Do you experience brain fog (foggy thinking)?

Never

1-2 Times per Month

Weekly

Daily

Do you suffer from fatigue?

Never

1-2 times per month

Weekly

Daily

Do you experience oral thrush (coated white tongue)?

Never

1-2 times per month

Weekly

Daily

Do you suffer from bloating, gas, or cramping?

Never

1-2 times per month

Weekly

Daily

Do you experience constipation, diarrhea, or both?

Never

1-2 times per month

Weekly

Daily

Do you suffer from IBS, IBD, Crohn's, or Colitis?

Never

1-2 times per month

Weekly

Daily

Do you experience nausea?

Never

1-2 Times per Month

Weekly

Daily

Do you suffer from genital or urinary tract infections?

Never

1-2 times per month

Weekly

Daily

Do you experience mucous in stool?

Never

1-2 times per month

Weekly

Daily

Do you suffer from sinus infections (or chronic nasal infections)?

Never

1-2 times per month

Weekly

Daily

Do you experience weight gain or weight loss?

Yes

No

Do you suffer from joint pain?

Never

1-2 times per month

Weekly

Daily

Do you experience nail fungus (yellow nails)?

Yes

No

Do you suffer from increase immune response (auto immune)?

Never

1-2 Times Per Month

Weekly

Daily

Do you experience dandruff?

Never

1-2 Times Per Month

Weekly

Daily

Do you suffer from skin rashes?

Never

1-2 Times Per Month

Weekly

Daily

First Name *

Email *

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