INTEGRAMED AMERICA INC
SC 13G/A, 1999-02-03
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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						UNITED STATES
				SECURITIES AND EXCHANGE COMMISSION
					Washington, D.C. 20549

						SCHEDULE 13G

			Under the Securities Exchange Act of 1934
					  (Amendment No. 1)

				    Integramed America, Inc.
					  (Name of Issuer)

						Common Stock
				(Title of Class of Securities)

						  45810N10
						(CUSIP Number)

						December 31, 1998
		(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this 
Schedule is filed:

					/___/	Rule 13d-1(b)
					/ X /	Rule 13d-1(c)
					/___/	Rule 13d-1(d)

* The remainder of this cover page shall be filled out for a reporting 
person's initial filing on this form with respect to the subject class of 
securities, and for any subsequent amendment containing information which 
would alter disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall not be 
deemed to be "filed" for the purpose of Section 18 of the Securities 
Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of 
that section of the Act but shall be subject to all other provisions of the 
Act (however, see the Notes).

Potential persons who are to respond to the collection of information 
contained in this form are not required to respond unless the form displays 
a currently valid OMB control number.
SEC 1745 (3-98)			Page 1 of 9

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CUSIP No. 45810N10			13G		Page 2 of 9 Pages

- -----------------------------------------------------------------
1	NAME OF REPORTING PERSON
	IRS IDENTIFICATION NO. OF ABOVE PERSON

	London Merchant Securities plc
- -----------------------------------------------------------------
2	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
	(a)/X/
	(b)/ /
- -----------------------------------------------------------------
3	SEC USE ONLY

- -----------------------------------------------------------------
4	CITIZENSHIP OR PLACE OF ORGANIZATION

	United Kingdom
- -----------------------------------------------------------------
	  NUMBER OF	5	SOLE VOTING POWER
	   SHARES			0
	BENEFICIALLY		----------------------------------------
	  OWNED BY		6	SHARED VOTING POWER
	    EACH			212,500
	 REPORTING		----------------------------------------
	   PERSON		7	SOLE DISPOSITIVE POWER
	    WITH			0
					----------------------------------------
				8	SHARED DISPOSITIVE POWER
					212,500
- -----------------------------------------------------------------
9	AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
	212,500
- -----------------------------------------------------------------
10	CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
	CERTAIN SHARES*
- -----------------------------------------------------------------
11	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
	4.1
- -----------------------------------------------------------------
12	TYPE OF REPORTING PERSON
	00
- -----------------------------------------------------------------


<PAGE>
CUSIP No. 45810N10			13G		Page 3 of 9 Pages

- -----------------------------------------------------------------
1	NAME OF REPORTING PERSON
	IRS IDENTIFICATION NO. OF ABOVE PERSON

	Lion Investments Limited
- -----------------------------------------------------------------
2	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
	(a)/X/
	(b)/ /
- -----------------------------------------------------------------
3	SEC USE ONLY

- -----------------------------------------------------------------
4	CITIZENSHIP OR PLACE OF ORGANIZATION

	United Kingdom
- -----------------------------------------------------------------
	  NUMBER OF	5	SOLE VOTING POWER
	   SHARES			212,500
	BENEFICIALLY		----------------------------------------
	  OWNED BY		6	SHARED VOTING POWER
	    EACH			0
	 REPORTING		----------------------------------------
	   PERSON		7	SOLE DISPOSITIVE POWER
	    WITH			212,500
					----------------------------------------
				8	SHARED DISPOSITIVE POWER
					0
- -----------------------------------------------------------------
9	AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
	212,500
- -----------------------------------------------------------------
10	CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
	CERTAIN SHARES*
- -----------------------------------------------------------------
11	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
	4.1
- -----------------------------------------------------------------
12	TYPE OF REPORTING PERSON
	00
- -----------------------------------------------------------------


<PAGE>
CUSIP No. 45810N10			13G		Page 4 of 9 Pages

- -----------------------------------------------------------------
1	NAME OF REPORTING PERSON
	IRS IDENTIFICATION NO. OF ABOVE PERSON

	Eugene M. Weber
- -----------------------------------------------------------------
2	CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
	(a)/X/
	(b)/ /
- -----------------------------------------------------------------
3	SEC USE ONLY

- -----------------------------------------------------------------
4	CITIZENSHIP OR PLACE OF ORGANIZATION

	United States
- -----------------------------------------------------------------
	  NUMBER OF	5	SOLE VOTING POWER
	   SHARES			2,500
	BENEFICIALLY		----------------------------------------
	  OWNED BY		6	SHARED VOTING POWER
	    EACH			0
	 REPORTING		----------------------------------------
	   PERSON		7	SOLE DISPOSITIVE POWER
	    WITH			2,500
					----------------------------------------
				8	SHARED DISPOSITIVE POWER
					0
- -----------------------------------------------------------------
9	AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
	2,500
- -----------------------------------------------------------------
10	CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
	CERTAIN SHARES*
- -----------------------------------------------------------------
11	PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
	0.05
- -----------------------------------------------------------------
12	TYPE OF REPORTING PERSON
	IN
- -----------------------------------------------------------------


 <PAGE>
CUSIP No. 45810N10				13G			Page 5 of 9 Pages

ITEM 1.

     (a)  The name of the issuer is Integramed America, Inc.
		(the "Issuer").

