Step 1 of 10 10% First Name*Last Name*Email* Please indicate which of the following symptoms you suffer from and the level of severity on a scale of 1-5Acne1 (not at all)2345 (significant)Anxiety, depression and panic attacks1 (not at all)2345 (significant)Chronic fatigue1 (not at all)2345 (significant)Bowel and bladder issues1 (not at all)2345 (significant) Brain Fog1 (not at all)2345 (significant)Autoimmune issues1 (not at all)2345 (significant)Choking feeling1 (not at all)2345 (significant)Chronic iflammation1 (not at all)2345 (significant)Chronic sinusitis1 (not at all)2345 (significant) Connective tissue disorder1 (not at all)2345 (significant)Dark, puffy, inflamed eyes1 (not at all)2345 (significant)Difficulty swallowing1 (not at all)2345 (significant)Dry skin and hair1 (not at all)2345 (significant)Constant dehydration1 (not at all)2345 (significant) Fever/chills1 (not at all)2345 (significant)Food intolerances1 (not at all)2345 (significant)Hair loss1 (not at all)2345 (significant)Headaches and tension1 (not at all)2345 (significant)Heart palpitations1 (not at all)2345 (significant) Hormonal issues1 (not at all)2345 (significant)Insomnia1 (not at all)2345 (significant)Joint, muscle and bone pain1 (not at all)2345 (significant)Limb numbness1 (not at all)2345 (significant)Memory loss1 (not at all)2345 (significant) Muscle weakness1 (not at all)2345 (significant)Nausea1 (not at all)2345 (significant)Night sweats1 (not at all)2345 (significant)Pins and needles1 (not at all)2345 (significant)Poor body temperature regulation1 (not at all)2345 (significant) Poor concentration1 (not at all)2345 (significant)Recurring illness1 (not at all)2345 (significant)Ringing in ears1 (not at all)2345 (significant)Sensitivity to light and sound1 (not at all)2345 (significant)Sharp pains in breasts and down arms1 (not at all)2345 (significant) Shortness of breath1 (not at all)2345 (significant)Skin rashes ad sensitivity1 (not at all)2345 (significant)Slow healing1 (not at all)2345 (significant)Stomach pain1 (not at all)2345 (significant)Unexplained weight gain or loss1 (not at all)2345 (significant) Vertigo1 (not at all)2345 (significant)Vision disturbances1 (not at all)2345 (significant)Yeast and bacterial infections1 (not at all)2345 (significant)