Shopping CartYour Cart is EmptyQuantity: RemoveSubtotalTaxesShippingTotalThere was an error with PayPalClick here to try againThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart Body Therapeutics HAIR TISSUE MINERAL ANALYSIS FOR BALANCING BODY CHEMISTRY GENERAL INFORMATION SHEET FOR NUTRITIONAL BALANCING - Part 1 NAME:ADDRESS:CITY/STATE/ZIPHOME PHONE:BUSINESS PHONE:E-MAIL:SEX: M FHEIGHT:WEIGHT:HAIR COLOR:OCCUPATION:REFERRED BY:What are your main health concerns or conditions?Please list any medications or food supplements you are currently taking:Please list any recent medical tests results you have, such as blood tests:Please list illnesses in your family such as heart disease, cancer, TB, diabetes or arthritis.This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SendThank you! Your information has been submitted successfully. DIET - Part 2 What are examples of typical breakfasts for you? Beverages?Mid-Morning SnackWhat are typical lunches for you? Beverages?Mid-afternoon Snacks?What are typical dinners for you? Beverages?Evening Snacks?How often and what kind of exercise do you do?About how many hours of sleep do you get per day?This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SendThank you! Your information has been submitted successfully.SYMPTOM CHECKLIST - Part 3Joint PainJoint StiffnessArthritis, OsteoArthritis, RheumatoidMuscle PainMuscle WeaknessMuscle CrampsBursitisFracturesOsteoporosisGoutSweet CravingsSugar ReactionsIrritable before mealsCan't Skip MealsHypoglycemiaCrave StarchesFat CravingsOther Food CravingsFood AllergiesExcessive HungerNo HungerDiabetesRapid Heart BeatHeart PalpitationsHeart AttackPoor CirculationDizzinessLow Blood PressureHigh Blood PressureAnginaArteriosclerosisHigh CholesterolHigh TriglyceridesCoughBronchitisAsthmaPost-Nasal DripSinus CongestionAllergiesEmphysemaFatigueHypothyroidismLow Body TemperatureCold in Winter/Dry SkinTend to Gain WeightHyperthyroidismThis site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SendThank you! Your information has been submitted successfully.SYMPTOM CHECKLIST - Part 3 ContinuedAcneEczemaFungal Infections/CandidaPsoriasisHivesHair LossSlow Wound HealingCataractsGlaucomaOther Eye DiseaseHeal LossRinging in EarsBalance Problems/DizzinessTooth DecayExcessive Plaque on TeethGum DiseaseInfections/VirusesTumors/CancerMultiple SclerosisParkinson's DiseaseAngerAnxietyBipolar DisorderBrain FogConfusionDepressionIrritabilityMind RacesMood SwingsObsessive/CompulsivePanic AttacksPoor MemorySchizophreniaTrouble SleepingAutismAttention DeficitHyperkinesisDyslexiaSeizuresLearning DisabilityMental RetardationDelayed DevelopmentBladder InfectionsKidney InfectionsTrouble UrinatingFrequent UrinationPainful UrinationKidney StonesWater RetentionThis site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SendThank you! Your information has been submitted successfully.SYMPTOM CHECKLIST - Part 3 ContinuedSinus HeadachesTension HeadachesMigraine HeadachesNeuritisNumbness/TinglingConstipationDiarrheaIntestinal GasBloatingHeartburnUlcerStomach PainColitisGall StonesFissuresHemorrhoidsCirrhosisDiverticulosis/diverticulitisTend to Gain WeightTend to Lose WeightAnemiaEasy BruisingSilver Amalgam Dental FillingsDrug AddictionAlcoholismSmokingWomen: Premenstrual SydromeWomen: Water RetentionWomen: CrampsWomen: No MenstruationWomen: Heavy PeriodsWomen: Light/Irregular PeriodsWomen: Ovarian CystsWomen: Fibroid TumorsWomen: Abnormal Pap SmearWomen: MenopauseWomen: Fibrocystic BreastsWomen: Breast TumorsWomen: Yeast InfectionsWomen: Hot FlashesWomen: Currently pregnantMen: Prostate ProblemsMen: Impotence/erectile dysfunctionMen: InfertilityOther symptoms:This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SendThank you! Your information has been submitted successfully.Toggle NavigationHOMEHAIR TISSUE MINERAL ANALYSISTHE IMPORTANCE OF MINERALSBALANCING BODY CHEMISTRYDETOXIFYING THE BODYLIFESTYLESTRESS & HOW IT AFFECTS YOUARTICLESREFERENCESABOUT THE THERAPISTSERVICES & RATESPAY PAL / BUY IT NOWCONTACT MENUTRITIONAL SUPPLEMENTATIONHOMEHAIR TISSUE MINERAL ANALYSISTHE IMPORTANCE OF MINERALSBALANCING BODY CHEMISTRYDETOXIFYING THE BODYLIFESTYLESTRESS & HOW IT AFFECTS YOUARTICLESREFERENCESABOUT THE THERAPISTSERVICES & RATESPAY PAL / BUY IT NOWCONTACT MENUTRITIONAL SUPPLEMENTATION / PreviousNextPausePlayClose
