| I have fewer than 3 servings of fruits & vegetables every day (1 serving = 1/2 cup)
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| I eat more than 1 - 2 servings of white flour starches and grain products (breads, bagels, cereals, pastas, etc.)
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| I eat something sweet everyday
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| I do not eat any fish
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| I do not eat any beans or nuts
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| I eat junk foods at least once a day or foods containing arttificial sweeteners or colorings or additives
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| I eat fast food or fried food at least once a week
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| I eat animal protein at least 4 times a week
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| I rarely eat breakfast, or I eat most of my food during dinner or supper
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| I drink less than 6 glasses of water each day
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| I drink more than 1 cuo of coffee a day
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| I have more than 3 alcoholic drinks a week ( 1 oz liquor, 5 oz wine, or 12 oz beer)
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| I have dry, flaky or scaly skin AND / OR brittle, soft or cracking nails AND / OR dandruff
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| I have chicken skin (tiny bumps on the backs of my arms or on my torso)
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| I do not take a multivitamin with at least 800 mcg of Folic Acid
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| I suffer from one or more of these Magnesium deficiency symptoms: muscle twitching, leg / hand cramps, restless leg syndrome, heart flutters, skipped beats, heart palpitations, frequent headaches or migraines, insomnia or trouble falling asleep, fatigue, constipation
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| I suffer from digestive symptoms such as excessive gas, bloating, constipation, diarrhea, heartburn or relfux at least twice a week
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| I have taken antibiotics more than 3 times in my life
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| I regularly take Non Steroid Anti-Inflammatory Drugs, or Asprin, or acid blocking drugs
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| I have symptoms of yeast overgrowth including abdominal bloating, vaginal / rectal itching, athletes foot, toe / finger nail fungus, jock itch, and / or I am bothered by molds, damp or muggy places, or have been on long-term antibiotics
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| Your Name:
Your Email:
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