# To: Jefffrey Epstein[jeevacation@gmail.com]

From:

Sent: Tue 12/11/2018 6:41:03 PM

Subject: Dr. Merrell

I was told Dr. Merrell says he will not sign off on the letter to Dr. Marmur re Karyna and cholesterol...I asked if I could please connect him to you, but he is in with a patient. I requested we set a time for you to speak with him but was told Lisa must make the appointment and she was not available but will call me back to set a time. I will follow up in 30 minutes.

(212) 535-1012