a patient’s guide to medical foods, specialty topicals ... · homocysteine levels pyridoxal...
TRANSCRIPT
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A PATIENT’S GUIDE TO MEDICAL FOODS,
SPECIALTY TOPICALS & NEW BROAD-SPECTRUM CBD
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About Medical Foods and Topicals ................. 3
Vascular and Neuropathic Conditions
EB-N3DR Medical Food ..........................................4
EB-N5DR Medical Food ..........................................4
EB-N6DR Medical Food ..........................................4
Musculoskeletal Conditions
EB-S4 Medical Food ..............................................6
Skin | Hair | Nail Integrity
EB-L1 Medical Food ............................................... 8
Pain and Inflammation
EB-A7DR Medical Food ........................................ 10
Mood | Cognitive Disorder | Migraine
EB-P1DR Medical Food ..........................................12
EB-C3DR Medical Food .........................................14
EB-H4† Medical Food ...........................................16
Health and Wellness
EB-C4 Broad-Spectrum CBD ...........................18
Individualized Medicine
Specialty Topicals ..........................................20-23
About EBM Medical .............................................24
Next Steps ............................................. Back Cover
† Researched and developed in collaboration with Diamond Headache ClinicHeadache Clinic
Treatment – and beyond
Diamond
INDEX PAGE
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MEDICAL FOODS AND TOPICALS
About Medical FoodsMedical foods are considered a unique category regulated by the
FDA. Medical foods can help manage chronic conditions by addressing the metabolic deficiencies associated with diseases. They are intended for use under medical supervision.
About Broad-Spectrum CBDEB-C4 is a broad-spectrum transdermal cream combined in an HRT HeavyTM base that helps
to drive the active ingredients into the tissue and
bloodstream for optimal relief.
Medical foods are beneficial for a variety of conditions, including:
• Mood disorders
• Cognitive disorders
• Migraines
• Peripheral vascular disease
• Peripheral neuropathy
• Diabetes complications
• Chronic pain
• Chronic fatigue
• Fractures
• Rheumatoid arthritis
• Fibromyalgia
• Multiple sclerosis
• Heart disease
Peripheral Neuropathy
Pain and Inflammation
Nail Disorders
Bone Healing
Mood Disorders
Cognitive Disorders
Pain Management
Migraine
DYE FREE USAGLUTEN FREEDYE FREE
GLUTEN FREE MADE IN
D Y E F REE GLU T E N F R EE M A D E I N
EBM uses only pharmaceutical-grade ingredients.
www.EBMmedical.com • 3
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www.EBMmedical.com • 54 • EBM M E D I C A L
EB-N3DR / EB-N5DR / EB-N6DR
Delayed Release
PATHOLOGY OF PERIPHERAL NEUROPATHY
DosageEB-N3DR Adult dose is 1 capsule daily or as directed by physician.
EB-N5DR/ EB-N6DR Adult dose is 1 capsule twice daily with food or as directed by physician. A.M. and P.M. dosing is recommended.
EB-N3DR / EB-N5DR / EB-N6DR
All three unique formulations feature the following three key ingredients:L-methylfolate calcium ..........................................6 mgMethylcobalamin ......................................................4 mgPyridoxal 5’-phosphate ...................................... 70 mg
EB-N3DR
Riboflavin ...................................................................1.3 mg
EB-N5DR
Alpha-lipoic acid ................................................. 600 mg Cholecalciferol .....................................................5000 IU
EB-N6DR
Alpha-lipoic acid ................................................. 600 mgBenfotiamine ........................................................ 300 mg
INGREDIENTS
The active pharmaceutical-grade ingredients work synergistically to help normalize and optimize metabolic factors involved in peripheral nerve and vascular health.
MEDICAL FOODS METABOLIC SOLUTION FOR VASCULAR AND NEUROPATHIC CONDITIONS
Each vegan capsule is allergen and dye free.Manufactured in compliance with current Good Manufacturing Practices [cGMP].
*Products feature delayed-release capsules for targeted delivery to promote tolerability.
Actual product size and color may vary.
