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Comprehensive Health Appraisal Form

HEALTH APPRAISAL – COMPREHENSIVE

NAME _____________________________________________________ DATE _________________

CIRCLE the number which best describes the frequency of your symptoms. If you do not know the answer to the question, leave it blank. When you are finished, please add the number of points in each section and enter the number in the Total Points box. The points for YES is the number inside the parenthesis ( ).

(0) never or rarely     (1) twice a week or less    (2) Three to six times a week     (3) daily

PART I

Section A

1.  Indigestion 0 1 2 3 2.  Excessive belching, burping and/or bloating 0 1 2 3 3.  Gas immediately following a meal 0 1 2 3 4.  Sense of fullness during and after meals 0 1 2 3 5.  Poor appetite, disinterest in food 0 1 2 3 6.  Offensive breath 0 1 2 3 7.  Bad taste in mouth 0 1 2 3 8.  Partial loss of taste of smell 0 1 2 3 9.  Difficult bowel movements 0 1 2 3 10.  Difficulty swallowing 0 1 2 3 11.  Unintentional weight loss N     Y(5) 12.  History of anemia, unresponsive to iron N     Y(5) 13.  Vegetarian (no eggs, dairy) N     Y(3) 14.  Picky eater N     Y(3) 15.  Spoon shaped nails N     Y(3) 16.  Sores in corner of mouth N     Y(3) 17.  Smooth tongue N     Y(3)   Total Points __________

Section C

1.  Stomach pain, burning, aching 1-4 hrs. after eating 0 1 2 3 2.  Feeling hungry an hour or two after eating 0 1 2 3 3.  Strong emotions, thought, smell of food aggravates stomach 0 1 2 3 4.  Heartburn, especially when lying down or bending forward 0 1 2 3 5.  Heartburn due to spicy and fatty foods, chocolate, peppers, citrus, alcohol, caffeine 0 1 2 3 6.  Difficulty or pain when swallowing 0 1 2 3 7.  Chest pain, difficulty breathing, lung infections 0 1 2 3 8.  Constipation, difficult bowel movements 0 1 2 3 9.  Black, lorry stool 0 1 2 3 10.  Unexplained weight gain N     Y(5) 11.  Temporary relief from antacids, carbonated beverages, cream/milk/food N     Y(5) 12.  Digestive problems subside with rest and relaxation N     Y(5)   Total Points __________

Section B

1.  Indigestion and fullness lasts 2-4 hours after eating 0 1 2 3 2.  Pain, tenderness, soreness on left side under rib cage 0 1 2 3 3.  Bloated 0 1 2 3 4.  Excessive passage of gas 0 1 2 3 5.  Abdominal cramps, aches 0 1 2 3 6.  Nausea and/or vomiting 0 1 2 3 7.  Dry, flaky skin, dry brittle hair 0 1 2 3 8.  Difficulty gaining weight 0 1 2 3 9.  Weakness and fatigue 0 1 2 3 10.  Specific foods/beverages aggravate indigestion 0 1 2 3 11.  Roughage and fiber causes constipation 0 1 2 3 12.  Three or more large bowel movements daily 0 1 2 3 13.  Alternating constipation and diarrhea 0 1 2 3 14.  Stool poorly formed 0 1 2 3 15.  Stool – undigested food 0 1 2 3 16.  Stool – greasy, shiny 0 1 2 3 17.  Stool yellowish, foul smelling 0 1 2 3 18.  Mucus in stool 0 1 2 3 19.  Black stool 0 1 2 3 20.  Rectal spasms 0 1 2 3 21.  Dark urine 0 1 2 3 22.  Bone and back pain 0 1 2 3 23.  Pounding heart 0 1 2 3 24.  Iron deficiency anemia 0 1 2 3   Total Points __________

Section D

1.  Lower abdominal pain, cramping and/or spasms 0 1 2 3 2.  Lower abdominal pain relief by passing stool or gas 0 1 2 3 3.  Raw fruits, vegetables and stress aggravate bowel pain 0 1 2 3 4.  Diarrhea (loose watery stool) 0 1 2 3 5.  More than three bowel movements daily 0 1 2 3 6.  Excessive gas and bloating 0 1 2 3 7.  Painful, difficult, straining during bowel movements 0 1 2 3 8.  Hard, dry or small stool 0 1 2 3 9.  Extremely narrow stools, thin stool 0 1 2 3 10.  Alternating diarrhea / constipation 0 1 2 3 11.  Mucus and pus in stool 0 1 2 3 12.  Feeling that bowels do not empty completely 0 1 2 3 13.  Rectal pain or cramps 0 1 2 3 14.  Bright red blood following bowel movement 0 1 2 3 15.  Anal itching 0 1 2 3 16.  Irritable, moody 0 1 2 3 17.  Rash under breast, armpit, around navel or groin area N     Y(5) 18.  Feel ill in damp, moldy settings or rainy weather N     Y(3)   Total Points __________   PART II

Section A

1.  Moderate to severe pain under right side of rib cage 0 1 2 3 2.  Abdominal pain worse with deep breathing 0 1 2 3 3.  Bitter fluid repeats after eating 0 1 2 3 4.  Bloated, full feeling 0 1 2 3 5.  Belching, heartburn, gas 0 1 2 3 6.  Fatty foods cause indigestion 0 1 2 3 7.  Nausea and/or vomiting 0 1 2 3 8.  Feel restless, agitated, angry 0 1 2 3 9.  Unexplained itchy skin worse at night 0 1 2 3 10.  Yellowish cast to skin, eyes 0 1 2 3 11.  Stool color alternates from clay colored to normal brown 0 1 2 3 12.  General feeling of poor health 0 1 2 3 13.  Fatigue, weakness, exhaustion 0 1 2 3 14.  Unable to concentrate, irritable, confused 0 1 2 3 15.  Aching muscles 0 1 2 3 16.  Trembling hands 0 1 2 3 17.  Weight gain due to water retention 0 1 2 3 18.  Swollen feet and or legs 0 1 2 3 19.  Bleeding tendencies in gums, nose 0 1 2 3 20.  Loss of chest and armpit hair 0 1 2 3 21.  Reddened skin, especially palms 0 1 2 3 22.  Dark urine, diminished flow 0 1 2 3 23.  Dry, flaky skin and/or hair N     Y(3) 24.  Loss of appetite and weight N     Y(3) 25.  Easy bruising N     Y(3) 26.  Thinning of pubic hair N     Y(3) 27.  Feeling of extreme dryness N     Y(3) 28.  Loss of skin elasticity N     Y(3)   Total Points __________

