Measure Healing By RESULTS . . .

FACILITIES CURRENTLY CONDUCTING

IMMUNOCAL OPEN LABEL TRIALS
AND/OR
CURRENTLY USING IMMUNOCAL®

American Assoc of Homes/Services for the Aged

Extendicare
Marnier Health Care (in formulary)

Bergen Regional Medical Center, NJ

Beth Abraham Family of Health Services, NY
Cabrini Wound Center, NY
Centura Senior Life Center, CO
Colony Park Nursing Home, CA
Right Knee After 4 Weeks
East Neck Nursing Center, NY
Hackensack Hospital, NJ
Before Immunocal®
Hebrew Home (Valhalla), NY
Hebrew Hospital Home Co-Op City, NY
Ironwood Rehab Center, IN
Medford Care Center, NJ
New York City Health & Hospitals Corp., NY
North Central Bronx Hospital, NY
Regent Care Center, NJ
S.C. Espiscopal Home at Still Hopes, NC
Sadie G Mays Rehabilitation Center, GA
Terrace Gardens Health Care, CO
The Harborage, NJ
Tuolumne General Hospital, CA
Victoria Nursing & Rehab Center, TX
West Caldwell Nursing Home, NJ
Whispering Hope Care Center, CA
100 independent facilities not listed
Right Foot After 4 Weeks
Veteran Hospitals
Ann Arbor VAMC Before Immunocal®
Atlanta VAMC

Photographs are of patients on Immunocal® at 20g BID

Augusta VAMC
Birmingham VAMC
Boise VAMC
Canadaigua VAMC
Carl Vinson VAMC
Central Arkansas VHS
Resolve pressure ulcers in WEEKS
Central Alabama VHCS
Clement Zablocki VAMC
not months with Immunocal®
Connecticut VAHC
Dayton VAMC Even stage IV surgical candidates
Grand Rapids HFV
Honolulu VAMROC resolve in about 6 weeks
Ioannis A. Lougaris VAMC
Iron Mountain VAMC
Sonny Montgomery VAMC
St. Albans NY VHS
Tuscaloosa VAMC
Reco mmended Dosage: 20g BID
Wilmington VAMC Maintenance Dosage: 10-20g QID

Measure Your Results Using

DISTRIBUTOR OF IMMUNOCAL® TO:
®
Immunocal
DRUG AND NUTRITIONAL WHOLESALERS,
PHARMACIES, NURSING HOMES
AND HOME HEALTHCARE INDUSTRY

www.numedtec.com a bonded cysteine broad-spectrum nutraceutical

877.687.2277
The New Standard in the Treatment of Pressure Ulcers
Dear Healthcare Professional;

Veterans Administration Medical Centers, hospitals and nursing homes around the country are
currently conducting a series of open label trials with Immunocal® on pressure ulcer patients.

Immunocal offers increased efficacy and reduced cost in the management and resolution of pressure
ulcers. Immunocal is a bonded cysteine broad-spectrum nutraceutical food derivative with biologic
capability to modulate cellular function. Immunocal is affirmed as GRAS under 21CFR §184.1979c.
You may read more about Immunocal in the Physicians Desk Reference. More than 100,000 people
have used Immunocal with no significant adverse side effects.

In Preliminary data emerging from our open label trials we are observing stage III and IV pressure
ulcers resolve completely in about 6 weeks depending on the starting size of the ulcer with no
change in ongoing "best practice" pressure ulcer management. Our data demonstrates markedly
accelerated rates of healing.

We look forward to your organization having a positive evaluation of Immunocal and Immunocal’s
inclusion in your formulary for wound care therapy. Immunocal will be a valuable addition to your
formulary because of the speed with which it works and the potential cost savings to the institutions
you serve. Immunocal is beneficial to your patients because it has no known toxicity, is easy to
digest, and has been associated with an improved nutritional status in a broad range of patients,
including diabetics, dialysis, HIV/AIDS and cancer patients.

For more information about the science and efficacy of Immunocal, we invite you to explore our
company’s website at www.numedtec.com.

If you have further questions, please contact us at your convenience. We look forward to
collaborating with your company to explore what will be required to place Immunocal on your
formulary.
If you have further questions, please contact us at your convenience.

