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Jeffrey Dach, M.D. NewsLetter
Protect Your Family from Bad Drugs
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Dear Friend or Colleague
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Protect Your Family from Bad Drugs
Over the last 30 years, 20 per cent of drugs approved by the FDA were classified as �BAD Drugs�, meaning that they were later withdrawn from the market or given a black box warning.
(1) (2).
Why does the FDA approve risky drugs which end up being banned? This question is explored in these two articles
(3) (4). �The FDA is incapable of protecting the American Public against another Vioxx�. This is a quote from David Graham MD, director of drug safety at the FDA, during congressional testimony. (5)
(6)
(7)
(8)
How can you tell if you are dealing with a BAD DRUG? Here are the early warning signs:
1) The drug has been recalled or given a black box warning.
2) The drug is in litigation with numerous lawsuits against the drug company.
3) The drug has been banned in other countries.
Listing of Drugs which have black box warnings:
Click Here
(9)
Partial Listing of Recalled or Banned drugs: Baycol, Bextra, Colchicine, Complete Moisture Plus, Duract, Duragesic, Fentanyl Patch, Ephedra, Fen-Phen, Hismanal,
Lotromex, Palladone, Permax, Pondimen, Posicor, Propulsid, Raplon, Raxar, Redux, Renu Moisture Loc Lens Solution, Rezulin, Seldane, Tysabri, Vioxx, Zelnorm
(10)
(11).
Consumer Reports listing of risky drugs:
Click Here
(12).
Drug Litigation may be Our Only Protection from Bad Drugs
Do you like lawyers? If you asked me if I liked lawyers, I would laugh and tell you a few lawyer jokes. One of my favorites is, �How do you tell the difference between a lawyer and a sperm? The answer is: the sperm has a one in 10 million chance of becoming a human being�. In spite of the jokes, and since the FDA can't protect us, lawyers and drug litigation may be our last protection from bad drugs. Drug litigation by lawyers gives us an early warning sign about a bad drug. Drug litigation can uncover secret information about adverse drug side effects which drug companies hide from the public (13).
Computer Search Engine Listing of Drugs in Litigation. Click Here for Unsafe drugs in litigation (380,000 listings) (14)
The following is my short list of drugs currently in litigation.
Avandia and Rezulin, Diabetes Drugs
Avandia (rosiglitazone) by GlaxoSmithKline, is used for adult onset Type 2 diabetes. (thiazolidinedione class of drugs). Avandia causes a 43% higher risk of heart attacks. This is ironic because diabetes causes accelerated heart disease, and controlling diabetes with drugs is supposed to reduce incidence of heart attacks, not increase it. (15) (16)
Rezulin was used for blood sugar control in patients with adult onset type 2 diabetes. Rezulin has been recalled due to liver toxicity.
Zelnorm
Zelnorm (tegaserod) was FDA approved for irritable bowel syndrome and constipation in women. Novartis agreed to voluntarily suspend sales of Zelnorm March 2007, following reports of adverse side effects such as heart attack and stroke. They then withdrew Zelnorm from the market.
Permax and Dostinex
Permax (pergolide) and Dostinex (cabergoline) are used for Parkinson's, restless leg syndrome, and migraine headaches. Other similar drugs have been banned such as the diet drug Fen-phen. Thy are all associated with heart valve problems and leaky valves. Permax currently has a black box warning about this increased risk of heart valve problems. The sale of Permax has been suspended by Valeant. (17)
Osteoporosis Drugs Fosamax (Alendronate), Zometa (Zoledronate), Actonel (Risedronate), Boniva (Ibandronate), the Bisphosphonate Osteoporosis Drugs (18).
Fosamax (alendronate)
As of May 13, 2007, hundreds of lawsuits had been filed against Merck alleging Fosamax-induced Necrosis of the Jaw, (ONJ)The first case is set to be tried in late 2008 in New York. (19)
Fosamax is Merck's bisphosphonate osteoporosis drug which causes osteonecrosis ONJ of the jaw, an irreversible breakdown of the jawbone, associated with ulcerations in the mouth, non-healing wounds, and osteomyelitis of the jaw. (19A) (20) (21) (22) (23)
Warnings have been sent out to all dentists and endodontists: This is the (Endodontists) AAE Position Statement: "Endodontic Implications of Bisphosphonate-Associated Osteonecrosis of the Jaws American Endodontists Association" (24).