Section B

1.  Tired, sluggish 0 1 2 3 2.  Feel cold, hands, feet, all over 0 1 2 3 3.  Tight sensation in neck 0 1 2 3 4.  Difficult, infrequent bowel movements 0 1 2 3 5.  Dryness, discoloration skin, hair 0 1 2 3 6.  Thick, brittle nails 0 1 2 3 7.  Puffy face, hands and feet 0 1 2 3 8.  Swollen upper eyelids 0 1 2 3 9.  Eyeballs move involuntarily 0 1 2 3 10.  Muscles weak, cramp, and/or tremble 0 1 2 3 11.  Slow mental processes, forgetfulness 0 1 2 3 12.  Slow heart beats 0 1 2 3 13.  Abdominal swelling 0 1 2 3 14.  Unsteady gait, movements 0 1 2 3 15.  Lack of interest in sex 0 1 2 3 16.  Weight gain easily N     Y(5) 17.  Swelling of the neck N     Y(5) 18.  Outer third of eyebrow thins N     Y(3) 19.  Thinning hair on scalp, face and genitals N     Y(3) 20.  Loss of appetite N     Y(3) 21.  Premenstrual tension N     Y(3) 22.  Infertility N     Y(3) 23.  Excessive menstrual bleeding N     Y(3) 24.  Absence of periods N     Y(3)   Total Points __________   PART III

Section A

1.  Progressive, mild fatigue after exertion or stress 0 1 2 3 2.  General weakness 0 1 2 3 3.  Blurred vision, dizzy when rising 0 1 2 3 4.  Depression 0 1 2 3 5.  Rapid mood swings 0 1 2 3 6.  Irritable 0 1 2 3 7.  Dark circles under the eyes 0 1 2 3 8.  Abdominal pain, indigestion 0 1 2 3 9.  Bouts of nausea, vomiting 0 1 2 3 10.  Diarrhea or constipation 0 1 2 3 11.  Blotchy skin (white patches) 0 1 2 3 12.  Craving for salty foods 0 1 2 3 13.  Decreased appetites N     Y(3) 14.  Gradual weight loss N     Y(3) 15.  Tan skin, no sun N     Y(3) 16.  Gradual loss of body hair N     Y(3) 17.  Black freckles on upper forehead, face, neck N     Y(3) 18.  Sensitive to minor changes in weather and surroundings N     Y(3)   Total Points __________

Section B

1.  Catch colds easily 0 1 2 3 2.  Infections – eye, ears, nose throat, lungs, skin 0 1 2 3 3.  Diarrhea 0 1 2 3 4.  Puffy face 0 1 2 3 5.  Dark areas on cheeks, under eyes 0 1 2 3 6.  Difficulty seeing at night 0 1 2 3 7.  Eyes tear, burn, discharge 0 1 2 3 8.  Ears, continuously drain 0 1 2 3 9.  Nasal congestion or discharge thick, yellow, green 0 1 2 3 10.  Sore throat or post-nasal drip 0 1 2 3 11.  Cough with mucus 0 1 2 3 12.  Inflamed or bleeding gums 0 1 2 3 13.  Cold sores, fever blisters 0 1 2 3 14.  Gums swelling, bleeding 0 1 2 3 15.  Unexplained weight loss of 10 pounds in last three months N     Y(3) 16.  Lack of appetite N     Y(3)

Section B (continued)

17.  Nail discolorations N     Y(3) 18.  Bumpy skin on back or arms N     Y(3) 19.  Wounds heal slowly N     Y(3) 20.  Hair is easily plucked out or falls out, grows slow N     Y(3) 21.  Lips are red and swollen N     Y(3) 22.  Tongue is red, swollen, raw looking N     Y(3) 23.  Impaired taste and smell N     Y(3) 24.  Neck, armpit groin swelling N     Y(5)   Total Points __________

Section C

1.  Muscles fatigue quickly 0 1 2 3 2.  Moody, irritable, tired 0 1 2 3 3.  Severe fatigue 0 1 2 3 4.  Severe joint pain, redness, swelling 0 1 2 3 5.  Chronic pain, stiffness througout body 0 1 2 3 6.  Migraine headaches 0 1 2 3 7.  Specific food(s) worsen pain, inflamation, stiffness 0 1 2 3 8.  Sensitive to light (skin or ees) 0 1 2 3 9.  Dark circles under eyes 0 1 2 3 10.  Swollen-looking face or body 0 1 2 3 11.  Localized or general itching – eyes, ears, throat, nose, skin 0 1 2 3 12.  Clear, wattery discharge from nose, eyes 0 1 2 3 13.  Extreme dryness of eyes, nasal passages, mouth 0 1 2 3 14.  Sneezing 0 1 2 3 15.  Cough or wheezing 0 1 2 3 16.  Moldy, damp environments trigger sickness 0 1 2 3 17.  Post nasal drip with certain foods 0 1 2 3 18.  Heart palpitations after eating certain foods 0 1 2 3 19.  Weight loss, muscle weakness N     Y(3) 20.  Scalp hair falls out easily in clumps N     Y(3) 21.  Hair loss, entire body N     Y(5) 22.  Easy bruising N     Y(3) 23.  Nails -loosened, pitted, discolored N     Y(3)   Total Points __________   PART IV

Section A

1.  Sense of being overly tired 0 1 2 3 2.  Prolonged recovery after exercise 0 1 2 3 3.  Coldness especially in hands and feet 0 1 2 3 4.  Difficulty breathing on exertion, palpitations 0 1 2 3 5.  Headache, dizziness, spots before eyes 0 1 2 3 6.  Irritable 0 1 2 3 7.  Forgetful, poor concentration 0 1 2 3 8.  Mild yellowing of eyes or skin 0 1 2 3 9.  Ringing in ears 0 1 2 3 10.  Susceptible to infections 0 1 2 3 11.  Jaundice and dark urine 0 1 2 3 12.  Black stool (no iron supplements) 0 1 2 3 13.  Unusual cravings for clay, dirt, ice 0 1 2 3 14.  Fingernails are flattened, spoon shaped, brittle, thin 0 1 2 3 15.  White patches on skin N     Y(5) 16.  Pale lips, gums, eyelids, nail beds N     Y(3) 17.  Red, sore tongue N     Y(3) 18.  Mouth, throat, rectum ulcers N     Y(3) 19.  Unusual bruising N     Y(3) 20.  Spontaneous bleeding – nose, mouth, gums, rectum or vagina N     Y(3) 21.  Small red dots under the skin N     Y(5) 22.  Sores in the corner of mouth N     Y(3) 23.  Smooth tongue N     Y(3)   Total Points __________

Section B

1.  Nosebleeds 0 1 2 3 2.  Headache, typically in morning 0 1 2 3 3.  Weakness, fatigue, nervous 0 1 2 3 4.  Ringing in ears 0 1 2 3 5.  Dizziness, drowsiness 0 1 2 3 6.  Blushing – no apparent cause 0 1 2 3 7.  Numbness, tingling in hands and feet 0 1 2 3 8.  Blurred vision 0 1 2 3   Total Points __________

