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Case Studies

Case studies are a very important part of our research and development. It brings you better products and support for those products. Case studies are performed by Dr, Sheldon Milner, MD. and Dr. Philip Levin, MD. Below are a few case studies that we thought may be of interest to you. We occasionally post new case studies so stop back often to check for new content.

Case Study #1

Fat-Loss Patient 1
Age (years): 33
Current Weight (lbs): 255
Height (inches): 69
Exercise Intensity (1-5): 4
Exercise Frequency (1-5): 4
Exercise Time (1-4): 4
Fat Weight: 59.2 lbs
Lean (fat-free) Weight:195.8 lbs
Total Body Water: 66.23 Liters, or 57.2%
Subject Number: 397
Date of Test: Apr 7, 2001
Sex: Male
Body Frame: Large
Body Fat:23.2%
Body Mass Index: 37.8

Overview:

Subject Number 397 lost a total of 15.7% (61.4 lbs) of his body fat while gaining 6.4 lbs of lean muscle over a 14 month period while using a combination of PermaLean Gourmet Protein Crunch Bars and PermaLean Gourmet Protein Power Shakes.

Body Mass Analysis: Subject Number 397
Date	Weight	Fat%	Fat lbs.	Lean lbs.
5-21-99	310	38.9	120.6	189.4
8-6-99	275	37.2	102.3	172.7
1-7-00	274	36.2	99.2	174.7
4-7-00	255	23.2	59.2	195.8

Case Study #2

Fat-Loss Patient 2
Subject Number: 73
Age (years): 55
Date of Test: Dec 12, 2000
Current Weight (lbs): 206
Sex: Female
Height (inches): 65
Body Frame: Medium
Exercise Intensity (1-5): 3
Exercise Frequency (1-5): 4
Body Fat: 34.2%
Exercise Time (1-4): 3
Body Mass Index: 34.3
Fat Weight: 70.4lbs
Lean (fat-free)
Weight: 135.5lbs
Total Body Water: 47.52Liters, or 50.8%

Overview:

Subject Number 73 lost a total of 20.7% (49.6 lbs) of fat while gaining 36.5 lbs of lean muscle over a 5 month period while using a combination of PermaLean Gourmet Protein Crunch Bars and PermaLean Gourmet Protein Power Shakes.

Body Mass Analysis: Subject Number 73
Date	Weight	Fat%	Fat lbs.	Lean lbs.
7-17-96	219	54.9	120	99
8-1-00	220	41.7	91.7	128.3
12-12-00	206	34.2	70.4	135.5

Case Study #3

Diabetic Case Study 1 - Report of Continuous Glucose Sensor
Patient: T.R.
Run Date: 06/27/00 to 06/29/00
DM Type and Duration: Type 1
Control History: Brittle Type 1
Hgb-A1c: 6.4%
DM Therapy: Insulin Pump

Indications for CGMS:
Brittle Type 1 with frequent episodes of hypoglycemia. Evaluate control now that patient is on insulin pump. Evaluate effect of PermaLean bar on night-time hypoglycemia.

Comments:
Patients control on insulin pump is less brittle than before pump. Range of blood glucoses are mostly 80-190. No significant hypoglycemia while using low-carbohydrate nutrition bar (PermaLean). Post-prandial lunch and dinner blood glucoses somewhat prolonged.

Recommendations:
Overall insulin pump control seems less brittle and improved compared to multiple shots. Patient might benefit from adding 1-2u to her bolus meal coverage. (PermaLean) Low carbohydrate nutrition bar at bedtime may help reduce chance of significant nighttime hypoglycemia.

Sensor Assessment:
Sensor average over 146 hours Sensor range 60 to 260

-Philip Levin, M.D.

Case Study #4

Diabetic Case Study 2 - Report of Continuous Glucose Sensor
Patient: L.T.
Run Date: 06/27/00 to 06/29/00
DM Type and Duration: Type 1
Control History: Brittle Type 1
DM Therapy: Insulin Pump

Indications for CGMS:
Brittle Type 1 with frequent episodes of hypoglycemia. Evaluate control now that patient is on insulin pump. Evaluate effect of PermaLean bar on night-time hypoglycemia.

Comments:
The PermaLean bar was given before bedtime at about 10:00 p.m. This patient did not show any significant hypoglycemia through the night. His second bar was at 9:30 a.m. after breakfast. No significant hypoglycemia occurred until 6 hours later at 4:00 p.m.

-Philip Levin, M.D.

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