The osteoporosis drugs are supposed to make the bones stronger. Again, it is ironic that these drugs cause the jaw bone to literally fall apart, meaning they make the bones weaker, not stronger.
Synthetic Hormones
Prempro manufactured by Wyeth (25) is a hormone replacement pill containing Premarin and Provera, synthetic female hormones. Premarin is horse estrogen from a pregnant horse. Provera is a synthetic progesterone which is chemically altered and is not normally present in the human body or anywhere else in nature.
The large, NIH funded, (WHI) Women�s Health Initiative Study was terminated early when its data showed that Prempro increased risk of Heart Disease and Breast Cancer (26)
(27). Bio-Idential Human Hormones, on the other hand, are NOT associated with increased risk of cancer or heart disease, this increased risk applies ony to the synthetic hormones not found in the human body such as Prempro.
Ortho Evra
Ortho Evra (birth control / contraceptive skin patch) by Ortho-McNeil Pharmaceuticals contains synthetic hormones, norelgestromin and ethinyl estradiol, delivered in a transdermal birth control patch. In November 2005, the FDA warned that the product contains higher levels of estrogen than most others and increases risk of blood clots, strokes, and heart attacks.
Depo-Provera
Depo-Provera is a a synthetic hormone used for birth control, injected every 3 months. Long term use causes osteoporosis, fractures, spine injuries and hip injuries. A $700 million class action lawsuit was filed against Pfizer in Toronto on behalf of Canadian women aged 38 to 32 who used Depo-Provera and developed osteoporosis. Several lawsuits making the same allegations against Pfizer have been filed in the United States.
Vioxx, Celebrex, Bextra, Cox-2 inhibitor Pain Pills,
Vioxx (rofecoxib) by Merck is a pain medication causing adverse reactions such as heart attack, stroke, and sudden cardiac death. In September 2004, Merck voluntarily withdrew Vioxx from the market. Dr. David Graham, Director of Drug Safety at the FDA, said that Vioxx caused up to 160,000 heart attacks and strokes.
45,000 people have sued Merck, and Merk has spent 1 billion on legal fees. Merck�s strategy is to fight every case by bringing it to trial and drag out the proceedings. Very few people have received any money in settlement, so far. Even the few cases who have won settlements have yet to be paid a penny.
Celebrex: A Cox-2 inhibitor approved for the treatment of rheumatoid arthritis and osteoarthritis, and later approved for familial polyposis (colon polyps) . Celebrex may increase the risk of heart attack or stroke.
Bextra (valdecoxib) by Pfizer is similar to Vioxx. Studies have shown adverse reactions with Bextra such as heart attack, stroke, sudden cardiac death, Erythema Multiforme (EM), Stevens-Johnson Syndrome (SJS), and Toxic Epidermal Necrolysis (TEN).
Bextra has been banned from Canada. (28)
Anti-Cholestrol Statin Drugs, Baychol, Lipitor, Crestor
Baycol
Baychol is a statin anti-cholesterol drug which was recalled because muscle damage releases muscle debris into the bloodstream which then clogs up the kidneys and causes renal failure.
Lipitor
Lawsuits were filed in New York claiming that Lipitor (atorvastatin) causes memory loss, peripheral neuropathy, fatigue and muscle damage. Lipitor's labelling warns patients to tell their doctor if they suffer any symptoms of muscle pain or weakness.
More Lipitor litigation against Pfizer was filed on September 28, 2005 in Boston by Hagens Berman Sobol Shapiro claiming Pfizer deceived consumers about the benefits of Lipitor through deceptive marketing and advertising activities. Billions of Lipitor profits come from patients who do not benefit from the drug.
According to the complaint, Pfizer launched a massive campaign to convince the public that Lipitor is a beneficial treatment for nearly everyone with elevated cholesterol, even though no studies have shown it to be effective for women and those over 65 years of age who do not already have heart disease or diabetes.
Crestor
Crestor (rosuvastatin) is a statin anti-cholesterol drug similar to the recalled drug Baycol. Compared to other statins, Crestor has the greatest kidney toxicity, causing muscle breakdown products to clog the kidneys. During clinical trials, patients taking the 80 mg dose of Crestor began to show clogging of the kidneys with the muscle debris. Because of this finding, the 80 mg dosage was discontinued.