Sincerely,

NuMedTec

By: Annibale Orsi

Annibale “Ni” Orsi
President

251 Jeanell Dr., Suite 3, Carson City, NV 89703 Branch Office: 3620 Schooner Dr., Suite A, Stockton, CA 95219
off: 877.687.2277 off: 209.474.7488 fax: 209.478.3910 www.numedtec.com email: info@numedtec.com
IMMUNOCAL® PDR® 2003
GLUTATHIONE PRECURSOR
(undenatured whey protein isolate)
Powder Sachets
DESCRIPTION and CLINICAL PHARMACOLOGY - IMMUNOCAL® is
a U.S. patented natural food protein concentrate in the FDA category of GRAS
(generally recognized as safe) which assists the body in maintaining optimal
concentrations of glutathione (GSH) by supplying the precursors required for
intracellular glutathione synthesis. It is clinically proven to raise glutathione
values (Lands et al, 1999).
Glutathione is a tripeptide made intracellularly from its constituent amino acids
L-glutamate, L-cysteine, and glycine. The sulfhydryl (thiol) group (SH) of
cysteine serves as a proton donor and is responsible for the biological activity of
glutathione. Provision of this amino acid is the rate-limiting factor in
glutathione synthesis by the cells since cysteine is relatively rare in foodstuffs
and furthermore, if released as the free amino acid, is toxic and spontaneously
catabolized in the gastrointestinal tract and blood plasma.
Immunocal® is a bovine whey protein isolate specially prepared to provide a
rich source of bioavailable cysteine. Following digestion, the cysteine remains
as the stable form cystine (2 molecules of cysteine linked by disulfide bond) and
glutamylcystine. After absorption, these dipeptides travel safely in the blood
stream and readily enter the cells to release free cysteine for intracellular
glutathione synthesis. Immunocal® can thus be viewed as a cysteine delivery
system.
The disulphide bond in cystine is pepsin and trypsin resistant but may be split by
heat, low pH, or mechanical stress releasing free cysteine. When subject to heat
or shearing forces (inherent in most extraction processes), the fragile disulfide
bonds within the peptides are broken and the bioavailability of cysteine is
greatly diminished.
Glutathione is a tightly regulated intracellular constituent and is limited in its
production by negative feedback inhibition of its own synthesis through the
enzyme gamma-glutamylcysteine synthetase, thus greatly minimizing any
possibility of overdosage.
Glutathione has multiple functions:
1. It is the major endogenous antioxidant produced by the cells,
participating directly in the neutralization of free radicals and reactive
oxygen compounds, as well as maintaining exogenous antioxidants such
as vitamins C and E in their reduced (active) forms.
2. Through direct conjugation, it detoxifies many xenobiotics (foreign
compounds) and carcinogens, both organic and inorganic.
3. It is essential for the immune system to exert its full potential, e.g. (1)
modulating antigen presentation to lymphocytes, thereby influencing
cytokine production and type of response (cellular or humoral) that
develops, (2) enhancing proliferation of lymphocytes thereby increasing
magnitude of response, (3) enhancing killing activity of cytotoxic T
cells and NK cells, and (4) regulating apoptosis, thereby maintaining
control of the immune response.
4. It plays a fundamental role in numerous metabolic and biochemical
reactions such as DNA synthesis and repair, protein synthesis,
prostaglandin synthesis, amino acid transport and enzyme activation.
Thus, every system in the body can be affected by the state of the
glutathione system, especially the immune system, the nervous system,
the gastrointestinal system, and the lungs.
