Quest —00 Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: Patient ID: 19530120MJE Test Name Specimen: KP992895A Requisition: 0842795 Collected: Received: Reported: 11/11/2016 /11:20 EST 11/14/2016 / 16:33 EST 11/18/2016 / 11:38 EST SUMMARY OF REPORT CHANGES Client #: 78300020 MAIL992 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401.3418 Pleasergertodwboxlyathempcm(s)krampkwinfornmkm In Range Out Of Range Reference Range => REVISED: Change in test result(s) PTH, INTACT AND CALCIUM CALCIUM C -REACTIVE PROTEIN 10.0 8.6-10.3 mg/dL 0.10 <0.80 mg/dL PLEASE DISREGARD PREVIOUSLY REPORTED INFORMATION BELOW: ORIGINALLY REPORTED ON 11/14/2016 at 5:15 PM EST CALCIUM 8.6-10.3 mg/dL PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO: 31D0696246 ORIGINALLY REPORTED ON 11/14/2016 at 5:03 PN EST C-REACTIVE PROTEIN <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO: 31D0696246 CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGEI0F4 EFTA00304603 rajQuest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: Patient ID: 19530120MJE Specimen: KP992895A Requisition: 0842795 Collected: Received: Reported: 11/11/2016 /11:20 EST 11/14/2016 / 16:33 EST 11/18/2016 / 11:38 EST Test Name LIPID PANEL CHOLESTEROL, TOTAL HDL CHOLESTEROL TRIGLYCERIDES LDL-CHOLESTEROL Client #: 78300020 MAIL992 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401-3418 In Range Out Of Range Reference Range 221 H 18 L 988 H LDL cholesterol not calculated. Triglyceride levels greater than 400 mg/dL invalidate calculated LDL results. Desirable range <100 mg/dL for patients with CHD or diabetes and <70 mg/dL for diabetic patients with known heart disease. CHOL/HDLC RATIO 12.3 H NON HDL CHOLESTEROL 203 H Target for non-HDL cholesterol is 30 mg/dL higher than LDL cholesterol target. COMPREHENSIVE METABOLIC PANEL GLUCOSE 83 UREA NITROGEN (BUN) 24 CREATININE 0.90 For patients >49 years of age, the reference limit for Creatinine is approximately 13% higher for people identified as African -American. eGFR NON-AFR. AMERICAN eGFR AFRICAN AMERICAN BUN/CREATININE RATIO SODIUM POTASSIUM CHLORIDE CARBON DIOXIDE CALCIUM PROTEIN, TOTAL ALBUMIN GLOBULIN ALBUMIN/GLOBULIN RATIO BILIRUBIN, TOTAL ALKALINE PHOSPHATASE AST ALT PTH, INTACT AND CALCIUM PTH, INTACT PARATHYROID HORMONE, INTACT 91 105 NOT APPLICABLE 139 4.4 102 29 10.0 7.3 4.4 2.9 1.5 0.5 68 20 20 Interpretive Guide Intact PTH 106 H Calcium 125-200 mg/dL > OR = 40 mg/dL <150 mg/dL <130 mg/dL (talc) < OR = 5.0 (talc) mg/dL (talc) 65-99 mg/dL Fasting reference interval 7-25 mg/dL 0.70-1.25 mg/dL > OR = 60 mL/min/1.73m2 > OR = 60 mL/min/1.73m2 6-22 (talc) 135-146 mmol/L 3.5-5.3 mmol/L 98-110 mmol/L 20-31 mmol/L 8.6-10.3 mg/dL 6.1-8.1 g/dL 3.6-5.1 g/dL 1.9-3.7 g/dL (talc) 1.0-2.5 (talc) 0.2-1.2 mg/dL 40-115 U/L 10-35 U/L 9-46 U/L 14-64 pg/mL Lab QHO QHO QHO QHO QHO QHO QHO QHO CLIENTSERIIICES:866.6971378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 4 EFTA00304604 raj Quest Diagnostics-00Report Status: Final EPSTEIN, JEFFREY Patient Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Patient ID: 19530120MJE Specimen Information Clientheonnation Specimen: KP992895A Client #: 78300020 Collected: 11/11/2016 /11:20 EST MOSKOWITZ, BRUCE W Received: 11/14/2016 / 16:33 EST Reported: 11/18/2016 11:38 EST Test Name Normal Parathyroid Hypoparathyroidism Hyperparathyroidism Primary Secondary Tertiary Non-Parathyroid Hypercalcemia => CALCIUM In Range Normal Low or Low Normal Normal or High High High Low or Low Normal Out Of Range Reference Range Normal Low High Normal or Low High High 10.0 8.6-10.3 mg/dL PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO:31D0696246 SED RATE BY MODIFIED WESTERGREN 1 < OR = 20 mm/h VITAMIN B12 517 200-1100 pg/mL ->C-REACTIVE PROTEIN 0.10 <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PSA, TOTAL 0.5 This test was performed using the Siemens chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. PSA levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease. < OR = 4.0 ng/mL TESTOSTERONE,FR(DIALYSIS) AND TOTAL(LC/MS/MS) TESTOSTERONE, TOTAL, LC/MS/MS 194 250-1100 ng/dL Men with clinically significant hypogonadal symptoms and testosterone values repeatedly in the range of the 200-300 ng/dL or less, may benefit from testosterone treatment after adequate risk and benefits counseling. For more information on this test, go to http://education.questdiagnostics.com/faq/ TotalTestosteroneLCMSMS FREE TESTOSTERONE 44.6 35.0-155.0 pg/mL Lab QH0 QH0 QH0 QH0 QH0 AND CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE30F4 EFTA00304605 Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: KP992895A Client #: 78300020 Collected: 11/11/2016 1 11:20 EST MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 Received: 11/14/2016 1 16:33 EST Gender: M Reported: 11/18/2016 /11:38 EST Patient ID: 19530120MJE Endocrinology Test Name Result Reference Range Lab VITAMIN D,25.OH,TOTAL,IA 43 30-100 ng/mL OHO Vitamin D Status Deficiency: Insufficiency: Optimal: 25-OH Vitamin D: <20 ng/mL 20 - 29 ng/mL > or = 30 ng/mL For 25-OH Vitamin D testing on patients on D2-supplementation and patients for whom quantitation of D2 and D3 fractions is required, the QuestAssureD(TM) 25-OH VIT D, (D2,D3), LC/MS/MS is recommended: order code 92888 (patients >2yrs). For more information on this test, go to: http://education.questdiagnostics.com/faq/FAQ163 (This link is being provided for informational/educational purposes only.) Physician Comments: PERFORMING SITE: AMD QUEST DIAGNOSTICSJINIOIOLS CHANTILLY. 14225 NEWBROOK DRIVE CHANTILLY. VA 20151.2228 Laboratory burrow: PATRICK W. MASON.MD.PHD. CLLR: 1900221801 QUO QUEST DIAGNOSTICS HORSHAM.900 BUSINESS CENTER DRIVE- HORSHAM. PA 190443332 Laboratory Director ANDREW S EDELAIAN. bat PHD. CLIA: 39DC04104 CLIENTSERVICES:866.6971378 SPECIMEN: KP992895A PAGE 4 OF 4 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304606