Psychiatric Drugs Atypical Antipsychotics, SSRI�s etc
Adderall
Adderall, an amphetamine by Shire markets used for ADHD.(29) On February 9, 2005, Health Canada suspended the sale of ADDERALL used for Attention Deficit Hyperactivity Disorder (ADHD) in children because of 20 reports of sudden death. Fourteen of which occurred in children, and six in adults. There were 12 reports of stroke, two of which occurred in children.
Ritalin
Numerous Ritalin lawsuits against Novartis were filed through the 1990s. Simultaneously, there was a campaign against ADHD medications for children by various interest groups.
Starting in 2000, lawsuits were filed against Novartis for fraud in the marketing and over promotion of Ritalin and Attention Deficit Hyperactivity Disorder. The suits alleged that Novartis was conspiring with the APA (American Psychiatric Association) to increase sales of these lucrative drugs by illegally promoting off label use.
Zyprexa and Seroquel
Zyprexa (Olanzapine) and Seroquel are used for schizophrenia and bipolar disorder, dementia, attention deficit hyperactivity disorder (ADHD), gambling addictions, and postpartum depression.
Zyprexa and Seroquel cause Tardive Dyskinesia, diabetes, hyperglycemia, pancreatitis, and ketoacidosis. Eli Lilly has already agreed to pay $1.2 billion to settle 28,500 lawsuits. Secret
Zyprexa documents have been disclosed to the public by medical heroes at great personal risk (30) (31)
Dr. Timothy Scott, author of, "America Fooled: The Truth about Antidepressants, Antipsychotics and How We've Been Deceived, reports a 2005 study that found there are approximately 30,000 children under 5 on these atypicval anti-psychotic drugs.
Dr. Fred Baughman, author of "The ADHD Fraud: How Psychiatry Makes "Patients" of Normal Children," reports that 10 million of the 50-million school children in the nation are on one or more psychiatric drugs and states: "This is death by psychiatry."
(32) (33) (34) (35).
The Children's Hospital of Philadelphia recently found that 19% of children who were newly diagnosed with Type 2 diabetes were being treated with these new atypical anti-psychotic drugs which cause obesity and diabetes (36) (37) (37A) .
Risperdal (Risperidone) is an anti-psychotic medication by Janssen Pharmaceutical, Johnson & Johnson used for bipolar disorder. Serious side effects: Diabetes, Diabetic Coma, Hyperglycemia, Ketoacidosis, Neuroleptic Malignant Syndrome, Pancreatitis, Stroke, Tardive Diskinesia, Weight Gain, Death (38).
SSRI Antidepressants, Prozac, Zoloft, and Paxil Antidepressant Users v. Eli Lilly, Pfizer, and GlaxoSmithKline (39)
Some 200 legal actions have been filed against Eli Lilly, Pfizer, and GlaxoSmithKline, the manufacturers of Prozac (fluoxetine), Zoloft (sertraline), and Paxil (paroxetine) to recover for suicides or homicides by patients. The lawsuits claim that the companies knew about, but hid the documents which showed increased risk of akathisia, a form of agitation causing suicide and violence.
Prozac
Payouts by Lilly estimated to be over $50 million to quietly settle more than 30 of those Prozac lawsuits. (40) (41)
Paxil
Paxil causes serious side effects, agitation, violent or suicidal behavior, painful withdrawal and addiction problems. It may cause birth defects in pregnant women. Paxil has been recklessly prescribed to children when it was proven no more effective than a placebo. Both children and adults taking Paxil have demonstrated suicidal tendencies during treatment, while trying to quit and during withdrawal.
Strattera
Strattera is used for ADHD in children, teens, and adults, and causes serious liver side effects and jaundice. Strattera may also cause suicidal thoughts in children and teens.
Serzone
Serzone is an anti-depressant which increases the risk of liver failure by 3-4 times.
Acne Drug, Accutane
Accutane (isotretinoin) is Hoffman La Roche�s acne drug, an oral drug for severe nodular acne (the bad type of acne that can lead to scarring). Accutane is a synthetic form of vitamin A designed to dry up oil that clog the pores and cause acne. Accutane can cause depression, psychotic symptoms, and rarely suicide attempts. There have been over 142 suicides involving Accutane since 1982. In October 2001, Congressman Bart Stupak�s son committed suicide while taking Accutane
Accutane also causes severe birth defects and fetal death. Accutane side effects are, Inflammatory Bowel Disease, Crohn's Disease, Ulcerative Colitis, Birth Defects, Suicide, Psychiatric disorders.
