The Bone Wellness Centre - Specialists in Dexa Total Body 855 Broadview Avenue Suite # 305 Toronto, Ontario M4K 3Z1

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1 Patient: Obese, Sample Birth Date: 0/Jan/ years Height / Weight: 72.0 cm 95.0 kg Sex / Ethnic: Male Patient ID: Referring Physician: DR. SMITH Measured: 07/Jun/200 7:0:52 PM (.40) Analyzed: 02/Apr/203 5:06:59 PM (4.0) Total Body Quantitation Composition Reference: Total 40% 30% 20% Z-score Composition Trend: Total Total Mass (kg) 00 0% 0% Age (years) Age (years) Measured Date Age (years) Trend: Total (Basic Analysis) 2,3 Z-score Total Mass Region Fat Lean (kg) BMC Fat Free (e) 07/Jun/ ,506 34,954 57,552 2,637 60,89 Measured Date Age (years) Trend: Fat Distribution (Basic Analysis) Android Gynoid A/G Ratio Total Body (e) 07/Jun/ COMMENTS: World Health Organization BMI Classification BMI = 32. (kg/m²) Underweight Normal Overweight Obese Weight (kg) for height = 72.0 cm Image not for diagnosis Printed: 02/Apr/203 5:07:54 PM (4.0)76:0.5:76.52: : x :%Fat=37.8% 0.00: :0.00 Filename: ladaks_cm2o3l6h23.dfb Scan Mode: Thick 0.8 µgy - Statistically 68% of repeat scans fall within SD (± 0.8 % Fat, ±20 g Mass, ±520 g Fat Mass, ±60 g Lean Mass for Total Body Total) 2 - USA (Lunar) Total Body Composition Reference Population (v3) 3 - Composition Matched for Age Lunar Prodigy Advance PA

2 Patient: Obese, Sample Birth Date: 0/Jan/ years Height / Weight: 72.0 cm 95.0 kg Sex / Ethnic: Male Patient ID: Referring Physician: DR. SMITH Measured: 07/Jun/200 7:0:52 PM (.40) Analyzed: 02/Apr/203 5:06:59 PM (4.0) Total Body Quantitation 40% Composition Reference: Total Z-score % % % 0% Age (years) Region Composition (Basic Analysis) 2,3 Z-score Total Mass Fat Lean (kg) BMC Arm Right ,2 3,362 8 (e) Arm Left ,2 3,362 8 Legs ,887 20,30,24 Leg Right ,50 0, Leg Left ,377 9, Trunk ,985 27, (e) Total ,954 57,552 2,637 COMMENTS: Image not for diagnosis Printed: 02/Apr/203 5:07:53 PM (4.0)76:0.5:76.52: : x :%Fat=37.8% 0.00: :0.00 Filename: ladaks_cm2o3l6h23.dfb Scan Mode: Thick 0.8 µgy - Statistically 68% of repeat scans fall within SD (± 0.8 % Fat, ±20 g Mass, ±520 g Fat Mass, ±60 g Lean Mass for Total Body Total) 2 - USA (Lunar) Total Body Composition Reference Population (v3) 3 - Composition Matched for Age Lunar Prodigy Advance PA

3 Patient: Obese, Sample Birth Date: 0/Jan/ years Height / Weight: 72.0 cm 95.0 kg Sex / Ethnic: Male Patient ID: Referring Physician: DR. SMITH Measured: 07/Jun/200 7:0:52 PM (.40) Analyzed: 02/Apr/203 5:06:59 PM (4.0) BODY COMPOSITION (Basic Analysis) Region Region Fat Lean BMC Total Mass (kg) (e) (e) (e) (e) Arms ,967 2,243 6, Arm Right ,484,2 3, Arm Left ,484,2 3, Legs ,07 2,887 20,30, Leg Right ,680 6,50 0, Leg Left ,337 6,377 9, Trunk ,055 8,985 27, Trunk Right ,26 9,6 3, Trunk Left ,929 9,869 4, Android ,95 3,940 3, Gynoid ,034 6,557 7, Total ,506 34,954 57,552 2, Total Right ,039 7,263 28,776, Total Left ,468 7,69 28,776, FAT MASS RATIOS Trunk/ Total Legs/ Total (Arms+Legs)/ Trunk RMR (Resting Metabolic Rate),599 cal/day Mifflin-St Jeor RSMI (Relative Skeletal Muscle Index) 9.08 kg/m² Baumgartner - Statistically 68% of repeat scans fall within SD (± 0.8 % Fat, ±20 g Mass, ±520 g Fat Mass, ±60 g Lean Mass for Total Body Total) Filename: ladaks_cm2o3l6h23.dfb Lunar Prodigy Advance PA

4 Patient: Obese, Sample Birth Date: 0/Jan/ years Height / Weight: 72.0 cm 95.0 kg Sex / Ethnic: Male Total Body Bone Density Patient ID: Referring Physician: DR. SMITH Measured: 07/Jun/200 7:0:52 PM (.40) Analyzed: 02/Apr/203 5:06:59 PM (4.0) Densitometry Ref: Total (BMD) BMD (g/cm²) YA T-score Age (years) Densitometry (Basic Analysis) 2 3 BMD Young-Adult Age-Matched Region (g/cm²) (%) T-score (%) Z-score Head (e) Arms Legs Trunk Ribs Spine Pelvis (e) Total COMMENTS: Image not for diagnosis Printed: 02/Apr/203 5:07:52 PM (4.0)76:0.5:76.52: : x :%Fat=37.8% 0.00: :0.00 Filename: ladaks_cm2o3l6h23.dfb Scan Mode: Thick 0.8 µgy -Statistically 68% of repeat scans fall within SD (± 0.00 g/cm² for Total Body Total) 2 -USA (Lunar) (ages 20-40) Total Body Reference Population (v3) 3 -Matched for Age Lunar Prodigy Advance PA

5 Composition & Bone Density Phone: (46) Fax: (46) Web: Body Composition/BMD Report: Tuesday, April 02, 203 CLIENT Patient: Sample Obese Age: 44.4 Birth Date: 0/Jan/966 Gender: Male Height: 72.0 cm Patient ID: (not specified) Tech: (not specified) Weight: 95.0 kg Exam Date: 07/Jun/200 LEAN Lean mass includes all parts of the body [organs, muscle, and fluids] but excludes body fat. LEAN: Sum of all muscle and soft organ tissue The higher the %Lean, the more muscular the body. Total Weight: 95. kg Lean Weight: 57,552 g %Lean: 60.5% FAT Fat Weight: 34,954 g %Fat: 37.8% Client: Sample Obese Page of 4 Client ID: (not specified)

6 ANDROID / GYNOID (waist / hip) The Bone Wellness Centre - Specialists in Dexa Total Body Composition & Bone Density While Total Body %Fat will tell you more about your overall fitness than your weight alone, regional fat distribution tells you where the fat is located. Android: Apple shaped body (excess fat around abdomen, trunk and inside the abdominal cavity can increase one's risk for diabetes & heart disease. Gynoid: Pear shaped body types (excess fat around hips, thigh & buttocks) are less prone to harmful illness Android (waist) to Gynoid (hip) Ratio - Carrying too much fat in the wrong areas can increase your chance of serious health problems. Men with waist to hip ratio of > & women with ratio > 0.8 have increased risk of cardiovascular illness, diabetes, stroke, cancer etc Region %Fat Android: 49.8% Gynoid: 46.7% A/G Ratio:.07 BONE BMD Age (g/cm 2 T-score Z-score Centile ) A bone densitometry test helps your physician to diagnose osteoporosis. The test compares your Bone Mineral Density (BMD) to that of a "young adult" at peak bone strength, displayed as your T-score. It also compares your results to people of your same age, called "age-matched" displayed as your Z-score. This information, along with other factors, helps physicians assess your risk of osteoporotic fracture or secondary reasons for bone loss. RESTING METABOLIC RATE (RMR) Resting Metabolic Rate (RMR) is synonymous with Resting Energy Expenditure (REE) and is an estimate of how many calories you would burn if you were to do nothing but rest. It represents the minimum amount of energy needed to maintain body temperature, heartbeat, and respiratory rate. RMR:,599 cal/day RMR (Resting Metabolic Rate) based on Mifflin-St Jeor equation. RMR = 9.7 x FFM(fat free mass) + 43 Mifflin MD, St Jeor ST, Hill LA, Scott BJ, Daugherty SA, Koh YO. A new predictive equation for resting energy expenditure in healthy individuals., Am J Clin Nutr., 990 Feb;5(2):24-7. PMID: Client: Sample Obese Page 2 of 3 Client ID: (not specified)

7 Composition & Bone Density RELATIVE SKELETAL MUSCLE INDEX (RSMI) RSMI represents the relative amount of muscle in the arms and legs. RSMI: 9.08 kg/m² RSMI (Relative Skeletal Muscle Index) based on Baumgartner equation. RSMI = (lean mass of arms[kg] + lean mass of legs[kg]) / (height[m])² Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidermiol 47(8): ASSESSMENT Body Mass Index Weight Status BMI Underweight Below 8.5 Normal Overweight Obese 30.0 and above World Health Organization Recommendations for Body Fat Percentages WOMEN Age Low Underfat Average Healthy High Overweight Obese yrs Under 2% 2-33% 33-39% Over 39% 4-60 yrs Under 23% 23-35% 35-40% Over 40% 6-79 yrs Under 24% 24-36% 36-42% Over 42% MEN Age Low Underfat Average Healthy High Overweight Obese yrs Under 8% 8-9% 9-25% Over 25% 4-60 yrs Under % -22% 22-27% Over 27% 6-79 yrs Under 3% 3-25% 25-30% Over30% ASSESSMENT Weight: Normal Under Over Lean: Normal Under Strong Bone: Normal High Low Body Fat: Low Healthy High Obese A/G Ratio: Normal Under High Very High BMI: Underweight Normal Overweight Obese Comments: Follow Up Testing: 3 months Client: Sample Obese Page 3 of 3 Client ID: (not specified)

8 Composition & Bone Density Client: Sample Obese Page 4 of 3 Client ID: (not specified)

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