To: Fran: Sent Sun 10/21/2012 11:14:28 AM Jeffrey Epstein you are on the lowest recomment dose not the highest. if you are taking 30„ s take one additional this week to start if not try cutting a 60 in half and add Generalized Anxiety Disorder — It is generally agreed that episodes of generalized anxiety disorder require several months or longer of sustained pharmacological therapy. Maintenance of efficacy in GAD was demonstrated with Cymbalta as monotherapy. Cymbalta should be administered in a dose range of 60-120 mg once daily. Patients should be periodically reassessed to determine the continued need for maintenance treatment and the appropriate dose for such treatment [see Clinical Studies ( 14.2)]. s*****.**************************************************** The information contained in this communication is confidential, may be attorney-client privileged, may constitute inside information, and is intended only for the use of the addressee. It is the property of Jeffrey Epstein Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to ice% acation@gmail com, and destroy this communication and all copies thereof, including all attachments. copyright -all rights reserved EFTA_R1_00315535 EFTA01893548