Erectile Dysfunction ED Drugs, Viagra, Levitra, Cialis
Viagra
On MAY 27, 2005, the FDA reported that Viagra, (by Pfizer) may cause temporary or permanent vision loss, and reported 50 cases of "Viagra blindness". This blindness is due to occlusion of the artery to the eye, causing optic nerve stroke and damage. This severe adverse event affects people with blood vessel problems, like diabetes or hypertension.
Remicade for Inflammatory Bowel Disease
Remicade (Inflixmab) is an immune-suppressing drug by Centocor (Johnson & Johnson) approved for Crohn's disease and Rheumatoid Arthritis. Remicade side effects include; tuberculosis, histoplasmosis, listeria sepsis, invasive fungal infections, lymphoma, pneumocystosis, seizures, multiple sclerosis, lupus, serious infections, heart failure and death.
In August 15, 2001 , Remicade was given a Black Box Warning of increased risk of tuberculosis, invasive fungal infections, and other opportunistic infections.
On October 18, 2001 a second warning about increased mortality in patients with congestive heart failure.
Antibiotics
Zithromax
Zithromax causes liver damage, jaundice, liver failure and even deaths.
Ketek (telithromycin) by Aventis Pharmaceuticals is a ketolide antibiotic.
liver damage, liver disease, liver failure, and hepatitis. Worsening myasthenia gravis
Tequin (gatifloxacin),
an antibiotic by Bristol-Myers Squibb Co. which causes hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar), which can lead to coma or seizure and potentially fatal. Tequin was withdrawn from market in 2006 .
Lariam (mefloquine)
causes psychiatric symptoms, anxiety, paranoia, depression, hallucinations and psychotic behavior, even long after Mefloquine has been stopped. Suicidal ideation and suicide have been reported
TROVAN , trovafloxacin
On June 9, 1999, FDA issued a public health advisory about risks of liver toxicity from Trovan (trovafloxacin)
Diet Pills Fen-Phen
Fen-phen is a combination of fenfluromine and phentermine. Fen-Phen had been approved for many years as an appetite suppressant in the management of obesity. The trouble with this drug combo is that it has been found to cause heart valve disease. American Home Products Corp. offered $3.75 billion last year to settle lawsuits over its fen-phen diet pills, which it yanked from the market in 1997 over health concerns.
Meridia diet pills cause PPH (primary pulmonary hypertension) as well as cardiac valve dysfunction.
Propulsid, Heartburn
Propulsid is a drug approved for patients with severe heartburn or gastro esophageal reflux. Propulsid can cause irregular or abnormal heart rhythms.
Neurontin
A 2004 lawsuit alleges that Parke Davis created an illegal promotional campaign to get more patients to use Neurontin which is approved for epilepsy. Disguised as medical education for the doctors or consulting for the company, the promotional campaign included illegal cash kickbacks to physicians and other sales ploys to pump up sales of Neurontin for non-FDA approved uses.
Thimerosal
Thimerosal is used in vaccines as a preservative. Thimerosal degrades into ethyl mercury, a highly toxic form of mercury which causes neurological disorders, autism, attention deficit disorder and hyperactivity disorder. (ADHD)
(42)
Procrit
Procrit increases the blood count, and is used to treat the anemia of chronic kidney failure, HIV, or cancer. Procrit reduces need for blood transfusions. Procrit has caused deaths, non-fatal heart attacks, strokes, heart failure and blood clots in patients with chronic kidney failure receiving higher than recommended doses. Procrit causes accelerated cancer tumor growth and increased risk of death, and may cause blood clots following surgery. An FDA-mandated black box warning has been added to Procrit labeling
Topical Creams for Eczema
Elidel (pimecrolimus) and Protopic (tacrolimus) are topical creams for eczema, both linked to skin cancer and lymphoma. A black box warning was given 2006.
Disclaimer
Please do not stop a drug because it is on one of the above ligation, recall or black box lists. Any decision to start or stop a drug should be made in consultation with your own doctor, who should help you weigh the comparative risks and benefits to arrive at an informed decision. Some of the drugs given black box warnings are in common use because the benefits are felt to outweigh the risks.
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Regards,
Jeffrey Dach, M.D.
