Every patient responds differently to stress.

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1 Every patient responds differently to stress. Help patients manage their unique stress response type with targeted nutritional support.* Clinical Guide for Stress Management

2 Stress is highly personalized. So is my approach to relief. Personalized Approaches to Balance the Stress Response * Helping patients manage stress can be difficult because there are different types of stress including momentary and prolonged stress. Each with its own intensity, symptoms, and characteristics. Now there s an easier way to help relieve each patient s unique type of stress manifestation with a complete line of targeted nutritional support formulas.* Stress Threatens the Body s Homeostasis Every day we are faced with stimuli called stressors that elicit the stress response. While momentary stress can cause temporary tension or nervous energy (e.g., feeling wired or tired), a prolonged stress response can offset homeostatic regulation and ultimately lead to feeling weak, tired, or emotionally exhausted. Personalized Stress Relief Made Easier The Program provides comprehensive support materials to help you manage each patient s response to stress in 3 easy steps: Adapting to Stress: a Complex Chain of Events The hypothalamic-pituitary-adrenal (HPA) axis plays a primary role in the body s adaptation to stress. It regulates the release of hormones (e.g., cortisol, adrenaline) and other biochemicals that influence nearly all body systems. Depending on the type of stress and biochemical individuality of each patient, an underlying imbalance may occur, such as over- or under-responsive HPA axis activity. While feeling stressed and wired may reflect increased HPA axis activity, feeling stressed and tired may be associated with decreased HPA axis activity. A patient may also have difficulty achieving an adaptive adrenal response (e.g., feeling hot). Personalized Stress Relief for Each Patient Metagenics offers a complete line of stress relief formulas with all-natural ingredients, including adaptogens. Adaptogens are a unique class of herbs known to help individuals adapt to stress by supporting balanced HPA activity. These unique formulas are designed to address six unique types of stress manifestations, including feeling tired, wired, hot, worried, or mentally exhausted. For more advanced patient care, try our exclusive, easy-to-implement personalized stress relief program Identi- T.* Step 1. Have patients complete the Identi-T Stress Assessment to identify their stress response type. Step 2. Recommend targeted nutritional support. Step 3. Offer the Personalized Stress Relief Program Guide.