Section C

1.  Feel jittery 0 1 2 3 2.  Heartburn that moves to neck, jaws, left shoulder and arm 0 1 2 3 3.  First effort of the day causes pain around chest 0 1 2 3 4.  Dizziness 0 1 2 3 5.  Choking, smothering sensation 0 1 2 3 6.  Exhaust with minor exertion 0 1 2 3

Section C (continued)

7.  Heart pounds easily 0 1 2 3 8.  Heavy sweating (no exertion) 0 1 2 3 9.  Mild or severe chest pain 0 1 2 3 10.  Difficulty catching breath especially during exercise 0 1 2 3 11.  Wheezing or dry cough 0 1 2 3 12.  Heart palpitations – slow, rapid or irregular 0 1 2 3 13.  Swelling in feet, ankle, legs comes and goes 0 1 2 3 14.  Veins on neck are prominent 0 1 2 3   Total Points __________

Section D

1.  Fluid retention 0 1 2 3 2.  Numbness, tingling, prickling sensation in hands, feet 0 1 2 3 3.  Muscle pain in the calves or thighs when walking 0 1 2 3 4.  Muscle pain at rest 0 1 2 3 5.  Cold feet 0 1 2 3 6.  Headaches 0 1 2 3 7.  Dizziness, everything spins 0 1 2 3 8.  Poor concentration 0 1 2 3 9.  Slurred speech 0 1 2 3 10.  Ringing in ears 0 1 2 3 11.  Brief moments of hearing loss 0 1 2 3 12.  Nausea comes and goes quickly 0 1 2 3 13.  Falling without known cause 0 1 2 3 14.  Brief difficulty swallowing 0 1 2 3 15.  Brief difficulty speaking 0 1 2 3 16.  Stammering or twitching of tongue 0 1 2 3 17.  Double vision 0 1 2 3 18.  Difficulty understanding spoken or written word 0 1 2 3 19.  Brief loss of muscular coordination 0 1 2 3 20.  Inability to recognize persons or things that pass very quickly 0 1 2 3 21.  Inability to feel pain or temperature usually on one side that disappears quickly 0 1 2 3 22.  One leg or arm – shiny hairless skin N     Y(5) 23.  Discolored or blue toes N     Y(5) 24.  Open sores on feet and legs N     Y(5) 25.  Fingers and toes numb in response to cold weather even when protected. N     Y(5)   Total Points __________   PART V

Section A

Missing meals or fasting is associated with the following:

1.  Sudden anxiety associated with hunger 0 1 2 3 2.  Tingling sensation in hands 0 1 2 3 3.  Palpitations 0 1 2 3 4.  Feel shaker, jittery, tremors 0 1 2 3 5.  Weakness 0 1 2 3 6.  Profuse perspiration, clammy skin 0 1 2 3 7.  Nightmares 0 1 2 3 8.  Awoke from sleep restless 0 1 2 3 9.  Agitated, easily upset, nervous 0 1 2 3 10.  Poor memory, forgetful 0 1 2 3 11.  Confusion, disoriented 0 1 2 3 12.  Dizziness, feel faint 0 1 2 3 13.  Feeling cold, numbness 0 1 2 3 14.  Mild headache 0 1 2 3 15.  Blurred or double vision 0 1 2 3 16.  Lack of coordination 0 1 2 3   Total Points __________

Section B

1.  Excessive, frequent urination 0 1 2 3 2.  Increased thirst and appetite 0 1 2 3 3.  Blurred vision, failing eyesight 0 1 2 3 4.  Fatigue, drowsiness 0 1 2 3 5.  Crave sweets, but eating sweets does not relieve craving 0 1 2 3 6.  Feel hungry for air (can’t get enough) 0 1 2 3 7.  Breath smells sweet 0 1 2 3 8.  Depressed 0 1 2 3 9.  Tingling, numbness, prickling sensation in extremities 0 1 2 3 10.  Profuse sweating 0 1 2 3 11.  Dribble after voiding 0 1 2 3 12.  Impotency 0 1 2 3 13.  Dizziness when standing from sitting position 0 1 2 3 14.  Slurred speech 0 1 2 3 15.  Unintentional weight loss 0 1 2 3 16.  Reoccurring persistent infection bladder, skin, or gums 0 1 2 3 17.  Boils and leg sores 0 1 2 3 18.  Very slow wound healing 0 1 2 3 19.  Excessive weight gain 0 1 2 3   Total Points __________ PART VI

1.  Weakness and fatigue 0 1 2 3 2.  Chest discomfort, pain 0 1 2 3 3.  Sudden breathing difficulty 0 1 2 3 4.  Shortness of breath 0 1 2 3 5.  Shallow breathing 0 1 2 3 6.  Noisy rattling sounds when breathing in or out 0 1 2 3 7.  Cough – dry or moist 0 1 2 3 8.  Rapid heartbeats 0 1 2 3 9.  Excessive perspiration 0 1 2 3 10.  Anxiety, restlessness 0 1 2 3 11.  Consistent low-grade temperature (100-101°) 0 1 2 3 12.  Bluish nails and lips 0 1 2 3

13.  Post nasal drip 0 1 2 3 14.  Sputum – thick, clear, yellow 0 1 2 3 15.  Sputum – smells offensive 0 1 2 3 16.  Bloody sputum 0 1 2 3 17.  Bad breath 0 1 2 3 18.  Wheezing 0 1 2 3 19.  Loud snoring 0 1 2 3 20.  Sleepy during day 0 1 2 3 21.  Morning headache 0 1 2 3 22.  Difficulty concentrating 0 1 2 3 23.  Unexplained weight loss N     Y(3) 24.  Infections settle in lungs N     Y(3) 25.  Flu symptoms last longer than 5 days N     Y(3)   Total Points __________
PART VII

1.  Retain fluid throughout body 0 1 2 3 2.  Mild lower back pain 0 1 2 3 3.  Frequent urge to urinate, but only small amounts pass 0 1 2 3 4.  Interruption of urine stream 0 1 2 3 5.  Excessive urination 0 1 2 3 6.  Excessive urination at night 0 1 2 3 7.  Burning when urinating 0 1 2 3 8.  Frequent urination with urgency 0 1 2 3 9.  Rarely need to urinate 0 1 2 3 10.  Difficulty passing urine 0 1 2 3 11.  Dripping after urination 0 1 2 3

12.  Can’t hold urine 0 1 2 3 13.  Bloody, cloudy and/or darkened urine 0 1 2 3 14.  Strong smelling urine 0 1 2 3 15.  Joint and muscle pain 0 1 2 3 16.  Tingling in joints 0 1 2 3 17.  Dark circles under eyes 0 1 2 3 18.  Gray, blackish caste to skin 0 1 2 3 19.  Back or leg pains associated with dripping after urination N     Y(5) 20.  Poor skin elasticity, dryness N     Y(3)   Total Points __________   PART VIII (Men Only)