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
L-methylfolate calcium [active folate as Biofolate®]
+ Nitric oxide and nerve blood flow
– Homocysteine levels
Methylcobalamin [active vitamin B12]
+ Peripheral nerve protein synthesis
– Homocysteine levels
Pyridoxal 5’-phosphate [active vitamin B6]
– Advanced glycation end products
– Homocysteine levels
Riboflavin [active vitamin B2] – Homocysteine levels
Alpha-lipoic acid [antioxidant]
+ Peripheral nerve blood flow – Oxidative stress
Cholecalciferol [active vitamin D3] + Nerve growth factor
Benfotiamine [active vitamin B1]
– Advanced glycation end products
Therapeutic Active Pharmaceutical Ingredient Guide
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Each vegan capsule is allergen and dye free.
www.EBMmedical.com • 76 • EBM M E D I C A L
Therapeutic Active Pharmaceutical Ingredient Guide
Actual product size and color may vary.
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
Calcium citrate+ Bone growth+ Nerve/muscle function– Bone loss
Magnesium bisglycinate
+ Vitamin D absorption+ Calcium absorption+ Bone density and health
Vitamin D3 + Calcium absorption
Zinc bisglycinate + Bone cell production + Collagen production
Calcium citrate .................................................... 1200 mg
Magnesium bisglycinate ................................... 500 mg
Vitamin D3 ........................................................... 10,000 IU
Zinc bisglycinate .................................................... 50 mg
Dosage
Adult dose is 3 capsules daily or as directed by physician.
INGREDIENTS
According to the National Osteoporosis
Foundation, it is estimated that 44 million
U.S. adults have low bone density and 10
million have osteoporosis. The ingredients in
EB-S4 have been shown to increase bone
density, optimize surgical outcomes, and aid
bone healing.
EB-S4MAXIMIZE BONE DENSITY, OPTIMIZE SURGICAL OUTCOMES, AND AID BONE HEALING
MEDICAL FOODS METABOLIC SOLUTION FOR MUSCULOSKELETAL CONDITIONS
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Each vegan capsule is allergen and dye free.
www.EBMmedical.com • 98 • EBM M E D I C A L
Actual product size and color may vary.
Therapeutic Active Pharmaceutical Ingredient Guide
+ increase
ACTIVE INGREDIENT DESCRIPTION
Biotin-D [active Vitamin B7]
+ Nail thickness and strength
Cynatine™ HNS+ Nail strength, thickness,
elasticity, moisture retention, and nail color
Hydrolyzed Type I collagen + Nail growth and strength
L-methylfolate calcium [active folate as Biofolate®]
+ Blood flow, nail growth, and nail color
Choline stabilized orthosilicic acid [active silicon]
+ Improved nail strength
Biotin-D ...................................................................... 10 mg
Cynatine™ HNS .................................................... 500 mg
Hydrolyzed Type I collagen ............................... 50 mg
L-methylfolate calcium ....................................... 0.5 mg
Choline stabilized orthosilicic acid .................. 10 mg
Dosage
Adult dose is 1 capsule daily or as directed by physician.
INGREDIENTS
The active ingredients in EB-L1 work together
to correct the metabolic deficiencies
associated with nail strength, thickness,
brittleness, and color.
Upon addressing your nutritional deficiencies
with EB-L1, you may see an improvement in
healthy nail growth, a decrease in nail breaking
or splitting, and a positive overall change in nail
appearance and color.
EB-L1BRITTLE, DISCOLORED NAILS
MEDICAL FOODS METABOLIC SOLUTION FOR BRITTLE, DISCOLORED AND IRREGULAR NAILS
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
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Each vegan capsule is allergen and dye free.
www.EBMmedical.com • 1110 • EBM M E D I C A L
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
* Products feature delayed-release capsules for targeted delivery to promote tolerability.
Actual product size and color may vary.
Therapeutic Active Pharmaceutical Ingredient Guide
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
Turmeric curcumin 95%
– Inflammation, pain, and stiffness
SAM-e (S-adenosyl methionine)
– Inflammation, pain, and stiffness
Hyaluronic acid– Inflammation; slows
the progression of osteoarthritis
Boswellia extract 65% – Inflammation and pain
Hydrolyzed Type II collagen – Pain and stiffness
BioPerine® + Absorption of curcumin
Turmeric curcumin 95% .....................................750 mg
SAM-e (S-adenosyl methionine) ................... 600 mg
Hyaluronic acid .................................................... 200 mg
Boswellia extract 65% ........................................ 100 mg
Hydrolyzed Type II collagen .............................. 40 mg
BioPerine® ..................................................................... 5 mg
Dosage
Adult dose is 3 capsules daily or as directed by physician.
