METABOLIC SOLUTIONS PATIENT INFORMATION FOR VASCULAR AND NEUROPATHIC CONDITIONS EB-N3DR / EB-N5DR / EB-N6DR Delayed Release Welcome to EBM Medical. We provide high quality medical food formulations using USP grade active pharmaceutical ingredients supported by evidence-based medicine to address chronic metabolic deficiencies. Your healthcare provider has prescribed a product for the metabolic management of deficiencies associated with blood vessel and nerve damage such as peripheral neuropathy. EB-N3DR EB-N5DR EB-N6DR Delayed Release* Delayed Release* Delayed Release* L-methylfolate Calcium ..........6 mg L-methylfolate Calcium ..........6 mg L-methylfolate Calcium ..........6 mg Methylcobalamin .......................4 mg Methylcobalamin .......................4 mg Methylcobalamin .......................4 mg Pyridoxal 5'-Phosphate ....... 70 mg Pyridoxal 5'-Phosphate ....... 70 mg Pyridoxal 5'-Phosphate ....... 70 mg Riboflavin ...................................1.3 mg Alpha Lipoic Acid ...............600 mg Alpha Lipoic Acid ...............600 mg Cholecalciferol .....................5000 IU Benfotiamine ........................ 300 mg Dosage: Dosage: Dosage: Adult dose is 1 capsule daily or as Adult dose is 1 capsule twice daily Adult dose is 1 capsule twice daily directed by physician. with food or as directed by physician. with food or as directed by physician. A.M. & P.M. dosing is recommended. A.M. & P.M. dosing is recommended. YE FREE TEN FR ADE IN D LU EE M G DYE FREE GLUTEN FREE USA E G E L EE DYE FR UTEN FR M ADE IN Each vegan capsule is Manufactured in compliance with current Good Manufacturing Practices. [cGMP]. allergen and dye free. *Products feature delayed-release capsules for targeted delivery to promote tolerability. EBM Medical Contact Information Phone: 1-844-360-4095 Email: [email protected] Website: EBMmedical.com METABOLIC SOLUTIONS PATIENT INFORMATION FOR VASCULAR AND NEUROPATHIC CONDITIONS Therapeutic Active Pharmaceutical Ingredient Guide1 ACTIVE INGREDIENT DESCRIPTION Blood flow and nerve repair L-methylfolate Calcium [active folate (pure crystalline)] + – Homocysteine levels Peripheral nerve repair Methylcobalamin [active Vitamin B ] + 12 – Homocysteine levels Harmful substances that damage nerves Pyridoxal 5'-Phosphate [active Vitamin B ] – 6 – Homocysteine levels Blood flow to the peripheral nerves Alpha Lipoic Acid [antioxidant] + – Inflammation Cholecalciferol [active Vitamin D3] + Factors involved with nerve health Pathways involved in damaging Benfotiamine [active Vitamin B ] – 1 blood vessels and peripheral nerves Riboflavin [active Vitamin B2] – Homocysteine levels + increase – decrease FREQUENTLY ASKED QUESTIONS What are EB-N3 DR/EB-N5 DR/EB-N6 DR?1 How do these medical foods compare to 1 These products are classified as medical foods, a unique over-the-counter products? category regulated by the FDA. Medical foods address Traditional folic acid must be broken down (activated) the metabolic deficiencies associated with diseases to in the body before it can be used. Up to 50% of people help manage chronic conditions, including blood vessel have a compromised ability to complete this activation and nerve damage such as peripheral neuropathy. Medical due to a genetic variant in the enzyme responsible for foods are intended for use under medical supervision. folate metabolism called MTHFR c677t. Our products feature Biofolate®, a pure crystalline activated form of folate What should I expect?1 (L-methylfolate Ca) which is unaffected by the MTHFR c677t Medical Foods are different from pain medications. While variant. pain medications can help mask painful symptoms, they have a variety of side effects and do not address what’s causing What are the side effects? the pain. The active pharmaceutical ingredients in our medical foods are well tolerated and allergen, gluten and dye free. The active ingredients work together to naturally restore The most common complaints include mild indigestion, blood flow and help to repair damaged nerves. Because upset stomach and headache. If you experience any of these ingredients work to address the root cause of your these conditions, try taking the capsules with food. If the symptoms, it may take up to 6 months before you notice problem persists, consult your provider. a difference. How do I refill my order? Once your metabolic needs are met, you may notice a difference in one or more of the following symptoms: Simply call or email EBM Medical at 636-614-3152 or Numbness • Burning Pain • Shooting Pain • Tingling • Poor [email protected]. You may also opt in for Quality Sleep the EBM Convenience Fill program where EBM will automatically refill your order 10 days prior to your last How do I know if it is working? dosage. Do not stop taking your medical food formula When evaluating effectiveness, many patients will create without talking to your healthcare provider. a baseline diary of their symptoms. On a scale of 1-10 (10 representing severe), record the frequency, intensity and REFERENCES duration of your symptoms. Following each three-month 1. Available upon request period, record the difference in your scores. Distributed by: ©2019 EBM Medical, LLC | Chesterfield, Missouri 63005 | 06/2019 Printed in U.S.A. | All rights reserved.