Section A

1.  Frequent or urgent need to urinate 0 1 2 3 2.  Delayed, weak, or interrupted urinary stream 0 1 2 3 3.  Pain or burning upon urination 0 1 2 3 4.  Urge to urinate several times a night 0 1 2 3 5.  Rose colored (bloody) urine 0 1 2 3 6.  Difficulty urinating 0 1 2 3 7.  A sense of bladder fullness 0 1 2 3 8.  Ejaculation causes pain 0 1 2 3 9.  Blood in the semen 0 1 2 3 10.  Lack of sex drive 0 1 2 3 11.  Impotency 0 1 2 3 12.  Pain or fatigue in the legs or back 0 1 2 3 13.  Dripping after urination 0 1 2 3 14.  Increased straining with small amounts of urine passed 0 1 2 3 15.  Anemia N     Y(3)   Total Points __________

Section B

1.  Itchy patches around inner thigh and groin 0 1 2 3 2.  Itching at night 0 1 2 3 3.  Painful testicles 0 1 2 3 4.  Difficulty attaining and/or maintaining an erection 0 1 2 3 5.  Low sexual drive 0 1 2 3 6.  Premature ejaculation 0 1 2 3 7.  Low energy level or stamina 0 1 2 3 8.  Inflammation of the head of penis N     Y(5) 9.  Genital and/or rectal rash or irritation N     Y(5) 10.  Distorted nail growth N     Y(3) 11.  Loss of pubic or armpit hair N     Y(3) 12.  Infertile N     Y(3) 13.  Low sperm count, low sperm motility N     Y(3) 14.  Unexplained weight gain N     Y(3) 15.  Testicles appear smaller N     Y(3) 16.  Development of breasts or nipple tenderness N     Y(3) 17.  Feeling of heaviness or hardness in testicle N     Y(3) 18.  Sparse beard or slow hair growth N     Y(3) 19.  Decreased body hair N     Y(3) 20.  Fine wrinkling in corner of mouth or around eyes N     Y(3)   Total Points __________   PART IX (Women Only)

Section A

1.  Insomnia 0 1 2 3 2.  Abdominal bloating 0 1 2 3 3.  Breast tenderness, swelling 0 1 2 3 4.  Breast lumps appear 0 1 2 3 5.  Heart palpitations 0 1 2 3 6.  Sweating and flushing 0 1 2 3 7.  Depressed, irritable, nervous 0 1 2 3 8.  Easy to anger, resentful 0 1 2 3 9.  Easily overwhelmed 0 1 2 3 10.  Nausea and/or vomiting 0 1 2 3 11.  Diarrhea or constipation 0 1 2 3 12.  Headache 0 1 2 3 13.  Food cravings, binge eating 0 1 2 3 14.  Back pain 0 1 2 3 15.  Numbness, tingling in hands and feet 0 1 2 3 16.  Clumsiness 0 1 2 3 17.  Feeling hopeless, sad 0 1 2 3 18.  Weight gain, water N     Y(3) 19.  Suicidal N     Y(10)   Total Points __________

Section B

1.  Vaginal dryness, pain 0 1 2 3 2.  Painful intercourse 0 1 2 3 3.  Engorged breasts 0 1 2 3 4.  Milk production (not nursing) 0 1 2 3 5.  Disinterest in sex 0 1 2 3 6.  Blurred vision 0 1 2 3 7.  Headache 0 1 2 3 8.  Acne and/or oily skin 0 1 2 3 9.  Aggressive feelings 0 1 2 3 10.  Overwhelming urges for sexual intercourse 0 1 2 3 11.  Absence of menstrual flow for six or more months N     Y(20) 12.  Occasionally skip periods N     Y(5) 13.  Menstruation began after 16 years of age N     Y(3) 14.  Breasts shrinking N     Y(5) 15.  Thinning pubic and armpit hair N     Y(5) 16.  Unable to get pregnant N     Y(10) 17.  Miscarriage N     Y(3) 18.  Excess facial hair N     Y(5) 19.  Poor sense of smell N     Y(3) 20.  Monthly abdominal pain without bleeding N     Y(5)   Total Points __________

Section C

1.  Painful intercourse 0 1 2 3 2.  Menstrual type pain between menses 0 1 2 3 3.  Irregular time intervals between periods N     Y(5) 4.  Extended menses greater than 32 days N     Y(10) 5.  Shortened menses (less than every 24 days) N     Y(5) 6.  Vaginal bleeding between periods N     Y(10) 7.  Vaginal discharge between periods N     Y(5) 8.  Pain during periods is getting progressively worse N     Y(5)

Section C (continued)

9.  Pain, cramps 0 1 2 3 10.  Unusual fatigue, can’t work 0 1 2 3 11.  Irritable and depressed 0 1 2 3 12.  Constipation and/or diarrhea 0 1 2 3 13.  Lower abdominal pain, bloating 0 1 2 3 14.  Nausea and/or vomiting 0 1 2 3 15.  Lower backache 0 1 2 3 16.  Pelvic and/or rectal pressure 0 1 2 3 17.  Urinary difficulties 0 1 2 3 18.  Frequent urination N     Y(5) 19.  Scanty blood flow N     Y(3) 20.  Heavy blood flow N     Y(3)   Total Points __________

Section D

1.  Lumps are painful, tender 0 1 2 3 2.  Clear, gray or yellow vaginal discharge 0 1 2 3 3.  Vaginal bleeding after sex or between periods 0 1 2 3 4.  Burning or itching of the external genitalia 0 1 2 3 5.  Urgent, painful urination 0 1 2 3 6.  Lower abdominal or back pain 0 1 2 3 7.  Heavy, watery and bloody vaginal discharge 0 1 2 3 8.  Heavy menstrual flow 0 1 2 3 9.  Pelvic cramps 0 1 2 3 10.  Thin, scant white vaginal discharge 0 1 2 3 11.  Greenish, yellow, or offensive discharge 0 1 2 3 12.  Cheesy white discharge 0 1 2 3 13.  Breast lumps or swelling N     Y(10) 14.  Lumps hurt just before period N     Y(5) 15.  Swelling under armpit N     Y(5) 16.  Change in breast size, shape N     Y(10) 17.  White or slightly bloody vaginal discharge, one week prior to period N     Y(10)   Total Points __________

Section E

1.  Insomnia 0 1 2 3 2.  Abdominal bloating 0 1 2 3 3.  Breast tenderness, swelling 0 1 2 3 4.  Breast lumps appear 0 1 2 3 5.  Heart palpitations 0 1 2 3 6.  Sweating and flushing 0 1 2 3 7.  Depressed, irritable, nervous 0 1 2 3 8.  Easy to anger, resentful 0 1 2 3 9.  Easily overwhelmed 0 1 2 3 10.  Nausea and/or vomiting 0 1 2 3 11.  Diarrhea or constipation 0 1 2 3 12.  Headache 0 1 2 3 13.  Food cravings, binge eating 0 1 2 3 14.  Back pain 0 1 2 3 15.  Numbness, tingling in hands and feet 0 1 2 3 16.  Clumsiness 0 1 2 3 17.  Feeling hopeless, sad 0 1 2 3 18.  Weight gain, water N     Y(3) 19.  Suicidal N     Y(10)   Total Points __________   PART X