3 Targeted Relief for Each Type of Stress Response * Your patients react to stress differently. That s why it s important to offer personalized approaches to address unique stress response types. Metagenics offers a variety of targeted stress relief formulas to help patients stay relaxed and focused through stressful times.* Occasionally Stressed* Stressed & Wired* Stressed & Worried* Stressed & Hot* Stressed & Mentally Exhausted* Stressed & Tired* NuSera Relief for Stressful Moments* NuSera is a delicious chocolateflavored chewable tablet specially formulated to help people feel calm and relaxed during occasional stressful situations.* Clinical studies suggest LactiumPure the patented, active ingredient in NuSera improves stress response measures, including physical, cognitive, and emotional reactions* Research suggests LactiumPure may influence the metabolism of cortisol, the stress hormone* In vitro studies suggest LactiumPure positively influences the activity of gamma-aminobutyric acid (GABA) a calming neurotransmitter* Clinically effective dose* Support for relaxation as needed* Each tablet supplies: Calories 5, Total Carbohydrate 2 g (Sugar Alcohol 1 g), and Casein Tryptic Hydrolysate 150 mg. Ingredients: Sorbitol, fructose, casein tryptic hydrolysate (milk), natural flavors, Dutch processed cocoa, stearic acid (vegetable), silica, and guar gum. Contains: milk. Recommendations: Chew one tablet during times of stress. Do not exceed four tablets per day. Form: 30 Chewable Tablet Bottle Caution: Excessive consumption may cause drowsiness. If taking medication, consult your healthcare Avoid use if taking benzodiazepine or consuming alcohol. LactiumPure, a pure, undiluted, bioactive decapeptide (10 amino acid sequence) complex derived from casein, a milk fraction. This material contains a non-milk carrier. Serenagen Traditional Heart Calming Formula* Serenagen is a classic herbal stress management formula used in traditional Chinese medicine (TCM) to nourish and quiet the heart.* Designed for individuals who have feelings of anxiety and disorientation and have difficulty resting due to stress* Formulated for individuals who may have feelings of being overheated and flushed when stressed* Traditionally used herbs to address organs and Relief for feelings of anxiety* Two tablets supply: A 4:1 proprietary herbal extract blend of: Rehmannia Root (Rehmannia glutinosa), Schisandra Fruit (Schisandra chinensis), Jujube Fruit (Ziziphus spinosa), Dong Quai Root (Angelica sinensis), Chinese Asparagus Root (Asparagus cochinchinensis), Ophiopogon Root (Ophiopogon japonicus), Scrophularia Root (Scrophularia ningpoensis), Asian Ginseng Root (Panax ginseng), Chinese Salvia Root (Salvia miltiorrhiza), Poria Fungus (Poria cocos), Polygala Root (Polygala tenuifolia), and Platycodon Root (Platycodon grandiflorum) 1000 mg. Other ingredients: Microcrystalline cellulose, croscarmellose sodium, cellulose, stearic acid (vegetable), silica, magnesium stearate (vegetable), and coating (water, hypromellose, medium chain triglycerides, and hydroxypropylcellulose). Form: 60, 100, and 180 Tablet Bottles (Vegetarian) Tran-Q Support for Tension Release* Tran-Q is a classic herbal stress management formula used in TCM to relax the restless mind and body.* Designed for individuals who have recurring thought patterns due to stress* Traditionally used to help release tension in those who feel overwhelmed and physically tense* Classically used to address multiple organs and Tension relief when feeling overwhelmed* Two tablets supply: A 4:1 proprietary herbal extract blend of: Polygala Root (Polygala tenuifolia), Jujube Fruit (Ziziphus spinosa), Poria Fungus (Poria cocos), Biota Seed (Biota orientalis), Gardenia Fruit (Gardenia jasminoides), Tangerine Peel (Citrus reticulata), Bai-Zhu Atractylodes Rhizome (Atractylodes macrocephala), Licorice Root (Glycyrrhiza uralensis), Platycodon Root (Platycodon grandiflorum), Rehmannia Root (Rehmannia glutinosa), and Job s Tears Seed (Coix lachryma-jobi) 1000 mg. Other ingredients: Microcrystalline cellulose, croscarmellose sodium, cellulose, stearic acid (vegetable), and silica. Form: 60 and 180 Tablet Bottles (Vegetarian) Equivalent to 4,000 mg of raw, dried, unprocessed herbs. Licorice Plus Support for Cortisol Metabolism* Licorice Plus is designed for individuals who have been exposed to moderate or prolonged stress and have difficulty achieving an adaptive response, which may be due to physically exhausted reserves.* Supports healthy cortisol metabolism, which is associated with a healthy physiological response to stress* Promotes healthy adrenal function and vitality* Provides ashwagandha, an Ayurvedic herb with adaptogenic properties often referred to as Indian ginseng * Standardized to assure controlled delivery of glycyrrhizic acid a key active ingredient from licorice Support for cortisol metabolism during times of stress* Two tablets supply: Licorice (Glycyrrhiza glabra) Root Extract [standardized to 25% (150 mg) glycyrrhizic acid] 600 mg, Ashwagandha (Withania somnifera) Root 15:1 Extract (containing withanolides) 100 mg, and a 4:1 herbal extract blend of: Rehmannia (Rehmannia glutinosa) Root and Chinese Yam (Dioscorea oppositifolia) Root 500 mg. Other ingredients: Microcrystalline cellulose, cellulose, croscarmellose sodium, stearic acid (vegetable), silica, and coating (water, hypromellose, medium chain triglycerides, and hydroxypropylcellulose). Recommendations: Two tablets one to two times daily. Form: 60 Tablet Bottle (Vegetarian) Warning: Do not use if pregnant or nursing or if you have heart disease or hypertension. Do not exceed 600 mg of glycyrrhizic acid daily. Extended use at these levels may elevate blood pressure. Exhilarin Mental Clarity Support* Exhilarin is a classic blend of adaptogenic herbs traditionally used in Ayurvedic medicine to increase stress tolerance and help maintain mental acuity.* Traditionally used to address mental fatigue associated with stress* Ideal for individuals who are susceptible to becoming run down due to a hectic lifestyle and poor diet* Traditionally used herbs to address multiple body Support for cognitive function during stressful times* Two tablets supply: A proprietary blend of herbal extracts: Holy Basil (Ocimum sanctum) Leaf 10:1 Extract (containing urosolic acid), Ashwagandha (Withania somnifera) Root 15:1 Extract (containing withanolides), Amla (Emblica offcinalis) Fruit 3:1 Extract (containing tannins), and Bacopa (Bacopa monniera) Leaf 4:1 Extract (containing bacosides A & B) 1230 mg. Other ingredients: Microcrystalline cellulose, cellulose, croscarmellose sodium, stearic acid (vegetable), silica, and coating (water, hypromellose, medium chain triglycerides, and hydroxypropylcellulose). Form: 60 Tablet Bottle (Vegetarian) Adreset Relief for Stress-Related Fatigue & Weakness* Adreset is designed to build resilience and enhance stamina in individuals who are feeling weak and fatigued due to stress.* Helps address physical fatigue associated with prolonged stress* Features herbs that support an adaptive response to stress through their influence on the HPA axis* Features concentrated adaptogens, including ginseng root, cordyceps, and rhodiola extracts, used to address multiple body systems involved in the stress response* Support for improved energy during times of stress* Two capsules supply: Cordyceps Mycelium (Paecilomyces hepiali Chen ) 8:1 Extract [standardized to 4% (32 mg) cordycepic acid and 0.25% (2 mg) adenosine] 800 mg, Asian Ginseng (Panax ginseng) Root Extract [standardized to 8% (32 mg) ginsenosides] 400 mg, and Rhodiola (Rhodiola rosea) Root Extract [standardized to 1% (1 mg) salidroside] 100 mg. Other ingredients: Hydroxypropylmethylcellulose, microcrystalline cellulose, silica, and magnesium stearate (vegetable). Recommendations: Two capsules one to three times daily. Form: 60 and 180 Capsule Bottles (Vegetarian) If you are taking medication or have high blood pressure, consult your healthcare Capsules are composed of plant-derived ingredients. An asexual derivation of Cordyceps sinensis reported by the Institute of Microbiology, the Chinese Academy Sciences, Beijing, PRC. Caution: If you are taking medication, consult your healthcare Equivalent to 3,000 mg of raw, dried, unprocessed herbs.

