To: Karina Shuliallkari.shulia©gmail.com) From: Jeffrey Epstein Sent Fri 1/3/2014 7:49:00 PM A low level of cortisol in the blood can mean Addison's disease, which is caused by damage to the adrenal glands. If the pituitary gland is not working well, it can cause low levels of the hormone ACTH, which in turn causes low levels of cortisol. Conditions that can damage the adrenal glands or pituitary gland include some infections head injury, and some autoimmune diseases. *********************************************************** 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 c-mail or by e-mail to jecvacation@gmail.com, and destroy this communication and all copies thereof, including all attachments. copyright -all rights reserved EFTA_R1_00399608 EFTA01940987