Section A

1.  Generalized bone tenderness and achiness 0 1 2 3 2.  Localized bone pain 0 1 2 3 3.  Bone deformity or swelling 0 1 2 3 4.  Shins hurt during or after exercise 0 1 2 3 5.  Low back or hip pain 0 1 2 3 6.  Difficulty sitting straight 0 1 2 3 7.  Limp, walking difficulties 0 1 2 3 8.  Crunching or cracking sounds when moving joints 0 1 2 3 9.  Hands, feet, throat spasms or feel numb 0 1 2 3 10.  Joint pain and stiffness – especially spine, hips, knees 0 1 2 3 11.  Hearing loss, headaches, ringing in ears 0 1 2 3 12.  Cavities N     Y(5) 13.  Tooth loss due to gum disease N     Y(5) 14.  Established bone loss N     Y(10) 15.  Calcium deposits N     Y(5) 16.  Spinal curvature N     Y(10) 17.  Recent loss of height N     Y(10) 18.  Bow legs N     Y(5) 19.  Stooped posture N     Y(5) 20.  Hump at base of neck N     Y(5) 21.  Irregular patches of increased pigmentation N     Y(3) 22.  Unexplained bone fracture N     Y(10)   Total Points __________

Section B

1.  Muscle aches and pains 0 1 2 3 2.  Muscle stiffness, tension 0 1 2 3 3.  Specific points on body feel sore when presses 0 1 2 3 4.  Headaches 0 1 2 3 5.  Fatigue, tired, sluggish 0 1 2 3 6.  Difficulty sleeping 0 1 2 3 7.  Feel unrefreshed upon awakening 0 1 2 3 8.  Difficulty speaking, swallowing 0 1 2 3 9.  Muscles cramp or spasm 0 1 2 3 10.  Muscles twitch or tremble – eyelids, thumb, calf muscle 0 1 2 3 11.  Irresistible urge to move legs 0 1 2 3 12.  Legs move during sleep 0 1 2 3 13.  Unpleasant crawling sensation inside calves, while lying down 0 1 2 3 14.  Numbing, tingling sensation 0 1 2 3 15.  Excessive joint mobility 0 1 2 3 16.  Unable to fully straighten or extend legs and/or arms 0 1 2 3 17.  Upper or lower back pain 0 1 2 3 18.  Loss of muscle strength N     Y(3) 19.  Muscle loss, wasting N     Y(3)   Total Points __________

Section C

1.  Joint stiffness, soreness, swelling 0 1 2 3 2.  Red, swollen painful joints 0 1 2 3 3.  Joint stiffness improves when resting, worsens with movement 0 1 2 3 4.  Dry mouth 0 1 2 3 5.  Dry painful eyes 0 1 2 3 6.  Joint stiffness worsens with rest, improves with movement 0 1 2 3 7.  Cracking joints 0 1 2 3 8.  Limp 0 1 2 3 9.  Shooting, aching, tingling pain down the back of leg 0 1 2 3

Section C (continued)

10.  Joint pain involves one or a few joints 0 1 2 3 11.  Joints hurt when moving or carrying weight 0 1 2 3 12.  Limited range of motion 0 1 2 3 13.  Difficulty standing up from sitting position 0 1 2 3 14.  Walks slowly 0 1 2 3 15.  Headache 0 1 2 3 16.  Difficulty chewing food or opening mouth 0 1 2 3 17.  Intermittent pain, ache on one side of head spreading to cheek, temple, lower jaw, ear neck and shoulder 0 1 2 3 18.  Numbness, prickling, tingling sensation in the neck, shoulder and arms 0 1 2 3 19.  Injure, strain, sprain easily 0 1 2 3 20.  Discomfort or pain in neck, shoulder or arm 0 1 2 3 21.  Involuntary muscle spasms 0 1 2 3 22.  Deliberate movement with hands are difficult 0 1 2 3 23.  Red painless skin lumps on elbows, knees, toes, ear, nose, back of scalp N     Y(5) 24.  Knobby overgrowths on the joints closest to the fingertips N     Y(5) 25.  Muscle loss around inflamed joint N     Y(10) 26.  Double jointed N     Y(3) 27.  One leg shorter than the other N     Y(5)   Total Points __________

Section D Neurological

1.  Head feels heavy 0 1 2 3 2.  Light headedness/fainting 0 1 2 3 3.  Ringing/buzzing in ears 0 1 2 3 4.  Trembling hands 0 1 2 3 5.  Limbs feel too heavy to hold up 0 1 2 3 6.  Loss of feeling in hands and/or feet (toes) 0 1 2 3 7.  Tingling sensation followed by numbness, or pain begins in hands and feet and spreads toward the center of your body 0 1 2 3 8.  Unsteady gait, lose balance 0 1 2 3 9.  Muscles feel weak 0 1 2 3 10.  Weak grip with spasm and arm weakness 0 1 2 3 11.  Exhaustion on slightest effort 0 1 2 3 12.  Need for 10-12 hours sleep 0 1 2 3 13.  Muscular weakness begins in leg and moves upward 0 1 2 3 14.  Difficulty walking, moving around, handling small objects 0 1 2 3 15.  Nervous, anxious 0 1 2 3 16.  Convulsions 0 1 2 3 17.  Confused, forgetful 0 1 2 3 18.  Slowed or slurred speech 0 1 2 3 19.  Difficulty breathing 0 1 2 3 20.  Blurred vision 0 1 2 3 21.  Eyelids droop 0 1 2 3 22.  Impaired hearing, eyesight, sense of touch smell taste N     Y(10) 23.  Accident prone – trip, stumble, feel clumsy N     Y(5)   Total Points __________  Untitled Document

WHICH OF THE FOLLOWING MEDICATIONS ARE YOU TAKING

[ ] Antacids
[ ] Cortisone/anti-inflammatory
[ ] Oral contraceptives
[ ] Antibiotic/antifungal
[ ] Heart medication
[ ] Radiation
[ ] Antidepressants
[ ] High blood pressure
[ ] Relaxant/sleeping pills
[ ] Anti-diabetic/insulin
[ ] Hormones
[ ] Thyroid medication
[ ] Asprin / Tylenol
[ ] Laxatives
[ ] Ulcer medication
[ ] Chemotherapy
[ ] Lithium

Other: _______________________________________________________________

Recreational drugs: _____________________________________________________


WHICH OF THE FOLLOWING DO YOU EAT, DRINK, OR USE

[ ] Alcohol
[ ] Cigarettes
[ ] Fried foods
[ ] Candy
[ ] Coffee
[ ] Luncheon meats
[ ] Carbonated beverages
[ ] Distilled water
[ ] Margarine
[ ] Chew tobacco
[ ] Fast food restaurants
[ ] Saccharine (Sweet & Low)

Vitamins/minerals (please list): _________________________________________

____________________________________________________________________

____________________________________________________________________


WHICH OF THE FOLLOWING APPLY TO YOU

[ ] Are under excessive stress
[ ] Do not exercise regularly
[ ] Salt food without tasting
[ ] Are exposed to chemicals at work
[ ] Are exposed to cigarette smoke
[ ] Diet often

LIST YOUR “TOP” HEALTH SYMPTOM COMPLAINTS:

1. _________________________________________________________________

2. _________________________________________________________________

3. _________________________________________________________________

4. _________________________________________________________________

5. _________________________________________________________________

DO YOU HAVE ANY OTHER SYMPTOMS NOT COVERED IN THIS QUESTIONNAIRE?

