DECODING DEMENTIA free eBook on my website. I am still working on the more definitive book, so I put a brief overview of my Dementia approach in the eBook. If you have friends or family that might be interested, just direct them to my website, or they can go to 

Results from our Dementia Clinical Trial are in! To be published in the Journal of Alzheimer's Disease August 2022. 

Precision Medicine Approach to Alzheimer's Disease: Successful Proof-of-Concept Trial 

Please let me know on the portal about MEDICATION REFILL REQUESTS.
Pharmacies generate refill requests and sometimes patients do not need the refill. 
I have to charge for my time reviewing and documenting and sending refills, and I do not want to charge you unnecessarily. 

Please read this Policy pertaining to Secure Messages through the Portal:

Charges for Controlled Substance Refills (Testosterone, Ambien, Ativan, Xanax, Klonopin, Adderall) - $65 

 In addition to requirements for both faxing and calling the pharmacy to verify controlled rxes, I now have to input all of your personal data into a CURES database for the Medical Board, generate and review the report, copy the report, and file it in your chart. Sadly, this is a very time-consuming activity, and takes me close to 15 minutes to complete. 

Routine prescription refills between appointments are $35 due to the time required for dose verification, documentation, and creating and sending the fax. Please try to get refills at your appointments!

NOTE: Questions about new issues, ordering or interpreting lab tests, supplement changes, prescription refills, etc are best addressed during an appointmentGood Medicine cannot be practiced thoughtfully via the Portal. Your cooperation with this is much appreciated! Let us know if you need help scheduling a brief appointment for these types of issues.

We endeavor to respond to Portal messages within 2 to 3 work days. Portal messages are generally not monitored on the weekends. Please do not use the portal for emergencies. (For true emergencies, call 911. For other urgent situations, you can call (925) 265-2300 option 3 to have Dr. Toups paged with your message.)

If your questions are lengthy or involve clinical decision making, please schedule an appointment or request a brief phone appointment by writing on the portal.

There is generally no fee for Portal Messages that can be answered by the Patient Coordinator. We want to be able to give you support for your general questions and clarifications. All Portal messages requiring MD input will incur a minimum $25 basic fee, and clinical issues requiring medical decision-making will be billed for the amount of time needed for chart review and answering. A receipt will be added to your portal when this is necessary.

THORNE supplements are now available on Fullscript. You can also order directly through Thorne. Shipping is free through Thorne. 

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