START QUESTIONS HERE Answer the questions below so we know more about what's causing your problems. Leave Blank if You Don't Have the SymptomLiver/Digestion Category Detoxification, fat metabolism and immune functions. If you mark more than 5 of the symptoms in this category as Moderate or Severe, it can indicate basic problems in your body's ability to heal. This can affect many health problems. High blood pressure Severe Moderate Mild High cholesterol Severe Moderate Mild Poor or excessive appetite Severe Moderate Mild Blurred vision Severe Moderate Mild Gas, bloating Severe Moderate Mild Heartburn, reflux Severe Moderate Mild Constipation Severe Moderate Mild Adrenal Category Stress handling, Blood sugar, Immune, Sex hormones and Fluid balance.Dizziness Severe Moderate Mild Sleep problems, can't wake up in mornings Severe Moderate Mild Food or environmental allergies Severe Moderate Mild Fatigue or exhaustion Severe Moderate Mild Trouble getting to sleep or wakes in night Severe Moderate Mild Crave sugar, carbs or junk foods Severe Moderate Mild Allergies Severe Moderate Mild Stressed, can't handle stress, anxiety Severe Moderate Mild Heart/Cardiovascular Category Circulation, energy levels. In anyway aware of the heart Severe Moderate Mild Aware of "breathing heavily" Severe Moderate Mild Afternoon "yawner" Severe Moderate Mild Get "drowsy" often Severe Moderate Mild Swollen ankles, worse at night Severe Moderate Mild Muscle cramps, worse during exercise; get "charley horses" Severe Moderate Mild Shortness of breath on exertion Severe Moderate Mild Dull pain in chest or radiating into left arm, worse on exertion Severe Moderate Mild Noises in head, or "ringing in ears" Severe Moderate Mild Thyroid Category Metabolic regulation, Heart rhythm, Brain function . Stubborn weight Severe Moderate Mild Fatigue easily Severe Moderate Mild Heart palpitations Severe Moderate Mild Sleepy during day Severe Moderate Mild Sensitive to cold, cold hands & feet Severe Moderate Mild Dry or scaly skin Severe Moderate Mild Mental sluggishness, lethargy Severe Moderate Mild Flabby skin under neck and arms Severe Moderate Mild Anxiety Severe Moderate Mild Female Sex Hormones Category Sex hormones affect overall health: emotions, weight, skin/hair/nails as well as menstrual cycle, fertility and menopause.PMS Severe Moderate Mild Irregular periods Severe Moderate Mild Infertility Severe Moderate Mild Hysterectomy Yes No Hot flashes or night sweats Severe Moderate Mild Low or no libido Severe Moderate Mild Depression of long standing Severe Moderate Mild Skin: Acne, Breakouts Severe Moderate Mild Thin, brittle nails Severe Moderate Mild Thin, brittle hair or slow hair growth Severe Moderate Mild Male Sex Hormones Category Sex hormones affect muscle tone and energy and emotions as well as sex functions.Urination difficult or dribbling Severe Moderate Mild Night urination frequent Severe Moderate Mild Lack of vigor and vitality Severe Moderate Mild Leg nervousness at night Severe Moderate Mild Erectile dysfunction Severe Moderate Mild Blood Sugar Category Blood sugar affects fatigue, sleep, cravings and irritability. Eat when nervous Severe Moderate Mild Get "shaky" or irritable if hungry Severe Moderate Mild Afternoon headaches Severe Moderate Mild Afternoon craving of sweets, carbs, coffee Severe Moderate Mild Moods of depression - "blues" Severe Moderate Mild Tired in afternoons Severe Moderate Mild Acne or boils Severe Moderate Mild Thirsty all the time Severe Moderate Mild Eating improves fatigue Severe Moderate Mild Just three more sections to go! Allergies Category Allergies affect digestive health, immune health and inflammation levels as well as concentration and memory.Picky eater or poor appetite Severe Moderate Mild Difficulty focusing Severe Moderate Mild Memory problems Severe Moderate Mild Skin rashes or hives Severe Moderate Mild Fibromyalgia or muscle pain Severe Moderate Mild Anxiety or depression Severe Moderate Mild Joint pain Severe Moderate Mild Immune System Category Your Immune system affects your body's ability to heal, not just resistance to infections. Chronic yeast or fungus Severe Moderate Mild Frequent urinary or bladder infections Severe Moderate Mild Frequent ear or throat infections Severe Moderate Mild Low resistance to illness Severe Moderate Mild Chronic fatigue Severe Moderate Mild Chronic sleep problems Severe Moderate Mild Almost Done! Please provide information about your most important health problem.Describe your most important health problem below.How long ago was the VERY FIRST time you can recall having this problem?What have you done so far to try to fix this problem?Overall, is this problem tending to: Improve Stay the same Get worse Is there anything else you feel would be important to know about your health?Your age First Name (Required) First Phone (Required)Zip Code (Required)* You'll Schedule Your Call on the Next Screen Δ