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

CoQ10 (ubiquinone)

Super-Energizer and Potent Antioxidant

CoQ10 is a naturally-occurring antioxidant produced in the human body. It is vitally involved in energy production. CoQ10 functions as an “energizer” to mitochondria, the body’s energy producing units. Mitochondria, which produce energy the body’s “energy currency,” ATP, require CoQ10 to “spark” their production of energy units (ATP). Muscles, and the heart in particular, have high requirements for CoQ10.

CoQ10 is a potent antioxidant beneficial for:

  • Heart Disease (angina, arrhythmia, atherosclerosis, cardiomyopathy, heart failure, congestive heart failure, myocardial infarction (1-18)
  • High Blood Pressure (1,3,4,14, 53, 55)
  • Neurological disease (Alzheimer’s, Huntington’s, Parkinson’s) (19-37)
  • Immune deficiency and AIDS (40-45,52)
  • Periodontal disease (38-39)
  • Cancer (40, 44-49)
  • Chemotherapy side-effects (50-52)
  • Diabetes (53-56)
  • Muscular dystrophy (57-58)
  • fatigue / chronic fatigue / fibromyalgia (59-61)
  • migraine headache (62-63)
  • enhancing athletic performance (64-68)
  • male infertility (69-73)

CoQ10 is produced by the body, but age, nutrient deficiencies, disease and some medications can lower the body’s CoQ10 levels. Cholesterol-lowering drugs (statins) deplete CoQ10. (15,54,74-77)

Studies have shown that the oil-preserved form is up to 3 times better absorbed than other forms. (78-80)

Although many claims are currently made for a “new” form (ubiquinol) being “more absorbable” than ubiquinone, this has never been proven or well-studied. Learn more about this issue here: Ubiquinone (CoQ10) versus Ubiquinol: Which Is Better?

CoQ10 and it’s use in CHF (Congestive Heart Failure):

http://www.ncbi.nlm.nih.gov/pubmed/19966871
“… Coenzyme Q10 (CoQ10) is essential for electron transport within the mitochondria and hence for ATP generation and cellular energy production. We recently demonstrated that plasma levels of CoQ10 are an independent predictor of survival in a cohort of 236 patients with chronic heart failure (CHF) followed for a median of 2.69 years. This is consistent with previous studies which have shown myocardial CoQ10 depletion in CHF, and correlated with the severity of the underlying disorder. Several intervention studies have been undertaken with CoQ10 in CHF, including randomized controlled trials with mostly positive outcomes in relation to improvement in plasma levels of CoQ10. A meta-analysis showed that CoQ10 resulted in an improvement in ejection fraction of 3.7% (95%CI 1.59-5.77) and the mean increase in cardiac output was 0.28 L/minute (95%CI 0.03-0.53). In a subgroup analysis, studies with patients not taking ACE inhibitors found a 6.7% increase in ejection fraction. The ongoing Q-SYMBIO trial will address whether CoQ10 supplementation improves survival in CHF patients. CoQ10 depletion may also be a contributory factor for why statin intervention has not improved outcomes in CHF. There is an emerging evidence base in support of CoQ10 as an adjunctive therapy in CHF.”

http://faculty.washington.edu/ely/coenzq10.html
“…The majority of the clinical studies concerned the treatment of heart disease and were remarkably consistent in their conclusions: that treatment with CoQ10 significantly improved heart muscle function while producing no adverse effects or drug interactions. …”

Dr. Myatt’s Conclusion:
CoQ10 is beneficial for nearly every type of Heart Disease (angina, arrhythmia, atherosclerosis, cardiomyopathy, heart failure, congestive heart failure, myocardial infarction (1-18)

Suggested dose:

50-100 mg per day for health maintenance and anti-aging / longevity programs.

200 to 400 mg per day for heart problems, cancer, weight loss programs and other indications.

Studies performed by the National Institutes of Health (NIH) using Vitaline ™ brand CoQ10, have used 300-400 mg (or more under medical direction) per day.

Each Capsule contains:

50 or 100 mg capsules are Wellness Club brand oil-preserved CoQ10 in easy to swallow gel Caps with Vitamin E & Beta carotene as natural preservatives.

300 and 400mg tablets are Vitaline/Integrative Therapeutics chewable wafers, the exact formulas used in the NIH Parkinson’s trials.

Product # 134 Wellness Club CoQ10 (60 softgel Caps 50 mg) 35.95

Product # 135 Wellness Club (60 softgel Caps 100 mg) 62.95

Vitaline CoQ10

High-potency CoQ10 by VitalineVitaline brand CoQ10 is THE CoQ10 that has been the subject of NIH studies and a recent trial showing its potential value in Parkinson’s patients.

Co10 has been shown to be potentially helpful for:

  • neurological health
  • cardiovascular health
  • anti-aging and longevity

NOTE: Vitaline® brand CoQ10 is available under several different labels.

Vitaline CoQ10 Vitaline Vitaline Co-Enzyme Q10 Integrative Therapeutics
is the “Doctors Only” label Enzymatic Therapy
is the “Health Food Store” label Vitaline under the “Vitaline Formulas” Label is the same product

THESE ARE ALL THE EXACT SAME PRODUCT That Is Used In The NIH Studies
All are made by Vitaline and given different labels.

Product # N313 Vitaline (60 chewable wafers 300 mg With Vitamin E) 97.00

Product # N334 Vitaline (60 chewable wafers 300 mg WITHOUT Vit. E) 97.00

Product # N314 Vitaline (90 chewable wafers 400 mg With Vitamin E) 197.00

Product # N335 Vitaline (90 chewable wafers 400 mg WITHOUT Vit. E) 197.00

Vitaline, Vitamin E, and Vitamin E safety:

Some people (including some doctors) have a mistaken fear of Vitamin E, believing that “too much is dangerous.”

We have been unable to find any evidence in medical or scientific literature of any danger from taking large doses of Vitamin E. The National Institutes for Health (NIH) a US government authority places the maximum daily intake of Vitamin E at 1500 IU for healthy adults.