INDICATIONS AND USAGE - IMMUNOCAL® is a natural food supplement
and as such is limited from stating medical claims per se. Statements have not
been evaluated by the FDA. As such, this product is thus not intended to
diagnose, cure, prevent, or treat any disease.
Glutathione augmentation is a strategy developed to address states of glutathione
deficiency, high oxidative stress, immune deficiency, and xenobiotic overload in
which glutathione plays a part in the detoxification of the xenobiotic in question.
Glutathione deficiency states include, but are not limited to: HIV/AIDS,
chemical and infectious hepatitis, prostate and other cancers, cataracts,
Alzheimer’s, Parkinson’s, chronic obstructive pulmonary disease, asthma,
radiation poisoning, malnutritive states, arduous physical stress, aging, and has
been associated with sub-optimal immune response. Many clinical pathologies
are associated with oxidative stress and are elaborated upon in numerous
medical references.
Low glutathione is also strongly implicated in wasting and negative nitrogen
balance (Droge and Holm, 1997), notably as seen in cancer, AIDS, sepsis,
trauma, burns, and even athletic overtraining. Glutathione supplementation can
oppose this process and in AIDS, for example, result in improved survival rates
(Herzenberg et al, 1997).
CONTRAINDICATIONS - IMMUNOCAL® is contraindicated in individuals
who develop or have known hypersensitivity to specific milk proteins.
PRECAUTIONS - Each sachet of IMMUNOCAL® contains nine grams of
protein. Patients on a protein-restricted diet need to consider this when
calculating their daily protein load. Although a bovine milk derivative,
IMMUNOCAL® contains less than 1% lactose and therefore is generally well
tolerated by lactose-intolerant individuals.
WARNINGS - Patients undergoing immunosuppressive therapy should discuss
the use of this product with their health professional.
ADVERSE REACTIONS - Gastrointestinal bloating and cramps if not
sufficiently rehydrated. Transient urticarial-like rash in rare individuals
undergoing severe detoxification reaction. Rash abates when product intake
stopped or reduced.
OVERDOSAGE - Overdosing on IMMUNOCAL® has not been reported
DOSAGE AND ADMINISTRATION - For mild to moderate health
challenges 20 grams per day are recommended. Clinical trials in patients with
AIDS, COPD, cancer, and chronic fatigue syndrome have used 30 - 40 grams
per day without ill effect. IMMUNOCAL® is best administered on an empty
stomach or with a light meal. Concomitant intake of another high protein load
may adversely affect absorption.
RECONSTITUTION - IMMUNOCAL® is a dehydrated powdered protein
isolate. It must be appropriately rehydrated before use. To assure maximum
bioactivity, Immunocal must be consumed within 8-12 hours. (Refrigerate to
prevent bacterial spoilage). DO NOT heat or use a hot liquid to rehydrate the
product. DO NOT use a high-speed blender for reconstitution. These methods
will decrease the activity of the product.
Proper mixing is imperative. Consult instructions included in packaging.
HOW SUPPLIED - 10 grams of bovine milk protein isolate powder per sachet.
30 sachets per box.
STORAGE - Store in a cool dry environment. Refrigeration is not necessary.
Patent no.'s: 5,230,902 - 5,290,571 - 5,456,924 - 5 ,451,412 - 5,888,552
REFERENCES
1. Baruchel S, Viau G, Olivier R. et al. Nutraceutical modulation of glutathione with a
humanized native milk serum protein isolate, Immunocal®: application in AIDS and
cancer. In: Oxidative Stress in Cancer, AIDS, and Neurodegenerative Diseases. Ed.;
Montagnier L, Olivier R, Pasquier C. Marcel Dekker Inc. New York, 447-461, 1998
2. Bounous G, Kongshavn P. Influence of protein type in nutritionally adequate diets on the
