Dr. Frank Patino, M.D.Dr. Frank Patino, M.D.Board Certified in:

• Internal Medicine

• Sports Medicine

• Emergency Medicine

Certified Strength & Conditioning Specialist / NSCA

Certified Medical Review Officer / MROCC

American Board of Independent Medical Examiners

Somatopause and AndropauseSomatopause and Andropause

Age20 30 40 50 60 70 80

HgH

Levels

HgH DeclineHgH Decline

Age20 30 40 50 60 70 80

Test

ost

ero

ne L

evels

Testosterone Decline

Age20 30 40 50 60 70 80

DH

EA

Levels

DHEA Decline

The Effects of AgingThe Effects of Aging

• Increase in Body Fat

• Decreased Lean Muscle Mass

• Decreased Energy Levels

• Failing Libidos and Sex Drive

• Sagging skin

• Weakened Bone Density

• Failing Immune Systems

• and so much more… 236 lbs. 21% body fat

Reclaiming YouthReclaiming Youth

• 14.4% decrease in total body fat *

• 8.8% increase in muscle mass *

• Increased bone density of 1-2% *

• Higher energy level

• Enhanced sexual performance

• Greater cardiac output

• Superior immune system function

• Increased exercise performance

• Lowered diastolic blood pressure

• Improved cholesterol profile, with higher HDL and lower LDL

• A NATURAL face lift with an increase of 7.1% in skin thickness *

• Improved function of heart, liver, spleen, kidneys, and other organs

* on average after 6 months, WITHOUT exercise

210 lbs. 9.3% body fat

Clinical StudiesClinical Studies

• 14.4% decrease in body fat• 8.87% increase in lean muscle mass• 7.1% increase in skin thickness• 1% increase in bone density • Includes both men and women• Validated the Rudman study• Showed the synergistic relationship when

Testosterone and HgH were treated together, including increased aerobic capacity

Clinical ResultsClinical Results

Somatopause and AndropauseSomatopause and Andropause

Age20 30 40 50 60 70 80

HgH

Levels

HgH Decline

Age20 30 40 50 60 70 80T

est

ost

ero

ne L

evels

Testosterone Decline

Age20 30 40 50 60 70 80

DH

EA

Levels

DHEA Decline

Human Growth Hormone ModulationHuman Growth Hormone Modulation

Testosterone for MenTestosterone for Men

Male Testosterone SynthesisMale Testosterone Synthesis

Testosterone for WomenTestosterone for Women

DHEA TherapyDHEA Therapy

Human Growth Hormone AbuseHuman Growth Hormone Abuse

• Acromegaly

• Diabetes

• Congestive Heart Failure

• Decreased Libido/Impotence

• Muscle Weakness and Osteoarthritis

DHT - DiHydro Testosterone Estradiol

Cholesterol

Testosterone

DHEA

Aromatase

5 R

educt

ase

Testosterone Negative Side Effects in MalesTestosterone Negative Side Effects in Males

Testosterone Negative Side EffectsTestosterone Negative Side Effects in Femalesin Females

• Facial Hair

• Deeper Voice

• Temporal Balding

• Clitoromegaly

RenAMI Program AdministrationAdministration

• Baseline Lab Work

• Lab work is required every seven weeks until we have achieved your physiologic level (the “zone”), then every six months thereafter.

• Telephone conferences with RenAMI’s Chief Medical Officer

RenAMI Program CostsCosts

• Lab Work – Almost universally covered by insurance

• Product – Variable, depending on insurance coverage

• Medical Services – $995 every six months*

* A letter of necessity will be provided to each patient for submission to their insurance provider for reimbursement of medical services expense.