High intake of Vitamin E intake does tend to “thin” the blood, affecting coagulation by inhibiting platelet aggregation. People using antigoagulants or who bleed too easily may wish to discuss the use of Vitamin E with theri doctor.It has also been reported that Vitamin E in high doses may block the action of Vitamin K which is known as “the clotting factor.”

According to the label information and the Enzymatic Therapy website:

Vitaline® CoQ10 – 300 mg WITH Vitamin E contains 300 IU Vitamin E per chewable tab.

Vitaline® CoQ10 – 400 mg WITH Vitamin E contains 200 IU Vitamin E per chewable tab.

In order to achieve the daily intake of Vitamin E that you or your health care provider wish you to have you can either use a different tablet strength, either 300 or 400 mg to achieve 1200mg per day or mix your intake between Vitaline WITH and Vitaline WITHOUT Vitamin E to achieve your preferred daily intake of Vitamin E.

Vitaline 400 mg WITHOUT Vitamin E (Cherry-Vanilla flavor) Serving Size: 3 Chewable wafers Amount/Serving %DV Calories 35   Calories from fat 15   Total fat 1.5 gm 2%** Total Carbohydrate 5 gm 2%** Sugars 5 gm * Natural Coenzyme Q10 (trans-CoQ10) (ubiquinone 10) 1.2 gm *

This product does not contain

  • all colors used are from natural sources
  • artificial flavoring
  • corn
  • dairy products
  • gluten
  • ingredients of animal origin
  • preservatives
  • salt
  • soy
  • sucrose
  • wheat
  • yeast

Notes

If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.

Manufactured by a Drug GMP audited facility.

**Based on 2000 calorie diet.

Other Ingredients

fructose, dextrose, beet juice color, silicon dioxide, natural flavors, hydrogenated vegetable oil, magnesium stearate, and malic acid.

Vitaline 400 mg WITH Vitamin E (Orange flavor) Serving Size: 3 Chewable wafers Amount/Serving %DV Calories 35   Calories from fat 15   Total fat 1.5 gm 2 %** Total Carbohydrate 5 gm 2 %** Sugars 5 gm * Natural Coenzyme Q10 (trans-CoQ10) (ubiquinone 10) 1.2 gm * Vitamin E (as dl-alpha tocopheryl acetate) 600 IU 2000 %

This product does not contain

  • all colors used are from natural sources
  • artificial flavoring
  • corn
  • dairy products
  • gluten
  • ingredients of animal origin
  • preservatives
  • salt
  • soy
  • sucrose
  • wheat
  • yeast

Notes

If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.

Manufactured by a Drug GMP audited facility.

**Based on 2000 calorie diet.

Other Ingredients

dextrose, fructose, silicon dioxide, hydrogenated vegetable oil, natural flavor, citric acid, and magnesium stearate.

Vitaline 300 mg WITH Vitamin E (Maple Nut flavor) Serving Size: 4 Chewable wafers Amount/Serving %DV Calories 35   Calories from fat 10   Total fat 1.5 gm 2 %** Total Carbohydrate 5 gm 2 %** Sugars 5 gm * Natural Coenzyme Q10 (trans-CoQ10) (ubiquinone 10) 1.2 gm * Vitamin E (as dl-alpha tocopheryl acetate) 1200 IU 4000 %

This product does not contain

  • all colors used are from natural sources
  • artificial flavoring
  • corn
  • dairy products
  • gluten
  • ingredients of animal origin
  • preservatives
  • salt
  • soy
  • sucrose
  • wheat
  • yeast

Notes

If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.

Manufactured by a Drug GMP audited facility.

**Based on 2000 calorie diet.

Other Ingredients

dextrose, fructose, silicon dioxide, hydrogenated vegetable oil (cottonseed), natural vanilla flavor, magnesium stearate, and natural maple nut flavor.

Vitaline 300 mg WITHOUT Vitamin E (Maple Nutflavor) Serving Size: 4 Chewable wafers Amount/Serving %DV Calories 35   Calories from fat 15   Total fat 1.5 gm 2%** Total Carbohydrate 3 gm 2%** Sugars 3 gm * Natural Coenzyme Q10 (trans-CoQ10) (ubiquinone 10) 1.2 gm *

This product does not contain

  • all colors used are from natural sources
  • artificial flavoring
  • corn
  • dairy products
  • gluten
  • ingredients of animal origin
  • preservatives
  • salt
  • soy
  • sucrose
  • wheat
  • yeast

Notes

If pregnant, nursing, or taking prescription drugs, consult your healthcare practitioner prior to use.

Manufactured by a Drug GMP audited facility.

**Based on 2000 calorie diet.

Other Ingredients

dextrose, fructose, cellulose, hydrogenated vegetable oil, partially hydrogenated soybean oil, silicon dioxide, natural vanilla flavor, magnesium stearate, sodium caseinate (milk), and natural maple nut flavor.

References:

