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  • We believe in the power of vine-ripened, organic fruits, vegetables and whole grains. Would you be interested to learn about a whole food concentrate available in tasty gummies or capsules with over 30 clinical research studies proving it works at the cellular level?

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  • Conditions and Complaints Client and doctor

  • There are 282 conditions listed below. Choose only the conditions that you would like to work on in the next 30 to 60 days. As your body begins to heal you should complete another questionnaire for a greater variety of food choices. 

    Keep in mind, the more conditions you select, the more limited your therapeutic food list will be.

  • Click a box to make a selection. Click a second time to uncheck the box.
  • Organs and Systems Client and Doctor

  • Click on the organs and systems you wish to give additional nutritional support. However, you do not have to choose anything.

  • Click on your selection.
  • Toxins and Junk Food Client and doctor

  • It is not necessary to choose any option below. If you would like more information, however, use your mouse and hover over an option to learn more.

  • Alcohol
  • Caffeine
  • Carcinogens, Toxins and GMOs (suggested)
  • Fluoride/Chlorine (suggested)
  • Food Items Children Should Avoid
  • Harmful Fats (suggested)
  • Mercury Contaminated Foods (suggested)
  • Non-Food Items (synthetics) (suggested)
  • Pesticides
  • Refined Sugars (suggested)
  • Food Component Reactions client and doctor

  • Typical Blood Type Allergens Doctor Forms

  • Rh Factor Allergens Doctor

  • Gender Specific Allergens Doctor

  • Blood Type Lectin Reactions Doctor

  • Vegetarian and Ethnic Intolerances _ Both Forms

  • Macronutrients Clients and Doctors

  • High Protein Foods
  • High Carbohydrate Foods
  • High Calorie Foods
  • High Fiber Foods
  • High Water Content Foods
  • Acid Ash Foods
  • Alkaline Ash Foods
  • Advanced Nutritional Options

  • High Glycemic Load Foods
  • Medium Glycemic Load Foods
  • Low Purine Proteins
  • Medium Purine Proteins
  • High Purine Proteins
  • Oxalic Acid Containing Foods
  • Phytate Containing Foods
  • Thyroid Suppressing Foods
  • Phytoestrogens
  • High Fructose Foods
  • High ORAC Foods
  • Micronutrients Doctor Form Only

  • Biotin
  • Choline
  • Folates
  • Inositol
  • Flavonoids
  • Lycopene
  • PABA
  • Vitamin A (Retinol)
  • Provitamin A (Carotenoids)
  • Vitamin B1 (Thiamine)
  • Vitamin B2 (Riboflavin)
  • Vitamin B3 (Niacin)
  • Vitamin B5 (Pantothenic Acid)
  • Vitamin B6 (Pyridoxine)
  • Vitamin B12 (Cobalamin)
  • Vitamin C (Ascorbic Acid)
  • Vitamin D (Calciferol)
  • Vitamin E (Tocopherol)
  • Vitamin K (Phylloquinone)
  • Minerals Doctor Form Only

  • Boron
  • Calcium (Ca)
  • Chromium (Cr)
  • Copper (Cu)
  • Germanium (Ge)
  • Iodine (I)
  • Iron (Fe)
  • Magnesium (Mg)
  • Manganese (Mn)
  • Molybdenum (Mo)
  • Phosphorus (P)
  • Potassium (K)
  • Selenium (Se)
  • Sodium (Na)
  • Sulfur (S)
  • Vanadium (V)
  • Zinc (Zn)
  • Essential Amino Acids

  • Histidine
  • Isoleucine
  • Leucine
  • Lysine
  • Methionine
  • Phenylalanine
  • Threonine
  • Tryptophan
  • Valine
  • Non-Essential Amino Acids

  • Alanine
  • Arginine
  • Aspartic Acid
  • Cysteine
  • Glutamic Acid
  • Glycine
  • Proline
  • Serine
  • Tyrosine
  • Fatty Acids

  • High Omega 3 Foods
  • High Omega 6 Foods
  • High Omega 9 Foods
  • High Monounsaturated Fatty Acid Foods
  • High Polyunsaturated Fatty Acid Foods
  • High Saturated Fatty Acid Foods
  • High Total Fat Content Foods
  • High Cholesterol Foods
  • High Phytosterol Foods
  • Specific Unsaturated Fatty Acids 

  • Omega 3

  • (FA 18:3) Alpha-linolenic (ALA)
  • (FA 22:5) Docosapentaenoic (DPA)
  • (FA 22:6) Docosahexaenoic (DHA)
  • (FA 20:5) Eicosapentaenoic (EPA)
  • Omega 6

  • (FA 18:2) Linoleic (LA)
  • (FA 18:3) Gamma-linolenic (GLA)
  • (FA 20:4) Arachidonic (AA)
  • Omega 9

  • (FA 18:1) Oleic
  • (FA 24:0) Tetracosenoic (nervonic)
  • Specific Saturated Fatty Acids

  • (FA 12:0) Lauric
  • (FA 14:0) Myristic
  • (FA 16:0) Palmitic
  • (FA 18:0) Stearic
  • Diet Therapies (Doctor and Client Forms)

  • Metabolic Types 

  • Select Only One Option
  • Metabolic Modifiers

  • Select Only One Option
  • Endocrine Types

  • Select Only One Option
  • Ayurvedic Types

  • Select Only One Option
  • TCM Food Qualities

  • Rows
  • Specific Foods (Doctor Only)

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  • Thank you for completing this form. Your confidential therapeutic food list will be emailed to you within 24 hours. We appreciate the opportunity to serve you.

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