Dr. Terlinsky is pleased to announce the creation of the Nuliving MD Extra Special Patient (ESP) Membership Club (NLMDESP MC). The main purpose of the ESP Club is to provide member patients, who truly value their health, with personal , outstanding ,in-depth medical care which is rarely seen in medical practice today. The primary mission of the Nuliving MD Extra Special Patient (ESP) Membership Club is to decisively support the medical and wellness requirements of memeber patients by expanded accentuation on preventative care. The ESP Club achieves this by allowing Dr. Terlinsky to reduce waiting times, provide expedited appointments and spend more time with his member patients as he individualizes their care.

Focus on Preventitive Care

Dr. Terlinsky plans to limit the membership of the ESP Club once the membership achieves its target level. This will allow the ESP Club members to receive dedicated preventive, wellness and personalized services including the comprehensive health assessment and other amenities described in this communication. The ESP Club will charge an annual membership fee which will allow Dr. Terlinsky to provide the necessary time and resources a member patient requires to receive the ESP Club's superior service and superb care.

Under the direction of Dr. Terlinsky The Nuliving MD Extra Special Patient Membership Club will provide an Annual, State-of-the-Art Health Assessment which draws upon new technologies to provide modern scientific insight into important health issues, early chronic disease process detection and customized advice on a long term health optimization and maintenance. After the annual ESP , state-of-art health assessment, each member patient will be provided with the ESP Wellness Plan to use as a "road map" for long term health.

Dr. Terlinsky, after years of study and tireless effort, has received advanced training in medical nutrition and metabolism , interventional endocrinology ,cardiovascular risk reduction and anti-aging and restorative medicine. Dr. Terlinsky takes this arduously achieved, cutting edge knowledge and skill and makes it an integral part of the services and benefits patients will experience when they join the Nuliving MD Extra Special Patient Membership Club. Traditional doctors, nurse practitioners and physican assistants do not have this advanced training and certification and cannot provide what Dr. Terlinsky has to offer through the ESP Club.

In addition to the excellent medical care , personalized care and preventive care, members of the Nuliving MD Extra Special Patient Membership Club will receive superlative service. Dr. Terlinsky would like to remove the hassles associated with visiting the doctor such as long waiting times and difficulty getting timely appointments. It is important for member patients in the ESP Club to experience a special relationship with Dr. Terlinsky. This relationship will not only be a caring relationship but one that recognizes the need for ongoing care outside of the medical office throughout entire year.

Nuliving MD Extra Special Patient Membership Club
Key Features Focus On Preventive Medicine

NLMDESP MC Annual Health Assessment:

1. Physical exam and Risk factor assessment, numerous screenings and extensive laboratory testing
Members will receive an annual, comprehensive physical and wellness assessment. A very detailed data base is established concerning the patient's past medical history, family history and present physical status. The patient will be given multiple questionnaires and health screenings . Important information about a patient's stress level, sleep habits, cardiovascular risk, lifestyle risks are among the numerous screens which are administered to the patient.

A very comprehensive physical examination is performed including diagnostics such as EKG, pulmonary function, chest x-ray, arterial pulse wave analysis which is a noninvasive test for hardening of the arteries.

Blood work will be obtained which is very extensive and it will include the so called "emerging biomarkers of cardiovascular risk", detailed analysis of cholesterol levels and properties which predict hardening of the arteries, optional cancer screens customized for men or women, assessments of bone health, assessments for diabetes and other chronic illnesses.

Patients will also benefit from cutting edge nutritional and metabolic, specialty lab tests on blood and urine, unavailable in typical office practices. Dr. Terlinsky will use the results to identify patients' individual nutrition and supplementation needs. These tests include key organic acids to evaluate gastrointestinal function, (gastrointestinal dysfunction and detoxification impairment) and functional need for vitamins, imbalances of vitamins , minerals, and co-factors. In addition, amino acids are measured to assess digestion, absorption, metabolic impairments, and nutritional deficits. Anti-oxidant reserves and the presence of oxidative injury are analyzed. The total time dedicated to this process often exceeds 2 hours. If corrective infectious disease , dietary , detoxification, allergy , digestive system or other functional medicine actions are needed , optional programs for patients are available to be added on to the Concierge Medicine Program under Dr Terlinsky's direction.

