1. The patient presented with weak erections and low libido and various lab tests found high fibrinogen, SHBG, and estrogen levels with low free testosterone. 2. The doctor prescribed a personalized regimen including supplements, diet, exercise, and lifestyle changes to target specific biomarkers. 3. After 3 months of adhering to the plan, the patient's labs and symptoms improved, with fibrinogen, SHBG, and estrogen decreasing and free testosterone increasing.

1. Personalized Anti-aging Medical Report
Date : 26th March 2016
Ahmed S. from UAE
Age- 37
Sex- M
Weight- 73 kgs
Height- 175 cm
Symptoms / reason for consultation-
Got married 6 months ago, suffers from weak erection once in a while. Wants to
improve sexual performance and libido. No other symptoms.
Family history- Mother has diabetes and kidney disease. Father takes medica-
tions for high blood pressure.
Personal habits- Drinks 2-3 pints of beer on every weekend since last 7 years.
Current medicines- Not on any medicines.
Laboratory report-
Test Result Interpretation
Fibrinogen 367 mg/L High
SHBG 58 nmol/L High
Total Testosterone 5400 pg/mL Optimal
Free Testosterone 16pg/mL Low
HbA1c 5.0 Optimal
Mg 2.0 mg/L Optimal
Estrogen 43 pg/mL High
Diagnosis of your current health condition from Anti-aging
perspective-
Specific risk factors-
1. High fibrinogen - Fibrinogen is a protein produced in the liver that is essen-
tial for a variety of processes, including blood clot formation, wound
healing, inflammation, and blood vessel growth.
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2. While fibrinogen levels are elevated, a person's risk of developing a blood
clot may be increased and, over time, they could contribute to an increased
risk for cardiovascular disease.
Target fibrinogen level for you- 275-300 mg/dL
2. High SHBG- SHBG is a protein made by your liver. It binds tightly to three
sex hormones found in both men and women. These hormones are estro-
gen; dihydrotestosterone (DHT), and testosterone. SHBG carries these
three hormones throughout your blood Increased SHBG in men may be as-
sociated with symptoms of low testosterone levels (hypogonadism) be-
cause less testosterone is available to the body's tissues.
Target SHBG level for you- 35-40 nmol/L
3. Low Free Testosterone- Free testosterone and albumin-bound testosterone
are also referred to as bioavailable testosterone. This is the testosterone
that is easily used by body. Low free testosterone causes loss of muscle
mass, infertility and also other metabolic diseases.
Target free testosterone for you- 28-32 pg/mL
4. High Estrogen-Testosterone is the most significant hormone to male sexual
development and function. But estrogen needs to stay in balance with
testosterone to help control sex drive, the ability to have an erection, and
the production of sperm. The main symptoms of high estrogen levels in
men: A) Infertility- Estrogen is one of the hormones your body uses to
produce sperm. High estrogen levels can slow down sperm production and
make it harder to create healthy sperm. B) Gynecomastia-Increased estro-
gen can cause more breast tissue to develop than normal C) Erectile
dysfunction (ED)- Increased estrogen levels can affect the balance of
hormones that are needed to help get an erection and stay erect. This is
especially true if you also experience low testosterone.
Target estrogen level for you- 20-28 pg/mL
1. NUTRITIONAL SUPPLEMENTS IN ORTHOMOLECULAR DOSAGE
Name Dose/Strength Breakfast Lunch Dinner Duration
1 Magnesium XXX mg Yes Yes No X months
2 Zinc XXX mg Yes Yes Yes X months
3 L-arginine XXX mg Yes No No X months
4 Chrysin XXX mg No Yes No X months
Note: The names of recommended brands for nutritional supplements will be given in your PAMR. You
may use any other reputed brand but make sure that the specific dosages mentioned above are taken
(check quantity of active ingredients before buying any product). Specific dosages in above table have
been blacked out to discourage self medication without physician's involvement.

3. 2. PERSONALIZED DIET
Your daily caloric intake from all sources of food (Carbohydrates, Fats and
Protein) should not exceed XXX kcal with exact ratio of 35 % calories
from Carbohydrates, 20 % calories from Protein and 45 % calories
from Fats. 1 gram of Carbohydrate gives 4 calories, 1 gram of Protein
gives 4 calories and 1 gram of Fat gives 9 calories. Accordingly, your daily
caloric consumption from all food sources should consist of XXX grams
of fat, XXX grams of protein and XXX grams of carbohydrates.
100 % Whey protein- 1 full scoop (40 gm) mixed with 200 ml of full fat milk
every morning(Use blender for mixing).
3. PERSONALIZED EXERCISE PROGRAM
Perform the workout featured below three times per week on
non-consecutive days. Do the second exercise set right after the first one,
resting only after the second set. With each set increase weight on the
barbell. Start with 5-10kgs and gradually increase.
For the deadlift and back squat, use a weight at 80% of your one-repetition
Maximum. Each workout, change up the routine by doing a variation of the
deadlift or squat.
1. Deadlift
Sets: 5
Repetitions: 5
Rest: 5 min.
A. Stand with your feet hip width. Bend your hips back to reach down and
grasp the bar, hands just outside your knees.
B. Keeping your lower back in its natural arch, drive your heels into the floor
and pull the bar up along your shins until you’re standing with hips fully
extended and the bar is in front of your thighs.
2. Back Squat
Sets: 5
Repetitions: 5
Rest: 5 min.
Set a barbell on a power rack at about shoulder height. Stand in front of the
bar and grasp it with hands at shoulder width and raise your elbows until
your upper arms are parallel to the floor. Take the bar out of the rack and
let it rest on your upper back—as long as your elbows stay up, you’ll be
able to balance the bar. Step back and set your feet at shoulder width with
toes turned out slightly. Squat as low as you can without losing the arch in
your lower back.

4. Above exercise regime to be followed for 3 months. Review of exercise
program after 3 months depending on the results of blood tests.
4. LIFE STYLE ADVICE
Avoid drinking beer. Beer contains estrogen mimicking ingredient which can
negatively affect the ratio of testosterone- estrogen in blood. Instead of beer
drink 2 glasses of dry red wine once a week.
5. REPEAT BLOOD TESTS
Repeat abovementioned laboratory tests after 3 months of following the
recommended clinical protocol.
Dr. Shams Scheik
M.D., ABAARM (USA), Dip. Orthomolecular Med. (Germany)
American Board Certified in Anti-Aging & Regenerative Medicine
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Physician comments-
Ahmed rigorously followed everything as advised. The blood tests done
after 3 months showed positive changes in his clinical parameters -
Objective improvement-
Clinical parameters Before After 3 months
Fibrinogen 367 mg/L 290 mg/L
SHBG 58 nmol/L 40 nmol/L
Free Testosterone 16 pg/mL 23 pg/mL
Estrogen 43 pg/mL 22 pg/mL
Subjective improvement-
Ahmed reported improvement in his symptoms as follows-
1. Increase in libido by 50 %
2. Hardness of erection improved significantly
3. Self-confidence increased