development of immunity. In Absorption and Utilization of Amino Acids Vol.II. Ed. M.
Friedman. CRC Press, Inc., Fla. 2:219-32, 1989
3. Bounous G, Gold P. The biological activity of undenatured whey proteins: role of
glutathione. Clin Invest Med 14:296-309, 1991
4. Bounous G, Baruchel S, Falutz J. Gold P. Whey proteins as a food supplement in HIV-
seropositive individuals. Clin Invest Med. 16:3; 204-209, 1992
5. Bounous G. Whey protein concentrate (WPC) and glutathione modulation in cancer
treatment. Anticancer Res. 20:4785-4792,2000
6. Bounous G. Immunoenhancing properties of undenatured milk serum protein isolate in
HIV patients. Int. Diary Fed: Whey: 293-305, 1998
7. Droge W, Holm E. Role of cysteine and glutathione in HIV infection and other diseases
associated with muscle wasting and immunological dysfunction. FASEB J: 11(13):1077-
1089, 1997
8. Herzenberg LA, De Rosa SC, Dubs JG et al. Glutathione deficiency is associated with
impaired survival in HIV disease. Proc Natl Acad Sci 94:1967-72,1997
9. Kennedy R, Konok G, Bounous G et al. The use of a whey protein concentrate in the
treatment of patients with metastatic carcinoma: A phase 1-II clinical study. Anticancer
Res. 15:2643-50,1995
10. Lands LC, Grey VL, Smountas AA. Effect of supplementation with a cysteine donor on
muscular performance. J. Appl. Physiol. 87:1381-1385, 1999
11. Locigno Roberto, Castronovo Vincent. Reduced glutathione system: Role in Cancer
development, prevention and treatment. International Journal of Oncology 19:221-236,
2001
12. Lomaestro B, Malone M. Glutathione in health and disease: pharmacotherapeutic issues.
Ann Pharmacother 29: 1263-73,1995
13. Lothian B, Grey V, Kimoff RJ, Lands. Treatment of obstructive airway disease with a
cysteine donor protein supplement: a case report. Chest 117:914-916, 2000
14. Meister A. Glutathione. Ann Rev Biochem 52:711-60,1983
15. Peterson JD, Herzenberg LA, Vasquez KK, Waltenbaugh C. Glutathione levels in
antigen-presenting cells modulate Th1 versus Th2 response patterns. Proc.Natl. Acad.
Sci. 95:3071-3076, 1998
16. Watanabe A, Higachi K, Yasumura S. et al. Nutritional modulation of glutathione level
and cellular immunity in chronic hepatitis B and C. Hepatology. 24:597A, 1996
 Nutritional 1 Packet
30 packets
Breakdown 10 g 100 g
1 box
Total Fat 0.01 g 0.13 g 0.39 g
Saturated Fat 0.01 g 0.08 g 0.24 g
Polyunsaturated Fat 0 0.01 g 0.03 g
Monounsaturated Fat 0 0.04 g 0.12 g
Cholesterol 0.04 mg 0.37 mg 1.11 mg
Sodium 25 mg 250 mg 750 mg
Potassium 30 mg 300 mg 900 mg
Total Carbohydrate 0.10 g 1.0 g 3g
Dietary Fiber 0 0 0
Lactose <0.07 g <0.7 g <2.1 g
Sugars 0.15 g 1.5 g 4.5 g
Protein 9g 90 g 270 g
Vitamin A <1g < 10 g < 30 g
Vitamin C 0 0 0
Calcium 60 mg 600 mg 1800 mg
Magnesium 9 mg 90 mg 270 mg
Chloride 0.5 mg 5 mg 15 mg
Iron 0.93 mg 9.3 mg 27.90 mg
Thiamin 0 0 0
Riboflavin 0 0 0
Niacin 0 0 0
Phosphorus 21 mg 210 mg 630 mg
Calories 37 366 1098
Calories from Fat 0.1 1.0 3

Amino Acid Profile of Immunocal

g/10g of Immunocal
AMINO ACID Immunocal AMINO ACID Immunocal
ASP 1.143 TYR .279
THR .747 PHY .279
SER .477 HIS .162
GLU 1.773 LYS .855
GLY .180 ARG .153
ALA .504 PRO .567
VAL .567 CYS .225
ILE .612 MET .225
LEU .981 TRP .180

OSMOLARITY ANALYSIS: Osmolarity (mOsmol/kg H2O) 19 Measured with distilled water

Osmolarity (mOsmol/kg H2O) 391 Measured with Osmolite
Medicare HCPCS CODE B4155 NDC Number 28770-0970-01 UPC Code 6-28770-097001
GRAS – 21CFR §18.1979c

DISTRIBUTOR OF IMMUNOCAL TO:

DRUG AND NUTRITIONAL WHOLESALERS,
PHARMACIES, NURSING HOMES AND HOME HEALTHCARE INDUSTRY
off: 877.687.2277 fax: 209.478.3910 www.numedtec.com email: info@numedtec.com