synthetic Estrogen) Given to pregnant women to prevent miscarriage 9 out of 10 daughters of women who took DES had genetic abnormalities 5 out of 10 were never able to conceive 2 out of 10 had rare Adeno Carcinoma of the reproductive system and testicular cancer in males www.patientsmedical.com
  34. 34.  1941 Study: Journal of Cancer Research – Estrogen is a very important factor in Uterine Carcinogenesis 1942: Ayerst (Now Wyeth) put Premarin on the market  Pregnant  Mares’ Premarin!  Urine www.patientsmedical.com
  35. 35. Pregnant Mares’ Urine #1 Prescribed STILL! www.patientsmedical.com
  36. 36.  1970’s Premarin – Gold Standard 1971: FDA revokes approval of DES 1975: Studies Endometrial Cancer Black Box Warning Unopposed estrogen = Cancer Progestin: to oppose the estrogen  No safer, actually more dangerous but for 20 years they reigned supreme! www.patientsmedical.com
  37. 37. 1993-1998 by the NIH 17,000 healthy women 55-79 years old All had uterus Prevention of heart disease and hip fracture Re: Breast and Colon Cancer Not designed to address benefits for treatment of menopausal symptoms www.patientsmedical.com
  38. 38. 1. Estrogen only (CEE)2. Estrogen (0.625 mg CEE) + Progestin (2.5 mg medroxyprogesterone acetate – Prempro)3. Sugar Pill (placebo) www.patientsmedical.com
  39. 39.  Used conjugated equine estrogen (CCE) with 50% E1, E2, no E3 and 40% equine estrogen. They also used medroxyprogesterone Acetate (MPA). The Premarin only arm showed a decreased risk in hip fracture and colon cancer. 15 JAMA 2004: 291: 1701-1712 15 JAMA 01-2000, 283:485-491 36 Cancer 2003; 97: 1387-1392 J Natl. Cancer Inst. 92 (4): 328-332, 2000 www.patientsmedical.com
  40. 40.  2002 – stopped study 35% initially enrolled, but dropped out 20% dropped out due to side effects or fear www.patientsmedical.com
  41. 41. The Prempro Arm was halted 22% Increase in total CV DiseaseJuly 9, 2002, three years early 26% Increase in Breast Cancer due to increased breast 29% Increase in Heart Attacks cancer and cardiovascular 33% Decrease in Hip Fractures disease in women. 37% Decrease in Colorectal Cancer 41% Increase in Strokes 60% Leg blood clot JAMA 7/17/2002 Vol. 288, 3 200% Alzheimer’s ,Dementia www.patientsmedical.com
  42. 42.  54% Ovarian Cancer with Prempro 43% Ovarian Cancer with Estrogen alone No improvement in most quality of life issues  Sleep  Hormonal health  Sexual health Did relieve  Night sweats  Hot flashes www.patientsmedical.com
  43. 43.  Herbal remedies  Phytoestrogens: ▪ Black Cohash ▪ St. John’s Wort ▪ Dong Quai ▪ Dietary Soy ▪ Evening Primrose ▪ Flax Seed ▪ Wild YamCan help relieve symptoms, but do little to fix the problem…. www.patientsmedical.com
  44. 44. Biochemically, the body is not set up to convert plant hormones into bio-identical human molecular structures from raw botanicals(although natural the body does not recognize and can’t use these efficiently). www.patientsmedical.com
  45. 45.  BHRT  Clinically proven  Safe  Effective  Replaces hormone deficiency  Biochemically resolve the problem at the cellular level www.patientsmedical.com
  46. 46.  Uses hormones made from soy and wild yam Biologically identical in chemical structure to the hormones synthesized in our bodies Overwhelming research that using bio-identical hormones to treat menopause and andropause has fewer side effects than synthetics and gives the best results! Perfectly safe! www.patientsmedical.com
  47. 47. A molecular structure that occurs in nature cannot be patented. The Keys that Fit! Relative Binding Affinity www.patientsmedical.com
  48. 48.  BHRT: RBA 100% At a cellular level, the body  Recognizes  Accepts  and Uses …BHRT just as it would human hormones. www.patientsmedical.com
  49. 49. SYNTHETIC HORMONES BIO-IDENTICAL HORMONES(PREGNANT MARE’S URINE) 49 www.patientsmedical.com
  50. 50. What is synthetic? “Patented” or “Conventional” or “Artificial” Usually not found in nature or at least not in humans Chemically altered form of human hormone Not identical in structure or activity to natural hormones they try to emulate www.patientsmedical.com
  51. 51.  Dictates how the hormone is metabolized and what bi-products result Changes in the position of even one substituent can lead to inactive isomersSperoff 2005 pg 28 www.patientsmedical.com
  52. 52. Are very different in molecular structure and function fromBio-Identical Estrogens Progesterone and Methyl Testosterone. www.patientsmedical.com
  53. 53. Natural Hormones are Bio-Equivalent, also known as Bio- Identical.  Patches  Creams  Gels  Sprays  Pellets www.patientsmedical.com
  54. 54.  Peak and Trough daily has liver bypass therefore increasing clotting factors CEE has higher conversion to 16OH Estrone which has a higher conversion rate to Quinones. Oral Testosterone is Methyltestosterone which can be liver toxic www.patientsmedical.com
  55. 55.  Can be administered through patches, gels, sprays or creams No liver bypass so they have the benefit of no increased clotting factors and therefore decreased CV risk Gels, Sprays, and Creams peak and trough daily Patches Peak and Trough bi-weekly or weekly depending on the preparation Must remember to rub it in daily Risk contamination with gym equipment, spouse or kids Timing: have to wait to get dressed and use after showering only Gels are alcohol based and lose some of active hormone when alcohol evaporates (including androgel for men) Transdermal preparations loose efficacy over time due to saturation of skin receptors and this usually occurs after about 1 to 3 years N Engl J Med 1997; 336-683-690 J Clin Endocrin Metab 2001; 86:3629-3644 Lancet 2003; 362:428-432 www.patientsmedical.com
  56. 56.  Estradiol levels are better than pills but still get peak and troughs Maintains E2-E1 ratio of 1:1 Adhesive problem very common maintains Need to change 2 times per week or weekly Transdermal estrogen has no effect on liver synthesis of proteins or binding proteins and therefore no effect on clotting factors. www.patientsmedical.com
  57. 57.  Good symptom relief Some are toxic Weekly or monthly Peaks & Troughs…. www.patientsmedical.com
  58. 58. PELLET THERAPY (Subcutaneous Implants) Discovered in 1935 In Europe, original studies done in 1939 by Dr. Greenblatt at the University of Georgia on hysterectomized women. No liver bypass so no increased clotting factors and therefore decreased CV risk. No Peak and Trough effects so delivers daily customized doses and subsequent significantly different in symptom relief due to customized dosing. Downside is breakthrough bleeding in non- hysterectomized women when progesterone levels are not physiologic. www.patientsmedical.com
  59. 59. No roller coaster effect (i.e. no peaks and valleys)  Keep E2-E1 ration at 2-1 which is physiologic  24/7 availability of hormones to the body (This may last for 3-8 month at a time ).  Adapts to the daily needs of the body.  The difference in relief of symptoms is night and day compared to other form of BHRT www.patientsmedical.com
  60. 60.  Rate in 2001 was 7% WHI Study was halted because they saw an INCREASE of 8% So more than doubled your risk!!! # at 7% = 7/100 → 17,000 (in study) → 1190 8% incr. = 8/100 → 17,000 → 1360 2550 www.patientsmedical.com
  61. 61. Arizona Study – 976 Women # at 7% = 7/100 → 976 (in study) → 70 8% incr. = 8/100 → 976 → 80 150There was only ONE breast cancer in the group! Similar statistics for Endometrial Cancer. ALMOST appears to be protective. www.patientsmedical.com
  62. 62.  Definitely “cardio sparing” (protects the heart) “Bone sparing” (protects the bone Does NOT increase dementia www.patientsmedical.com