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3.) Hodgson JM, Watts GF, Playford DA, Burke V, Croft KD. Coenzyme Q10 improves blood pressure and glycaemic control: a controlled trial in subjects with type 2 diabetes. Eur J Clin Nutr. 2002 Nov;56(11):1137-42.
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53.) Chew GT, Watts GF, Davis TM, Stuckey BG, Beilin LJ, Thompson PL, Burke V, Currie PJ. Hemodynamic effects of fenofibrate and coenzyme Q10 in type 2 diabetic subjects with left ventricular diastolic dysfunction. Diabetes Care. 2008 Aug;31(8):1502-9. Epub 2008 May 16.
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65.) Cooke M, Iosia M, Buford T, Shelmadine B, Hudson G, Kerksick C, Rasmussen C, Greenwood M, Leutholtz B, Willoughby D, Kreider R.Effects of acute and 14-day coenzyme Q10 supplementation on exercise performance in both trained and untrained individuals. J Int Soc Sports Nutr. 2008 Mar 4;5:8.
66.) Gökbel H, Gül I, Belviranl M, Okudan N. The Effects Of Coenzyme Q10 Supplementation on Performance During Repeated Bouts of Supramaximal Exercise in Sedentary Men. J Strength Cond Res. 2009 Jul 28. [Epub ahead of print]
67.) Kon M, Tanabe K, Akimoto T, Kimura F, Tanimura Y, Shimizu K, Okamoto T, Kono I. Reducing exercise-induced muscular injury in kendo athletes with supplementation of coenzyme Q10. Br J Nutr. 2008 Feb 20;1-7. 68.) Mizuno K, Tanaka M, Nozaki S, Mizuma H, Ataka S, Tahara T, Sugino T, Shirai T, Kajimoto Y, Kuratsune H, Kajimoto O, Watanabe Y. Antifatigue effects of coenzyme Q10 during physical fatigue. Nutrition. 2008 Feb 11.
69.) Balercia G, Buldreghini E, Vignini A, Tiano L, Paggi F, Amoroso S, Ricciardo-Lamonica G, Boscaro M, Lenzi A, Littarru G. Coenzyme Q10 treatment in infertile men with idiopathic asthenozoospermia: a placebo-controlled, double-blind randomized trial. Fertil Steril. 2009 May;91(5):1785-92. 70.) Balercia G, Mancini A, Paggi F, Tiano L, Pontecorvi A, Boscaro M, Lenzi A, Littarru GP. COENZYME Q10 AND MALE INFERTILITY. J Endocrinol Invest. 2009 May 21. [Epub ahead of print]
71.) Balercia G, Mosca F, Mantero F, Boscaro M, Mancini A, Ricciardo-Lamonica G, Littarru G. Coenzyme Q(10) supplementation in infertile men with idiopathic asthenozoospermia: an open, uncontrolled pilot study. Fertil Steril. 2004 Jan;81(1):93-8.
72.) Littarru GP, Tiano L. Bioenergetic and antioxidant properties of coenzyme Q10: recent developments. Mol Biotechnol. 2007 Sep;37(1):31-7.
73.) Mancini A, De Marinis L, Littarru GP, Balercia G. An update of Coenzyme Q10 implications in male infertility: biochemical and therapeutic aspects. Biofactors. 2005;25(1-4):165-74.
74.) Joy TR, Hegele RA. Narrative review: statin-related myopathy. Ann Intern Med. 2009 Jun 16;150(12):858-68.
75.) Langsjoen PH, Langsjoen AM. The clinical use of HMG CoA-reductase inhibitors and the associated depletion of coenzyme Q10. A review of animal and human publications. Biofactors. 2003;18(1-4):101-11.
76.) Langsjoen PH, Langsjoen JO, Langsjoen AM, Lucas LA. Treatment of statin adverse effects with supplemental Coenzyme Q10 and statin drug discontinuation. Biofactors. 2005;25(1-4):147-52.
77.) Caso G, Kelly P, McNurlan MA, Lawson WE. Effect of coenzyme q10 on myopathic symptoms in patients treated with statins. Am J Cardiol. 2007 May 15;99(10):1409-12. Epub 2007 Apr 3.
78.) Bhagavan HN, Chopra RK. Plasma coenzyme Q10 response to oral ingestion of coenzyme Q10 formulations. Mitochondrion. 2007 Jun;7 Suppl:S78-88. Epub 2007 Mar 27.
79.) Chopra RK, Goldman R, Sinatra ST, Bhagavan HN. Relative bioavailability of coenzyme Q10 formulations in human subjects. Int J Vitam Nutr Res 1998;68:109–13.
80.)Weiss M, Mortensen SA, Rassig MR, et al. Bioavailability of four oral coenzyme Q10 formulations in healthy volunteers. Molec Aspects Med 1994;15:273–80.

Coconut Oil (Organic, Virgin)

This Oil Should Be in Your Kitchen AND Your Medicine Cabinet

Coconut Oil - A Healthy Oil Of Many UsesCoconut oil is a saturated fat, which means it doesn’t go rancid when heated or when stored for long periods of time.

Essential Fatty Acids (EFA’s) turn into unhealthy “trans fats” when heated, so although you need EFA’s for good health, you should NOT cook with them! Even olive oil, a polyunsaturated fat (PUFA)  should NOT be used for cooking. (Olive oil is NOT an essential fat).

Coconut oil and other saturated fats are heat-stable. For frying and deep-frying, coconut oil is one of the very best oils to use.

In addition to being heat-stable and great for cooking, coconut oil has the following health advantages:

  • Coconut oil contains lauric acid and other a medium-chain triglycerides (MCT’s) with powerful antimicrobial effects against a wide range of bacteria, viruses, fungi / yeasts and protozoa. (1-7)
  • The MCT’s in coconut oil activate the immune system. (8,9)
  • Coconut oil’s MCT’s have proven anti-tumor effects. (10,11)
  • MCT’s in coconut oil aid weight loss three ways: by decreasing hunger, increasing fat-burning and increasing metabolism. (12-19)
  • Lowers cholesterol and improves blood fat levels. (20-22)

If you’ve heard bad things about saturated fats, you should know that it’s all nonsense – bogus B.S. promoted by the soy oil industry and Big Business. (Can you say “Proctor and Gamble”?) Read about the unjustified “bad press” that this miraculous oil has suffered here: Saturated Fat: Another Big, Fat Lie

We offer organic, virgin coconut oil, the finest quality available. Use coconut to cook, make pie crusts or anything that calls for “Crisco” (Crystallized Cottonseed Oil, a product not fit for human consumption).

Use Coconut Oil, two to four tablespoons per day as a food, substituted for whatever oils you currently cook with (except butter which is a true health food). Heck, you can even use coconut oil on your skin as a moisturizer, protectant and anti-microbial!

Coconut Oil (Organic, Virgin) 15 fl. ounces   $15.95

Please Note: Coconut oil is slippery stuff – and it may seep from it’s container during shipment. We have received reports of coconut oil seeping out of still-tightly-sealed jars! We double-bag this product and pack it carefully for shipping but we cannot be responsible for leakage during shipment – there will be no returns or refunds on this product.

References

1.) Antimicrobial activity of potassium hydroxide and lauric acid against microorganisms associated with poultry processing. J Food Prot. 2006 Jul;69(7):1611-5.
2.) In vitro activity of lauric acid or myristylamine in combination with six antimicrobial agents against methicillin-resistant Staphylococcus aureus (MRSA). Int J Antimicrob Agents. 2006 Jan;27(1):51-7. Epub 2005 Nov 28.
3.) Susceptibility of Clostridium perfringens to C-C fatty acids.Lett Appl Microbiol. 2005;41(1):77-81.
4.) Effect of lauric acid and nisin-impregnated soy-based films on the growth of Listeria monocytogenes on turkey bologna. Poult Sci. 2002 May;81(5):721-6.
5.) Inhibition of bacterial foodborne pathogens by the lactoperoxidase system in combination with monolaurin. Int J Food Microbiol. 2002 Feb 25;73(1):1-9.
6.) Fatty acids and derivatives as antimicrobial agents. Antimicrob Agents Chemother. 1972 Jul;2(1):23-8.
7.) Susceptibility of Helicobacter pylori to bactericidal properties of medium-chain monoglycerides and free fatty acids. Antimicrob Agents Chemother. 1996 Feb;40(2):302-6.
8.) Saturated triglycerides and fatty acids activate neutrophils depending on carbon chain-length. Eur J Clin Invest. 2002 Apr;32(4):285-9.
9.) Immunonutrition–supplementary amino acids and fatty acids ameliorate immune deficiency in critically ill patients. Langenbecks Arch Surg. 2001 Aug;386(5):369-76.
10.) Antitumor effect of medium-chain triglyceride and its influence on the self-defense system of the body. Cancer Detect Prev. 1998;22(3):219-24.
11.) Effects of calcitriol, seocalcitol, and medium-chain triglyceride on a canine transitional cell carcinoma cell line. