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LAST CALL
PROGRAM
Scientific Conclusions
84
PROVEN
SUCCESS RATE
2011 by Avantcare, Inc. Last Call Program (TM), Sobrexa (TM), Kalmaro (TM), and the contents of this site are the property of Avantcare, Inc.
Any sale, use, or reproduction of these materials without the express written consent of Avantcare, Inc. is strictly prohibited. All rights reserved.
Table of Contents
Foreword
Message from the Managing Director of Access Health Partners
Section A
Pages 4, 5
Section B
Pages 6, 7
Sobrexa and the Last Call Program: What is it? How it works
Section C
Page 8
Section D
Page 9
Section E
Pages 10, 11
Section F
The Case Study: 84% Proven and Verified Success Rate and Conclusions
or many years, our Access Health Partners leadership has set a high standard of excellence, serving people throughout
the U.S. in the health care industry. Specializing in offering affordable health insurance from top rated carriers has
earned us a strong reputation amongst peers in the field of medical technologies. In addition, our customer service
and client satisfaction has earned us an A score with the Better Business Bureau, which is a result of zero
complaints for the last 3 consecutive years.
As our influence continues to grow we are introduced to opportunities that can have a positive impact on our communities, our
families and our nation as it pertains to better health practices. As a result of this exposure, we would like to present an overview
of Avantcare, Inc.s Last Call Program in an effort to educate and inform the person or group whom sincerely desires to
understand the recent breakthroughs in the science of neuro-addiction and how the Last Call Program has changed the way
Alcohol Use Disorders (AUD) are approached.
Our founders first discovered the work of Dr. Frank Gibson and Avantcare, Inc. several years ago. His integrative medicinal
clinics at that time conducted over 10,000 patient visits per year and he had already appeared on over 52 radio and TV programs
including CNN and NBC. What was truly captivating however was his groundbreaking work in scientifically proven treatments for
alcohol use disorders. Having treated thousands of people suffering from the chemical imbalance brought on by alcohol use, the real life
results and simple application of his 8-week program was unprecedented.
The most compelling evidence presented, however, was the completion of an exhaustive 12-month private clinical study on 1100
participants in the Last Call Program. Conventional treatment programs demonstrate a 12 month average success rate of 16%, the Last
Call Program has proven an 84% success rate amongst participants who follow the program as directed.
Since rapid advances have occurred in such a wide range of areas, including neuroscience, genetics, epidemiology, health risks, prevention, and
treatment, the amount of information, while plentiful, can seem daunting to the average person. Addiction science can be researched and found but
is typically spread through thousands of studies, textbooks, and reports. Even medical practitioners can be overwhelmed as they now seek a more
contemporary understanding of the components of AUD and how the current knowledge contributes to development of the necessary treatment
strategies.
Access Healths legal team conducted an extensive due diligence, investigation and background check on all product development, manufacturing
standards, success claims and research studies available due to the obvious breakthrough implications. The result has led to a distribution agreement
with Avantcare, Inc. for the Last Call Program. The Last Call Program is currently being released in the U.S. and will continue to affect positively
the millions of people who suffer daily from excessive alcohol use.
The following Avantcare, Inc. booklet, The Last Call Program - Neurobiology And Addiction, written by Dr. Frank W. Gibson, provides an
opportunity to view the scientific conclusions in a concise form along with documentation that resulted from the Avantcare, Inc. independent case
studies.
Jamie Minton
Avantcare, Inc.
3937 Chimney Rock Rd #10
Edneyville, NC 28727
AUD Defined
Conclusion
The Future
What is it?
The Last Call Program is an 8-week treatment for people suffering from Alcohol Use Disorders (AUD). The program is designed to help restore
balance in the body at a chemical level, and has been scientifically proven (see Study provided) to reduce the desire to consume excess alcohol. It
has been shown to curb the cravings and normalize alcohol consumption.
As studies and private trials were conducted, however, it was determined that an individual suffering from AUD could take the recommended
dosage of Sobrexa and follow the elements of the program in their own home with the same level of success as the original 2-month clinic
treatment program. This eliminated the need for the high expense and required time-off to participate in a 2-month outpatient program, making it
much more affordable and accessible to the average person. Further verified by the independent study and client reviews, the program was then
redesigned in the form of a program that is mailed directly to the clients home. The program contains a user guide, dietary guide, instructional
exercise DVD and two Avantcare products called Sobrexa and Kalmaro. The program is sold through private clinics, online, and through the
corporate call center typically costing around $1,000 per person.
Whats in it?
All ingredients found in the products are all-natural herbal compounds and meet FDA requirements for structure/function claims. Each of the
phyto ingredients are certified free of contaminants and verified for authenticity and purity through independent laboratory testing. The lab meets
all cGMP and ISPE requirements and is in the final stage to obtain the coveted USP manufacturing standards, which is currently held by a very
small percentage of laboratory and production facilities in the world.
Sobrexa is the key compound found in the Last Call Program. Sobrexa is a Daidzin-based compound, which can be described as a bridge
between plant materials and drug chemistry. The primary isoflavone in Sobrexa, daidzin, has had tremendous press, in recent years, and
through 212 abstracts and studies ranging from Harvards McClean Hospital to Boston University, the evidence is clear that Daidzin based
compounds can bring about dramatic results. Many of these findings can be found online if you do a general search. 18 abstracts connected
with studies in this document under Daidzin-based studies representative of Sobrexa have been included for your reference.
Sobrexa has been scientifically proven, when consumed as directed, to completely reduce if not eliminate the cravings for excess alcohol. It is a
botanically-based compound using a unique method to obtain the highest degree of bio-availability from multiple plant materials. The structure of
the formulation creates actions and mechanisms far more complex and effective than any form of plant-based, natural product. The client receives 9
bottles in their program kit that are in the form of a liquid dropper and consumes the entire contents over the 8-week duration. Sobrexa can be
diluted in water for ease of consumption. It does not make alcohol taste bad nor have there been any known or reported side effects in over a
decade of use.
Kalmaro can be consumed as needed but is not required daily. The program includes 3 bottles of Kalmaro. Clients report that Kalmaro brings
about an enhanced sense of well-being, calmness and reduction in nervousness. When used with Sobrexa, these multiple treatment aspects
deliver superior results in a very short period of time. Like Sobrexa, Kalmaro, can also be diluted in water for ease of consumption and has had
no reported or known side effects.
When followed for the 8-week duration, the Last Call Program helps restore the balance in the brain allowing for an individual previously
suffering from AUD the ability to choose to either cut back the amount of alcohol they consume on a weekly basis or eliminate it entirely from
their life.
How it works:
Sobrexa and the Last Call Program: What is it? How it works.
When the client receives their shipment, they should begin taking Sobrexa as soon as possible.
Week 1
It is recommended that the individual begin the first week by taking the highest dosage in the 8-week program: 4 droppers (not drops) six
times per day for the first 7 days.
Allow the alcohol reduction to come naturally. To discontinue excessive alcohol use abruptly could bring alcohol withdrawal syndrome. Certainly, it
is prudent to be mindful of alcohol use but a natural reduction will occur. This not only may be a more safe method, but it helps to reinforce the
natural, correct functioning of the body. It increases the confidence and encourages more positive discipline and adherence to the Last Call
Program. Do not be overly-concerned with the amount of alcohol consumption in the first week, especially if you have been consuming alcohol
daily.
Weeks 28
For the 2nd-8th week the client should consume the normal amount of Sobrexa: 4 droppers (not drops) three times per day.
90% of clients who reach the 3rd 4th week typically begin to report profound changes in their drinking habits. Experience shows clients who use
Sobrexa for 6 weeks consistently reduce consumption by 70%. Each person is suggested to complete the program by consuming all of the available
Sobrexa that comes in the kit and over the duration of the 8-week program they will begin to naturally reverse and restore balance in their body.
Visualization
Alcohol
Daily
consumed
amount
100% equals
6-8 glasses
of wine or
beer
Sobrexa
100% equals
4 full droppers,
6x per day
100%
80%
60%
50%
Sobrexa
50%
40%
Alcohol
30%
Alcohol
20%
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Fact One
Chronic exposure to alcohol
induces changes in neural
circuits that control
motivational processes,
including arousal, reward, and
stress.
Fact Two
These changes affect systems
utilizing the signaling molecules
dopamine, opioid peptides,
Gamma-amino-butyric acid,
glutamate, and serotonin, as
well as systems modulating the
brains stress response.
Fact Three
These neuroadaptations produce
changes in sensitivity to
alcohols effects following
repeated exposure and a
withdrawal state following
discontinuation of alcohol use.
Fact Four
Chronic alcohol exposure
results in persistent neural
deficits, some of which may
fully recover following extended
periods of abstinence. However,
the organism remains
susceptible to relapse, even after
years of abstinence.
Fact Five
Research focusing on
neurobiology has brought about
the development of more
effective treatment strategies.
Changes in the reinforcing value of alcohol during the transition from alcohol use and abuse to dependence reflect adaptive neural changes.
Multiple processes contribute to the increased motivation to seek alcohol.
Sensitization
Incentive sensitization research posits that alcohol activates a common neural system responsible for attributing incentive salience to events
and stimuli associated with activation of that system. In other words the liking of alcohols effects becomes closely associated with wanting
the alcohol-associated incentive stimuli. Following repeated alcohol exposure, this wanting transforms into pathological cravings.
Tolerance
Once tolerance to the pleasurable effects of alcohol develops, the individual requires gradually higher doses of alcohol to produce the same
effect previously experienced at lower doses. In a cyclical manner, these gradually increasing doses produce even more tolerance to the hedonic
effects of alcohol. An organism that is chronically exposed to alcohol develops tolerance to its functional effects, metabolic effects, and
reinforcing properties.
Withdrawal
Following chronic alcohol exposure, the removal of alcohol produces withdrawal symptoms, some of which increase the motivation to ingest
alcohol. Neurobiologically induced changes in regard to withdrawal symptoms simply implies dysregulation of the bodys internal equilibrium
in response to a sudden decrease in blood alcohol content.
Because alcohol interacts with several neurotransmitter systems responsible for reward and stress feedback, these particular interactions produce
alcohols strong reinforcing effects. Research using pharmacological, molecular, imaging, genetic, and proteomic techniques has elucidated details of
these alcohol effects and have proven that these interactions result in changes in neuronal function that underlie the development of sensitization,
tolerance, withdrawal and dependence.
Specifically, alcohol has been shown to interact with at least five neurotransmitter systems in the brain:
1 Dopamine Systems
5 Serotonin Systems
Serotonin plays an important role in mediating alcohols
effects on the brain. Alcohol exposure alters several aspects of
serotonergic signal transmission in the brain. People with an
abnormal serotonin transporter function are likely to need
greater amounts of alcohol to attain the pleasurable feelings
associated with alcohol consumption. Interference with this
function extends or diminishes the cells exposure to
serotonin and can lead to psychological disorders including
depression, a prominent example. Antidepressant
medications act on the serotonin transporters to prolong the
neurotransmitters activity. Normally, serotonin is pumped
back into the nerve cell that released it after it was used once.
These drugs interrupt the process so that more serotonin is
available. Serotonin itself cannot pass from the bloodstream
to the brain.
4 Glutamate Systems
Glutamate is the major excitatory neurotransmitter in the
brain. It exerts its effects via several receptor subtypes
including the N-methyl-D-aspartate (NMDA) receptor.
Glutamate systems have long been implicated in the acute
reinforcing actions of alcohol. (It is interesting to note that
alcohol effects perceived by an organism can be mimicked
with NMDA antagonists). Alcohol disrupts glutamatergic
neurotransmission by inhibiting the response of the NMDA
receptor and by promoting neural toxicity through
upregulation of the NMDA receptor density. The
involvement of NMDA receptors also includes a process
characterized by neural reorganization (neuroplasticity) that
contributes to hyper-excitability and cravings during alcohol
withdrawal. Compounds targeting the glutamate systems are
being used in the treatment of alcohol dependence by
dampening excessive glutamate activity.
2 Opoid Systems
Neurotransmitter
Systems
10
Advances in Addiction
Medications
The Director of the National Institute on Drug abuse, Dr. Nora Volkow has encouraged researchers to approach their studies by investigating the
underlying brain circuitry.
Continued use leads to changes in neuronal circuits that are evident well after a person stops taking an addictive substance.
A key in combating addiction is by working on a biological level as it changes brain circuitry and responses to cues, rather than temporarily
repressing or controlling the need to drink.
Medications currently approved for use are:
The evidence and emphasis put forth by the FDA, NIDA, NIAA, NIH, pharmaceutical companies, and research centers, define the current needs
and the future of treatment.
Background
Known Effects
Daidzin is a natural organic compound in the class of phytochemicals known as isoflavones. Daidzin can be found in a variety of plants including
Pueraria Labato, Pueraria Condallei, Puraria Thomsonii,Pueraria thunbergiana, and others. Daidzin is the 7-0- glucoside of daidzein. ( Jin WS,
Tan YY, Chen YG, Wang Y January 2003) Determination of puerarin, daidzin and daidzein in root of Puerari Lobata of different origin by
HPLCJ).
Daidzin is proven to be an antidipsotropic agent. (Rezvani, A. 2003 Plant Derivatives in the Treatment of Alcohol Dependency Pharmacology
Biochemistry and Behavior) and (Keung WM, Vallee BL February 1998. Radix Puerariae: an ancient Chinese
source of modern antidipsotropic agents). Hundreds of studies have been performed on the isoflavone daidzin and isoflavonoid compounds
extracted from plants. These studies demonstrate that daidzin based compounds, such as Sobrexa, suppress alcohol preference, inhibit serotonin
and dopamine metabolism in isolated mitochondria, and suppresses voluntary alcohol intake and alcohol withdrawal.
11
How it works
To ensure the completeness and consistency of the isoflavones from the plant materials, Sobrexa utilizes a simple, analytical method. This
quantification method of daidzin and genestein has been developed for routine quantification of a broad range of these isoflavones. The method
utilizes synthetic glucosides as internal standards.
Quantification
Additional Sobrexa Representative Studies are listed below characterizing hundreds more studies performed in the past decade on Daidzin based
compounds. A brief abstract for each study is offered. If further reading of the below abstracts is needed, you can find most if not all of them
through searching on the Internet.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Potentiation of the Bioavailability of Daidzin by an Extract of Radix Puerariae, Keung, Vallee. 1996. Harvard Medical School.
Determination of puerarin, daidzin and daidzein in root of Pueraria lobata of different origin by HPLCJ. Jin, Tan, Chen, Wang. 2003. Beijing Yuke Development
Isoflavonoid compounds extracted from Pueraria lobata suppress alcohol preference in parmocogenetic rat model of alcoholism. Lin, Guthrie, Mai, Lee. 1996. Indiana University
School of Medicine.
Daidzin, an antioxidant isoflavonoid decreases blood alcohol levels and shortens sleep time induced by ethanol intoxication. Xie, Lin, Lumeng, Wang, Zhao. 1994. Indiana
University School of Medicine.
Daidzin and its antidipsotropic analogs inhibit serotonin and dopamine metabolism in isolated mitochondria. Keung, Vallee. 1998. Center for Biochemical Sciences and Medicine,
Harvard Medical School.
The mitochondrial monoamine oxidase-aldehyde dehydrogenase pathway: a potential site of action of daidzin. Rooke, Li, Keung. 2000. Harvard Medical School.
Kudzu root extract suppresses voluntary alcohol intake and alcohol withdrawal symptoms in P rats receiving free access to water and alcohol. Benlhabib, Baker, Keyler Singh.
University of Minnesota
Daidzin decreases ethanol consumption in rats. Heyman, Keung, Vallee. 1996. Department of Psychology, Harvard University.
Biogenic aldehyde(s) derived from the action of monoamine oxidase may mediate the antidipsotropic effect of daidzin. Keung. 2001, Center for Biochemical and Biophysical
Sciences and Medicine, Harvard Medical School.
Suppression of alcohol intake after administration of the Chinese herbal medicine, NPI-828 and its derivatives. Overstreet, Lee, Ravani, Pei 1996. University of North Carolina,
School of Medicine.
Suppression of heavy drinking and alcohol seeking by a selective ALDH -2 inhibitor. Arolto, Overstreet, Yao, Keung, Vallee, 2009. CV Therapeutics, Palo Alto, CA
Kudzu root: an ancient Chinese source of modern antidipsotropic agents. Keung, Vallee 1998. Center for Biochemical and Biophysical Sciences and Medicine, Harvard Medical
School
Anti-dipsotropic isoflavones: the potential therapeutic agents for alcohol dependence. Keung, 2003. Department of Psychiatry, Massachusetts Mental Health Center and Harvard
Medical School.
Gamma-vinyl GABA decreases voluntary alcohol consumption in alcohol preferring AA rats. Wegelius, Halonen, Korpi. 1993 Biomedical Research Center, Helsinki, Finland.
Plant derivative in the treatment of alcohol dependency. Rezvani, Overstreet, Perfumi. 2003. Department of Psychiatry, Duke Medical Center
Animal models of alcoholism: neurobiology of high alcohol-drinking behavior in rodents. McBride, Li. 1998 . Department of Psychiatry, Indiana University School of Medicine
Herbal mixtures consisting of puerarin and either polyenylphosphatidylcholine or curcumin provide comprehensive protection against alcohol-related disorders in P rats receiving
free choice water and 15% ethanol in pure water. Singh, Jiang, Bdnihabib, Gupta. 2007. University of Minnesota.
An extract of the Chinese herbal root kudzu reduces alcohol drinking by heavy drinkers in a naturalistic setting. Lukas SE, Penetar D, Berko J, Vicens L, Palmer C, Mallya G,
Macklin EA, Lee DY. 1995 Behavioral Psychopharmacology Research Laboratory, McLean Hospital, Belmont, Massachusetts 02478, USA
12
The data of the findings has been consistently verifed through statistical analysis.
Abstract
The Abstract states the problem and purpose of the study and quoted sources. The purpose for the study was due to the fact that AUD affects
millions of people, the majority of accepted treatments is behavioral only, and there is a high degree of relapse associated with Conventional
Treatments. Sources below:
Alcohol Use Disorder (AUD) affects nearly 10% of the US population and causes marked medical morbidity and mortality, marked psychiatric
morbidity, increased health care costs, and lost work hours. Saxon, Malte, Sloan, et al, 2006. Thaneenmit-Chen, et al, 2007
AUD is a biologically, genetically based disease, yet the majority of clinically accepted treatments are behaviorally or psychosocially based.
Anton, ONakketmCiraulo, et al, 2006. Todd, Armali, Tennan, et al 2006
Despite the initial success of these treatments, 40 70% relapse within the first 12 months after treatment. McClinnis, E. Faogo, 1999
The need for more biological treatments along with the understanding that AUD is clearly a multi-genetic disorder led to the development of a
complete program. The program was created to address interactions among genetic, psychosocial, environmental, and neurobiological factors.
Recent advances in understanding the neurobiology of substance dependence and relapse support the notion that adrenergic (chemical) systems
play a critical role in these processes and, when combined with an educational component, lead to greatly increased success rates.
Study Details
The study is a comparative analysis of Conventional Treatment and The Last Call Program.
To establish the standard for the definition of Conventional Treatment, we began with an analysis of 928 treatment centers in the U.S. Details of
the Conventional Treatment data obtained are as follows:
Success statistics are sourced from a multiple of independent research facilities and medical schools fully accredited either the Joint
Commission for the Accreditation of Healthcare Organizations, or the Commission for the Accreditation of Rehabilitation Facilities.
874 of these treatment centers included the Alcoholics Anonymous (AA) 12 step program either as the entire treatment principle or as some
part combined with psychotherapy. Only 54 out of the 928 included in the study did not use any principles from the 12 Step Program.
The Last Call Program participants were categorized according to dependence and goals using the Alcohol Dependence Scale (Skinner and Allen,
1982) and the Last Call Program Study Questionnaire. The documentation and data presented from this study were obtained as follows:
Study participant statistics must include 6-month and 12-month participant administrator and written appraisals.
The results were consistently verified through independent statistical analysis.
Success in the program was defined as not having unusual cravings for alcohol and following Last Call Program post-program guidelines.
Problem drinkers were preferred for the study because they:
Account for a larger share of alcohol-related harm to society (e.g. domestic violence, alcohol- related fatalities,
workplace injuries) than do alcohol dependent individuals. Sobell, Cunningham, & Sobell, 1996
Are the largest segment (NIAAA)
Are less likely to enter a 28+day treatment program since they do not consider their behavior a consistent problem
13
Inclusion Criteria
Exclusion Criteria
Demographic Profile
Gender
68%
32%
Age
21-34
11%
35-45
54%
Education
No college
14%
50-59
27%
College
59 %
60+
8%
Graduate degree
21%
Not defined
6%
Income
est.
$30k $60k
19%
$61k $100k
33%
$101k +
27%
Undefined
21%
14
Six-week
good treatment response
91
89
The
LAST CALL
PROGRAM
20
The
19nt%
al
ion ts
ALL
ST C
LAOGRAM
PR
nts
atme
al tre
n
o
i
22nv%
t
en
19%
conventional treatments
20
40
60
ve en
contreatm
94
co
80
60
40
Percent that
could successfully control
alcohol withdrawal and
cravings after completion
The
LAST CALL
PROGRAM
80
Referral for
inpatient detoxification
after the program
88
80
PROGRAM
84
0%
40
46%
20
The
LAST CALL
89%
60
80
conventional
treatments
16%
after
6 months
after
12 months
76%
conventional treatments
The
LAST CALL
PROGRAM
The
LAST CALL
PROGRAM
60
40
20
48%
conventional
treatments
15
Conclusion
84
PROVEN
SUCCESS RATE
The
LAST CALL
PROGRAM
Thank
you
for your interest in The Last Call Program!
Questions?
Contact:
support@lastcallprogram.com
1-800 209-0816
The
LAST CALL
PROGRAM