INGREDIENTS
The active ingredients in EB-A7DR work
synergistically for the metabolic management
of deficiencies associated with the pain and
inflammation of osteoarthritis without
compromising the body’s immune system,
or increasing GI and CVD risk profile,
unlike NSAIDs.
Once your metabolic needs are met, you may
begin to experience less pain and stiffness in
your arthritic joints.
EB-A7DR
Delayed Release
CHRONIC INFLAMMATION AND OSTEOARTHRITIS
MEDICAL FOODS METABOLIC MANAGEMENT OF PAIN AND INFLAMMATION
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www.EBMmedical.com • 1312 • EBM M E D I C A L
EB-P1DR
Delayed Release
MAXIMIZE OUTCOMES FOR ANTIDEPRESSANT NON-RESPONDERS
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
* Products feature delayed-release capsules for targeted delivery to promote tolerability.
Therapeutic Active Pharmaceutical Ingredient Guide
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
L-methylfolate calcium [active folate as Biofolate®]
– Homocysteine levels, a known risk factor for mood disorders
+ Natural chemicals in the brain that affect moodMethylcobalamin
[active vitamin B12]
L-methylfolate calcium .......................................... 15 mg
Methylcobalamin ....................................................0.4 mg
Dosage
Adult dose is 1 capsule daily or as directed by physician.
INGREDIENTS
EB-P1DR contains two critical cofactors to
restore metabolic deficiencies to help
synthesize neurotransmitters associated
with mood. EB-P1DR features Biofolate® —
a patented pure crystalline active form of
folate — which is unaffected by the genetic
MTHFR enzyme variant.
MEDICAL FOODS METABOLIC SOLUTION FOR MOOD DISORDERS
BIOFOLATE®
L-METHYLFOLATE (biologically active)
L-METHYLFOLATE (biologically active)
FOLIC ACID (over-the-counter vitamin)
DIHYDROFOLATE (whole grains, asparagus, spinach, etc.)
TETRAHYDROFOLATE
5’10-METHYLENETETRAHYDROFOLATE
MTHFR Genetic Variant
Each vegan capsule is allergen and dye free.Actual product size and color may vary.
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Each vegan capsule is allergen and dye free.
www.EBMmedical.com • 1514 • EBM M E D I C A L
Therapeutic Active Pharmaceutical Ingredient Guide
Actual product size and color may vary.
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
* Products feature delayed-release capsules for targeted delivery to promote tolerability.
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
L-methylfolate calcium [active folate as Biofolate® (pure crystalline)]
+ Acetylcholine, a natural substance in the brain associated with memory
Methylcobalamin [active vitamin B12 ]
+ Methylation, a process in the brain required for neuroprotection
N-acetyl L-cysteine [antioxidant]
– Substances harmful to the brain
Pyridoxal 5’- phosphate [active vitamin B6 ]
+ Methylation, a process in the brain required for neuroprotection
L-methylfolate calcium ........................................... 6 mg
Methylcobalamin ....................................................... 2 mg
N-acetyl L-cysteine ............................................ 600 mg
Pyridoxal 5’-phosphate ........................................ 1.7 mg
Dosage
Adult dose is 1 capsule daily or as directed by physician.
INGREDIENTS
Metabolic deficiencies can reduce the
substances that protect the brain, and have
been identified as independent risk factors
for memory loss. The pharmaceutical-grade
active ingredients in EB-C3DR work together
to provide the necessary nutrients to help
nourish and protect neurons in the brain.
EB-C3DR
Delayed Release
MAXIMIZE OUTCOMES FOR COGNITIVE IMPAIRMENT
MEDICAL FOODS METABOLIC SOLUTION FOR MILD COGNITIVE IMPAIRMENT
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Each vegan capsule is allergen and dye free.
www.EBMmedical.com • 1716 • EBM M E D I C A L
Actual product size and color may vary.
Riboflavin ............................................................... 400 mg
Coenzyme Q10 ...................................................... 100 mg
L-methylfolate calcium ....................................... 0.4 mg
Magnesium bisglycinate ....................................350 mg
Dosage
Adult dose is 2 capsules daily or as directed by physician.
INGREDIENTS
† Researched and developed in collaboration with Diamond Headache Clinic.
Decreased levels of the ingredients in EB-H4 may play a role in the development of migraines. The pharmaceutical-grade active ingredients in EB-H4† work together to provide the necessary nutrients to help correct the deficiencies associated with the frequency, duration, and intensity of migraines.
