What is your name?
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First
Last
What is your email address?
*
Phone
*
Protein Wildatarian (referred to as W)
Do you feel you are not able to digest certain animal proteins well?
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Yes
No
Not Sure
Do you feel that you have trouble building good muscle tone even with regular workouts?
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Yes
No
Not Sure
Do you often experience burping after eating?
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Yes
No
Not Sure
Have you had a doctor or lab test reveal you have elevated protein in your urine?
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Yes
No
Not Sure
Protein Wildatarian (referred to as W)
Do you suffer from loose ligaments (for example: do you easily twist your ankles, do your joints go out easily, or do you have trouble holding adjustments)?
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Yes
No
Not Sure
Do you experience lightheadedness at any time?
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Yes
No
Not Sure
Do you have undigested food in your stool, aside from corn and sesame seeds?
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Yes
No
Not Sure
Are you sensitive to gluten?
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Yes
No
Not Sure
Do you experience a feeling of fullness hours after eating?
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Yes
No
Not Sure
Do you suffer from constipation?
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Yes
No
Not Sure
Do you experience strong odor in your urine or sweat?
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Yes
No
Not Sure
Does your skin frequently have a lighter or grey tone or do you have regular dark circles under your eyes?
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Yes
No
Not Sure
Do you suffer from kidney disease?
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Yes
No
Not Sure
Sulfur Wildatarian (referred to as WS)
Do you have allergies to sulfur-containing medications (Antibiotics, PPIs, etc.)?
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Yes
No
Not Sure
Do you have arthritis?
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Yes
No
Not Sure
Do you have Crohn's disease or ulcerative colitis?
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Yes
No
Not Sure
Have you noticed you have a strong urine odor after eating asparagus?
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Yes
No
Not Sure
Sulfur Wildatarian (referred to as WS)
Do you experience reactions after eating at salad bars or to MSG?
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Yes
No
Not Sure
Do you commonly experience headaches, flushing, hives, or exceptionally strong hangovers when drinking wine?
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Yes
No
Not Sure
Do you notice a reaction after eating meals containing garlic?
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Yes
No
Not Sure
Do you experience reactions after eating eggs?
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Yes
No
Not Sure
Do you experience asthma or wheezing after ingesting food, especially dried fruit or foods with preservatives?
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Yes
No
Not Sure
Do you experience joint pain?
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Yes
No
Not Sure
Do you have bursitis (inflammation of the joints) or tendonitis?
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Yes
No
Not Sure
Do you suffer from Parkinson's disease?
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Yes
No
Not Sure
Do you have attention deficit with or without hyperactivity?
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Yes
No
Not Sure
Do you have calcifications in your arteries, joints, bones, breasts, etc.?
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Yes
No
Not Sure
Do you have neurotransmitter imbalances (i.e., do you suffer from mood disorders and/or insomnia)?
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Yes
No
Not Sure
Do you experience skin rashes anywhere on your body?
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Yes
No
Not Sure
Wildatarian Fat (referred to as WF)
Do you suffer from hormone imbalances such as PCOS (Polycystic Ovary Syndrome), PMS (Premenstrual Syndrome) or PMDD (Premenstrual dysphoric disorder)?
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Yes
No
Not Sure
Do you have gallbladder related pain, which may include on the right side under your ribs or at the right scapula?
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Yes
No
Not Sure
Do you have gallstones?
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Yes
No
Not Sure
Have you had your gallbladder removed?
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Yes
No
Not Sure
Wildatarian Fat (referred to as WF)
Do you experience light-colored stools that are loose, "fluffy," or greasy?
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Yes
No
Not Sure
Do you have strong body odor?
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Yes
No
Not Sure
Do you have bumps on the back of your arms?
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Yes
No
Not Sure
Do you have acne?
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Yes
No
Not Sure
Do you have a yellow tone to your skin?
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Yes
No
Not Sure
Do you suffer from edema (i.e., swelling of any part of your body)?
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Yes
No
Not Sure
Do you suffer from frequent bouts of diarrhea?
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Yes
No
Not Sure
Do you experience nausea or excessive fullness after eating?
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Yes
No
Not Sure
Do you tend to have very dry skin?
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Yes
No
Not Sure
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