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TrueMedMD
4700 Sheridan, Suite T.
Hollywood Florida, 33021
954 983 1443
ICD-9 code is 2689
References
(1) Timing of New Black Box Warnings and Withdrawals for Prescription Medications Karen E. Lasser, MD,MPH; Paul D. Allen, MD,MPH; Steffie J. Woolhandler, MD,MPH; David U. Himmelstein, MD; Sidney M. Wolfe, MD; David H. Bor, MD JAMA. 2002;287:2215-2220.
(2) Article in JAMA: Timing of new black box warnings and withdrawals for prescription medications (HRG Publication #1618)
(3) Why the FDA Approves Bad Drugs, Thats Fit.
(4) The Corruption of Medicine, Several top medical journals recently admitted that studies they published on new medications have been tainted by undisclosed financial ties between researchers and drug companies. Does Big Pharma have too much influence over drug research? 9/22/2006
(5) FDA Called 'Defenseless' Against Bad Drugs, November 18, 2004
(6)David Graham, Forbes, Face of the Year, To hear Graham tell it, this is part of a systemic failure to address drug safety on the part of the FDA, a story that reaches back over the entirety of his 20-year career at the agency.
(7) David Graham Wikipedia
(8) David Graham
(9) Listing of Black Box Warnings
(10) Listing of Recalled Drugs
(11) Consumer Reports Overview of Risky Drugs
(12) Consumer Reports risky Drugs
(13) The Role of Litigation in Defining Drug Risks Aaron S. Kesselheim, MD, JD; Jerry Avorn, MD
JAMA. 2007;297:308-311.
(14) Yahoo Search of Unsafe Drug Litigation 380,000 hits
(15) Uncertain Effects of Rosiglitazone on the Risk for Myocardial Infarction and Cardiovascular Death George A. Diamond, MD; Leon Bax, MSc; and Sanjay Kaul, MD 16 October 2007 | Volume 147 Issue 8
(16) The Rosiglitazone Story � Lessons from an FDA Advisory Committee Meeting Clifford J. Rosen, M.D. www.nejm.org August 8, 2007 (10.1056/NEJMp078167)
(17) FDA Public Health Advisory Pergolide (marketed as Permax)
(18) Fosamax Litigation
(19) Fosamax on Wikipedia
(19) Osteonecrosis of Jaw ONJ, ADA
(20) American Dental Association on ONJ and fosamax
(21) Obtaining Informed Consent Relating to Risks Associated with Oral Bisphosphonate Use
(22) American Association of Oral and Maxillofacial Surgeons
Position Paper on Bisphosphonate-Related Osteonecrosis of the Jaws Approved by the Board of Trustees September 25, 2006
�it would appear prudent to consider all patients taking bisphosphonates to be at some risk for ONJ,�
(23) Statement by AAE on Fosamax
(24) Bisphosphonates May Put Patients At Risk For Deterioration Of The Jaw, American Association Of Endodontists
(25) Official Prempro web site
(26) NIH Press Release Halting WHI PremPro study becasue of increase cancer and heart disease
(27) Prempro litigation
(28) Health Canada prohibits sale of Bextra in Canada
(29) Health Canada suspends the market authorization of ADDERALL XR� , a drug prescribed for Attention Deficit Hyperactivity Disorder (ADHD) in children
(30) Zyprexa Documents Revealed
(31) Zyprexa Off Label Use Illegally Promoted
(32) Zyprexa Litigation
(33) Zyprexa Litigation Settlements
(34) U.S. drug agency investigating accuracy of Lilly's Zyprexa data, International Herald Tribune
(35) Public Has Right To Know Zyprexa Secrets Monday, 15 January 2007, Evelyn Pringle
(36) zyprexa Info at AHRP, Zyprexa Cat out bag: Lilly Problems Getting Liability Insurance and the Chabasinki brief
(37) Zyprexa Information Web Site
(37A) Zyprexa Lilly Fact Sheet
(38) Litigation Information by State
(39) Prozac, Paxil, Zoloft Calss Action Litigation
(40) Prozac Litigation
(41) Lilly Tactics
(42) Role of Drug Litigation, JAMA article
(43) Role of Drug Litigation
(44)
What have we learnt from Vioxx? BMJ 2007;334;120-123 Harlan M Krumholz, Joseph S Ross, Amos H Presler and David S Egilman
�
(45) BMJ article BMJ 2007;334:120-123 (20 January), What have we learnt from Vioxx?