4 Clinical Applications At-a-Glance Stress relief that s right for me. I can feel the tide turning. Help your patients manage their unique type of stress response with targeted nutritional support from Metagenics. Use the algorithm below to identify the formulas that meet your patients individual needs.* Target Formula Support & Application Dosage Occasionally Stressed* NuSera Chocolate-flavored chewables designed to help people feel calm during stressful moments* Support for relaxation as needed* Chew one tablet during times of stress. Do not exceed four tablets per day. To order, contact your Metagenics Representative or call: To learn more, please visit metagenics.com/stressmanagement Classic herbal stress management formula used in TCM to nourish and quiet the heart* Stressed & Wired* Serenagen Relief for feelings of anxiety* Classic herbal stress management formula used in TCM to relax the restless mind and body* Stressed & Worried* Tran-Q Tension relief when feeling overwhelmed* Stressed & Hot* Licorice Plus Herbal formula designed for individuals who have been exposed to moderate or prolonged stress* Support for cortisol metabolism during times of stress* Two tablets one to two times daily. Classic blend of Ayurvedic herbs used to increase stress tolerance and help maintain mental acuity* Stressed & Mentally Exhausted* Exhilarin Support for cognitive function during stressful times* Herbal formula designed for individuals who are feeling weak and fatigued due to stress* Stressed & Tired* Adreset Support for improved energy during times of stress* Two capsules one to three times daily.

5 Metagenics 100 Avenida La Pata San Clemente, CA These certifications for Good Manufacturing Practices demonstrate the Metagenics commitment to purity and quality. MET Metagenics, Inc. All Rights Reserved.

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