“ EB-H4 is a simple way to deliver in a single dose the nutrients that evidence indicates reduces frequency, duration, and intensity of headaches”
— Merle Diamond, MD, President, Managing Director, Diamond Headache Clinic
MEDICAL FOODS METABOLIC SOLUTION FOR MIGRAINES
EB-H4MAXIMIZE OUTCOMES FOR CHRONIC HEADACHES AND MIGRAINES
Headache ClinicTreatment – and beyond
Diamond
Therapeutic Active Pharmaceutical Ingredient Guide
+ increase – decrease
ACTIVE INGREDIENT DESCRIPTION
Riboflavin [active vitamin B2]
+ Production of energy in the cells
Coenzyme Q10 [antioxidant]
+ Production of energy in the cells
– Damage to cells
L-methylfolate* calcium [active folate as Biofolate®]
+ Blood flow to the brain
Magnesium bisglycinate [mineral]
+ Production of energy in the cells
* The only form of folate that crosses the blood brain barrier.
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
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www.EBMmedical.com • 1918 • EBM M E D I C A L
Therapeutic Active Pharmaceutical Ingredient Guide
+ increase – decrease
Formulated and produced by licensed pharmacists. USA hemp sourced CBD — vegan-friendly, organic ingredients.
Manufactured in compliance with current Good Manufacturing Practices [cGMP].
* The FDA has not evaluated EB-C4. Due to DSHEA guidelines, EBM Medical cannot specifically state conditions CBD may affect. EBM Medical encourages you to do your own research, consult with doctors, and use PubMed.gov as a resource as newly published research comes out in real-time.
ACTIVE INGREDIENT DESCRIPTION
Cannabidiol* (CBD)
A key phytocannabinoid that acts on human cannabinoid receptors– Inflammation
Myrcene
A key terpene that works with CBD to produce the entourage effect– Inflammation
Beta-caryophyllene*
A key terpene that works with CBD to produce the entourage effect– Inflammation
Arnica
A key herb with known medicinal properties; most common ingredient in anti-inflammatory OTC topicals– Inflammation
MSM (Methylsulfonylmethane)
– Oxidative stress – Inflammation
Botanical Complex (Camphor-Peppermint-Eucalyptus-Menthol)
+ Cooling effect
HRT Heavy™ Pharmaceutical Base
+ Tissue penetration + Systemic exposure
Cannabidiol (CBD) ........................................................3%Myrcene .............................................................................3%Beta-caryophyllene .......................................................3%Arnica .................................................................................2% MSM (Methylsulfonylmethane) .................................2%
Dosage
Apply 1-4 times per day or as advised by your healthcare provider.
INGREDIENTS
EB-C4 is a broad spectrum transdermal cream combined in an HRT HeavyTM base that drives the active ingredients into the tissue and bloodstream. EB-C4 contains key active ingredients that are commonly used for overall health and wellness, and may provide benefits for the entire body.
Sometimes called the “whole-plant” or “entourage effect,” EB-C4 offers a complex biochemical matrix of ingredients that work together to help achieve relief.
BROAD-SPECTRUM TOPICAL CBD A NATURAL APPROACH TO ACHIEVING OPTIMAL HEALTH AND WELLNESS
EB-C4CBD CREAM FOR OPTIMAL WELLNESS
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Trusted transdermal bases
INDIVIDUALIZED MEDICINE WITH SPECIALTY TOPICALS
RecuraTM Antifungal Topical Cream
• Quick-drying, non-sticky cream base
• Contains penetration enhancers and natural oils (including urea and tea tree oil)
• Proven to penetrate the nail plate
SaltStable LS AdvancedTM Pain Management Topical Cream
• Off-white, cosmetically elegant cream
• Formulated with silogel — smooth, silky, dry feel (less sticky/tacky)
• Absorption of up to 8 active ingredients in one formulation
• Natural ingredients — less irritation
Maximize efficacy and minimize side effects We partner with pharmacies to offer customized dosages with combinations of multiple ingredients that are easy to apply and individually made for you.
EBM Medical only partners with PCAB-accredited specialty pharmacies.
