General Information

Please check current and past symptoms below:

Acne Allergies Anal Itching Asthma Athlete’s Foot Bladder Infections Bloating Body Odor Breathing Trouble Burning Eyes Constipation Chronic Constipation Crave: Sweets Crave: Breads Depression Diabetes Diarrhea Dizzy Spells Ear Wax Problems Ears Itch Epstein Bar Virus Fatigue Fatigue (Chronic) Fibromyalgia Fungal Nails Gas and Bloating Headaches Headaches - Migraine Heartburn Hyperactivity Indigestion Infection: Bladder Infection: Vaginal Infection: Skin Irritable Bowel Syndrome Itching Skin Low/no Sex Drive Muscle Aches Nausea Nose – Itch Pain: Lower Abdomen Pain: Joints Pain: Stomach Poor Memory Rash on Chest Rash on Back Rash on Scalp Receding Gums Tongue Coating Weight Gain Yeast Infections

To better serve you, please describe your specific health challenges. A list of treatments you have already tried and the success rate would be helpful in evaluating your symptoms. Some common modes of therapy have been found to worsen symptoms and these facts will be considered while reviewing the assessment.

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