2. Nutritional Assessment
Extensive nutritional and biometric information is obtained and evaluated including body composition analysis, dietary intake, basal metabolic rate, lean body tissue, body fat stores, and body weight assessment. This information, along with laboratory test findings, will be used to individualized and customize suggested actions a patient may take to improve nutritional deficiencies and metabolic abnormalities. Optional add on programs are available for patients based on these suggested actions which enhance the basic NLMDESP MC Wellness Plan.This analysis may be particularly helpful for patients with high cholesterol, pre-diabetes renal disease and hypertension and overweight or obese patients.

3. H-SCAN

The NLMDESP MC Annual Health Assessment also includes a new technology known as the H-SCAN which detects premature aging which implies underlying disease processes or lifestyle issues requiring correction. It measures 12 functions that contribute to the quality-of-life. THE H-SCAN BIOMARKERS

• Auditory reaction time
• Highest audible pitch
• Vibrotactile sensitivity
• Visual reaction time
• Muscle movement time
• Lung: forced vital capacity
• Lung: forced expiratory volume, 1 sec
• Decision reaction time
• Decision movement time
• Memory
• Alternate button tapping
• Visual accommodation (need for reading glasses)

Hscan Resource Links:

• What's That in Dog Years? - Businessweek
• Biomarkers of Aging: From Primitive Organisms to Humans
• MyHealthSpan video 1 / video 2

4. ESP Personal Wellness Plan

The personal wellness plan is synthesize from all of the data and analysis in items 1, 2 and 3 above. It is a blueprint for The NLMDESP MC preventative medicine and long term wellness Plan. Patients will have a better understanding of their nutritional needs including appropriate caloric intake, target body weight to achieve, customize supplementation for health, and nutrition recommendations. Processes detected that may lead to chronic illness are often identified.

5. ESP Club Special Patient Portal
Patients will have access to a special patient portal which will allow secure e-mails, prescription requests appointment requests and laboratory results.

6. Health Records Computerized kept on an EMR

7. Enhance level of service

• getting time and attention
• unhurried office visits
• same day or next day appointments starting on time

8. 24 hour physician contact by telephone or pager

9. The Optional Arrangements and Agreements with Dr. Terlinsky for Additional Concierge and Medical Services (Not included in basic annual membership fee). Some examples of optional services and programs provided at discounted additional fees include Bio-identical Hormones, Functional Medicine, Anti-aging Programs , Physician Assisted Weight Loss, Detoxification Programs, Food Allergy and other Digestive Problem Programs

For patients , the decision to join the ESP club will be based on factors such as personal philosophy , economics, long-term healthcare concerns and sense of personal self-worth. Some patients may basically feel they are treating themselves to a well deserved special level of service and healthcare. Others may view joining the ESP Club as a way to protect their most valuable assay .... their health and well-being! Presumably, some patients will view a membership in the ESP Club for the goal of relaxing and relegating the management of their health management to Dr. Terlinsky. The fact of the matter is that people, in the conduct of their daily lives, commonly seek out and elect to purchase customized or elite plans and services that address their own perceived personal priorities. Just as a businessperson may join the "first class club" of an airline to assure critically important business-related travel arrangements, a person, feeling that it is very important for their specific long term health goals , may elect to purchase a membership in the ESP Club to assure high-quality long-term preventative and wellness oriented comprehensive medical care

In Summary , The ESP Club and ESP Wellness Plan not only affords member patients the opportunity to guarantee their long-term health stability and achieve superior health optimization, but it also provides the member patients with more insight into the status of their health and opportunity for active participation in the management of their own individualized, long-term wellness and preventive medicine plans. ESP Club member patients will also benefit from excellent, personalized service. Dr. Terlinsky encourages patients ,who are interested in becoming memebers of Nuliving MD Extra Special Patient (ESP) Membership Club, to review the details , specifics and fees for the ESP club on his website . Planned also will be live Webinar sessions with Dr. Terlinsky on the ESP Club, after which, participating patients will have the opportunity to ask Dr. Terlinsky questions about the ESP Club. Patients are invited to call Dr. Terlinsky's office and speak with Joan or Ann for more information on the ESP Club and the schedule of the upcoming webinars. A membership contract may be downloaded