     (b)  The principal executive office of the Issuer is located at
		One Manhattanville Road, Purchase, NY  10577.


ITEM 2.

     (a)  The names of the persons filing this statement are:
		London Merchant Securities plc ("LMS"); Lion Investments
		Limited ("Lion"); and Eugene M. Weber ("Weber") (collectively,
		the "Filers").

     (b)  The principal business address of LMS and Lion is 33 Robert
		Adam Street, London WIM 5AH, United Kingdom.  The principal
		business address of Weber is 50 California Street, Suite 3200,
		San Francisco, California  94111.

     (c)  LMS and Lion are limited companies organized under the
		laws of England and Wales.  Weber is a citizen of the
		United States.

     (d)  This statement relates to shares of common stock of the Issuer
		(the "Stock").

     (e)  The CUSIP number of the Stock is 45810N10.


 <PAGE>

CUSIP No. 45810N10				13G			Page 6 of 9 Pages

ITEM 3.  If this statement is filed pursuant to rule 240.13d-1(b) or 
240.13d-2(b) or (c), check whether the person filing is a:

	(a)	___	Broker or dealer registered under section 15 of the Act (15 
U.S.C. 78o).

	(b)	___	Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 
78c).

	(c)	___	Insurance company as defined in section 3(a)(19) of the Act 
(15 U.S.C. 78c).

	(d)	___	Investment company registered under section 8 of the 
Investment Company Act of 1940 (15 U.S.C. 80a-8).

	(e)	___	An investment adviser in accordance with 240.13d-
1(b)(1)(ii)(E).

	(f)	___	An employee benefit plan or endowment fund in accordance 
with 240.13d-1(b)(1)(ii)(F).

	(g)	___	A parent holding company or control person in accordance 
with 240.13d-1(b)(1)(ii)(G)

	(h)	___	A savings association as defined in section 3(b) of the 
Federal Deposit Insurance Act (12 U.S.C. 1813).

	(i)	___	A church plan that is excluded from the definition of an 
investment company under section 3(c)(14) of the Investment Company Act of 
1940 (15 U.S.C. 80a-3).

	(j)	___	Group, in accordance with section 240.13d-1(b)(1)(ii)(J)


<PAGE>

CUSIP No. 45810N10				13G			Page 7 of 9 Pages

ITEM 4.  OWNERSHIP

See Items 5-9 and 11 on the cover sheet for each Filer.


ITEM 5.  OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS

If this statement is being filed to report the fact that as of the date 
hereof the reporting person has ceased to be the beneficial owner of more 
than five percent of the class of securities, check the following /___/.


ITEM 6.  OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON

Not applicable.

 <PAGE>

CUSIP No. 45810N10				13G			Page 8 of 9 Pages


ITEM 7.  IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED 
THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY

Not applicable.

ITEM 8.  IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP

See Item 2(a) of this Schedule

ITEM 9.  NOTICE OF DISSOLUTION OF GROUP

Not applicable.

ITEM 10.  CERTIFICATION

By signing below I certify that, to the best of my knowledge and belief, 
the securities referred to above were not acquired and are not held for the 
purpose of or with the effect of changing or influencing the control of the 
issuer of the securities and were not acquired and are not held in 
connection with or as a participant in any transaction having that purpose 
or effect.

After reasonable inquiry and to the best of my knowledge and belief, I 
certify that the information set forth in this statement is true, complete 
and correct.

Dated:	February 2, 1999


London Merchant Securities plc

By:	/s/ Robert A. Rayne				/s/ Eugene M. Weber
	Robert A. Rayne					Eugene M. Weber
	Director


Lion Investments Limited

By:	/s/ Robert A. Rayne
	Robert A. Rayne
	Director



<PAGE>
						13G

CUSIP No. 45810N10						Page 9 of 9 Pages

											EXHIBIT A
			AGREEMENT REGARDING JOINT FILING
			OF STATEMENT ON SCHEDULE 13D OR 13G

The undersigned agree to file jointly with the Securities and Exchange 
Commission (the "SEC") any and all statements on Schedule 13D or Schedule 
13G (and any amendments or supplements thereto) required under section 
13(d) of the Securities Exchange Act of 1934, as amended, in connection 
with purchases by the undersigned of common stock of Integramed America, 
Inc.  For that purpose, the undersigned hereby constitute and appoint 
London Merchant Securities plc, a limited company organized under the laws 
of England and Wales, as their true and lawful agent and attorney-in-fact, 
with full power and authority for and on behalf of the undersigned to 
prepare or cause to be prepared, sign, file with the SEC and furnish to any 
other person all certificates, instruments, agreements and documents 
necessary to comply with section 13(d) and section 16(a) of the Securities 
Exchange Act of 1934, as amended, in connection with said purchases, and to 
do and perform every act necessary and proper to be done incident to the 
exercise of the foregoing power, as fully as the undersigned might or could 
do if personally present.

DATED:	August 19, 1997

London Merchant Securities plc


By:	/s/ Robert A. Rayne
	Robert A. Rayne
	Director


Lion Investments Limited

By:	/s/ Robert A. Rayne
	Robert A. Rayne
	Director


/s/Eugene M. Weber
Eugene M. Weber


/s/ Morris Cheston III
Morris Cheston III




BLD/5054/003/1027726.01




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