20 • EBM M E D I C A L
Micronized USP active pharmaceutical ingredients
• Ideal particle size to maximize tissue penetration
• No crushed tablets or opened capsules
No substitutions or watered-down formulas
• You receive the exact formulation prescribed, every time
Affordable and consistent pricing for a true 30-day fulfillment
• No copay, pharmacy counter, or EOB surprises
• High-quality, low-cost formulations
www.EBMmedical.com • 21
®
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Commonly Prescribed Formulas Practical Applications
Neuropathic/Anti-inflammatory Pain Cream
Diclofenac 4% Lidocaine 5% Gabapentin 5% Pentoxifylline 3% Clonidine 0.2% Amitriptyline 3% in SaltStable LS AdvancedTM Cream
Designed to calm over-excited nerves, block the pain signal, and decrease inflammation
Common uses: Back pain, plantar fasciitis, neuropathic pain, complex regional pain syndrome (CRPS)
Diclofenac 3% Lidocaine 2% Gabapentin 5% Amitriptyline 2% Clonidine 0.2% Amantadine 8% in SaltStable LS AdvancedTM Cream
Fibromatosis
Verapamil 15% Diclofenac 3% in SaltStable LS AdvancedTM Cream
Designed to break down scar tissue and plantar fibromas
Common uses: Plantar fibromatosis, tendinosis
Anti-Fungal Cream
Amphotericin B 3% Terbinafine 1% Urea 20% Thymol 4% in Recura Cream
Designed to penetrate the nail plate and kill microorganisms (fungus, bacteria)
Common uses: Onychomycosis, tenia pedis
Scar Cream
Lidocaine 5% Verapamil 5% Pentoxifylline 0.5% Hyaluronic acid 0.5% Fluticasone propionate 0.05% in Sanare Advanced Scar Cream
Designed to decrease the production, and increase the breakdown, of collagen, remodel scar tissue, and decrease itching/irritation
Common uses: Keloid, hypertrophic, postoperative, and hyperpigmented scars
Wart Solution
Cimetidine 5% 5-Fluorouracil 5% Salicylic acid 10% IBU 10% in a collodion solution
Designed to exfoliate dead skin and eliminate the virus causing warts
Common uses: Plantar warts
Circulation/Raynaud’s Phenomenon
Nifedipine 8% Pentoxifylline 8% in SaltStable LS AdvancedTM Cream
Designed to vasodilate and decrease blood viscosity to improve blood flow
Common uses: Areas with poor circulation, peri-wound treatment, Raynaud’s disease
Hyperhidrosis
Glycopyrrolate 1% Zinc oxide 5% Aluminum chloride 12% in SaltStable LS AdvancedTM Cream
Designed to decrease perspiration and odor
Common uses: Abnormal excessive sweating
Rough/Dry Feet
Lactic acid 10% Urea 40% in SaltStable LS AdvancedTM Cream
Designed to exfoliate dead tissue and hydrate the skin
Common uses: Rough/dry feet, heel fissures
www.EBMmedical.com • 2322 • EBM M E D I C A L
SPECIALTY TOPICALS REFERENCE GUIDE
Note: This is a sample of different custom topicals that are commonly prescribed. All formulas are individualized based on the request of each physician.
Commonly Prescribed Formulas Practical Applications
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ABOUT EBM MEDICAL
Our Commitment to YouTo provide access to affordable products and services that either are not covered by health insurance or have high out-of-pocket costs.
How We Do ItBy sourcing high-quality active pharmaceutical ingredients and partnering with PCAB-accredited pharmacies and FDA-registered cGMP manufacturing facilities, we ensure your formulas are exactly what your healthcare provider has ordered.
Excellent Customer ServiceEBM Medical continues to make service our number one priority. Our dedicated team of licensed pharmacy technicians provides personalized service that you deserve.
PharmD Consulting
Patient Education Resources
Flexible Payment Options
Guaranteed Pricing
Automated Refill Management Program
FREE Shipping
24 • EBM M E D I C A L
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Now that I have been prescribed an EBM Medical product, what are the next steps?
2
5
3
Within 24 hours, your prescribed formula will be shipped. Shipping is always free.
Your provider will send your prescription to EBM Medical.
You will receive a text or email to confirm your order. To expedite your order, call us at 1-844-360-4095.
We will manage your refills by sending a confirmation text and email 10 days before your prescription needs to be refilled.
An EBM representative will contact you to answer your questions and process your payment.
QUESTIONS? Contact EBM Support at 1-844-360-4095
References available upon request.
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