(46) Pharmed Out Blog
(47) Medical Accountability Blog
(48) Humorous look at the drug industry
(49) Fiddaman Blog
SEROXAT SUFFERERS - STAND UP AND BE COUNTED
(50) Drug Awareness
(51) Timing of New Black Box Warnings and Withdrawals for Prescription Medications Karen E. Lasser, MD,MPH; Paul D. Allen, MD,MPH; Steffie J. Woolhandler, MD,MPH; David U. Himmelstein, MD; Sidney M. Wolfe, MD; David H. Bor, MD JAMA. 2002;287:2215-2220.
(52) Public Citizen, Article in JAMA: Timing of new black box warnings and withdrawals for prescription medications
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Jeffrey Dach, M.D. TrueMedMD
Catalog of NewsLetters
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(1)
My Vitamins Are Killing Me by Jeffrey Dach MD !!!
(2)
Stroke Prevention and Vitamin C by Jeffrey Dach MD
(3)
Testosterone Risks and Benefits by Jeffrey Dach MD
(4)
Medical School Days and SSRI Research by Jeffrey Dach MD
(5)
Iodine and Breast Cancer Prevention by Jeffrey Dach MD
(6)
Hypothyroidism Part One by Jeffrey Dach MD
(7)
Hypothyroidism Part Two Thryroflex by Jeffrey Dach MD
(8)
Guard Your Daughter from Gardisil, Virginia Tech Rampage Seung-Hui Cho by Jeffrey Dach MD
(9) Orthomolecular Medicine Meeting in Toronto 2007 by Jeffrey Dach MD
(10) B12 Deficiency by Jeffrey Dach MD
(11) Rachel Carson and Silent Spring by Jeffrey Dach MD
(12) Vitamin D Deficiency by Jeffrey Dach MD
(13) Andrew Weil AARP, and Human Growth Hormone HGH by Jeffrey Dach MD
(14) Michael Moore's SICKO by Jeffrey Dach MD
(15) Blood Pressure Pills for Hypertension, When to Treat? by Jeffrey Dach MD
(16) Low Dose Naltrexone (LDN) by Jeffrey Dach MD
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Catalog of Articles Published on Hank Barnes World,
You Bet Your Life, by Jeffrey Dach MD
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(1)
Lipitor and "The Dracula of Modern Technology" by Jeffrey Dach MD
(2)
Osteoporosis, Bisphosphonate Drugs and Toulouse Lautrec by Jeffrey Dach MD
(3)
Prozac, Paxil and SSRI Drugs - Part One by Jeffrey Dach MD
(4)
Prozac, Paxil and SSRI Drugs - Part Two by Jeffrey Dach MD
(5)
Max Essex and Virological Failure in the NEJM by Jeffrey Dach MD
(6)
The Origins of HIV by Jeffrey Dach MD
A Medical Article that I Published in 1980:
(7)
Dach J, Patel N, Patel S, Petasnick J. Peritoneal mesothelioma: CT, sonography, and gallium-67 scan. AJR Am J Roentgenol. 1980 Sep;135(3):614
Jeffrey Dach, M.D.
Member of the Board of the American Academy of Anti-Aging Medicine
Board Certified by the American Board of Radiology
4700 Sheridan, Suite T
Hollywood Fl 33021
office phone 954-983-1443
_______________________________________________________________
Don't forget to visit
my web site for more information, and we you might like to attend one of our free seminars on Wednesday Nights. Please call for reservations for the seminar, though.
Do you have a testimonial, or a question for the newsletter? Send it in via email reply.
Sincerely Yours
Jeffrey Dach, M.D.
4700 Sheridan Suite T.
Hollywood, Fl 33021
954-983-1443
_______________________________________________________________
Dr. Dach is Board Certified by the American Board of Radiology and a
member of the Board of the American Academy of Anti-Aging Medicine. He has 25 years experience in the Memorial Hospital System as an interventional radiologist. His current practice focuses on Bio-identical hormone supplementation for men and women, menopause, andropause, HGH, testosterone, natural thyroid and the use of natural substances rather than drugs in the appropriate setting.
Conflict of Interest Disclaimer: We receive no money from the pharmaceutical industry or from the NIH. We do not sell any products to the public at large. We do however, make available selected nutritional supplements to our office clients at a small markup to cover our costs.
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