  63. 63.  Bio-identical is misleading (the chemical structure is not exactly the same) No BHRT has met federal standards for approval  Prometrium (approved in 1998)  Estrogel (approved in 2004) BHRT is unregulated  Made from FDA and USP registered materials  Is regulated by state boards of pharmacy www.patientsmedical.com
  64. 64.  The day of one size fits all hormone replacement regimen used in traditional medicine is over Bio-identical HRT allows for custom balancing hormones based on the individual patient. No two persons have the same genetic make up, medical history, symptom environment or nutrition. Custom dosing is clearly appropriate and most advantageous! www.patientsmedical.com
  65. 65.  Natural decrease in male hormones Starts as early as late 20’s Very gradual, so not as dramatic (1-2% per year) Weight gain (especially belly fat) Lifestyle-related Fatigue - can be debilitating Urinary problems Depression, brain fog/anxiety Decrease in physical agility Decreased libido/erectile dysfunction May be related to “mid-life” crisis behavior Must replace testosterone and DHEA www.patientsmedical.com
  66. 66.  Money: Big pharma Most MD’s only know what the drug rep tells them (actual studies in the 80’s) Managed care environment Dr. Phil, Oprah, Dr. Oz and Suzanne Somers  Ageless  The Sexy Years  Breakthrough www.patientsmedical.com
  67. 67. 1. Education2. Consultation3. Blood draw and evaluation4. Implant5. 4-6 weeks repeat blood draw6. Booster (if needed)7. Enjoy life! www.patientsmedical.com
  68. 68. Q and A with the Doctor. 68 www.patientsmedical.com
  69. 69. Get back on track with your health with Dr. Harris and Patients Medical. 69 www.patientsmedical.com
  70. 70. Get started TODAY by making an appointment with Dr. Harris. Call 212-661-4441 or email media@patientsmedical.com www.patientsmedical.com
  71. 71. Please tell us whatyou liked and what you would like tosee from us in the future! www.patientsmedical.com
  72. 72. www.patientsmedical.com
  73. 73. Stress Incontinence: Why it Happens and How to Reverse it Dr. Harris will explain how this uncomfortable andembarrassing condition can be treated without dangerous drugs or surgery. Wednesday, April 3rd at 6:30pm www.patientsmedical.com
  74. 74. Spring Cleaning: Easy and Delicious Detox Dr. Vivian DeNise explains why everyone needs to detox and healthy chef, Elisa Haggarty will show you how easy and tasty it can be! Tuesday, April 9th at 6:30pm www.patientsmedical.com
  75. 75. Get Fit for Spring with the HCG Diet Dr. Harris demystifies the secret of the HCG Diet and whythere is so much buzz around it. Learn how you can safely and effectively lose the weight and keep it off! Wednesday, April 10th at 6:30pm www.patientsmedical.com
  76. 76. Just for MEN: Boost Your Mojo NaturallyDr. DeNise and Nutritionist/Personal Trainer, Judy Pentaexplain how to improve your focus, physique, libido and energy without dangerous OTC or prescription drugs. Tuesday, April 23rd at 6:30pm www.patientsmedical.com
  77. 77. Come See Our Holistic Ophthalmologist Dr. Ayman Matta will be seeing patients on Friday, March 22nd in the afternoon.See one of our staff members for details and scheduling. www.patientsmedical.com
  78. 78. Dr. Rashmi Gulati, Dr. Kamau Kokayi, Dr. Marcia A. Harris Dr. Stuart Weg, Dr. Vivan Medical Director Holistic and Chinese Holistic GYN and Alternative Pain DeNise, Integrative Medicine Internal Medicine Management Internal Medicine and PedsDr. Eileen DiFrancesco Dr. Paul A. Dreschnack Dr. Victor I. Rosenberg Dr. Gino Bottino Dr. L. Deanna Howard Psychopharmacology Plastic Surgery Plastic Surgery Holistic Oncology Holistic GYN www.patientsmedical.com
  79. 79. www.patientsmedical.com
  80. 80. www.patientsmedical.com
  81. 81. To get more information or to schedule an appointment, call 212-661-4441 or email media@patientsmedical.com www.patientsmedical.com

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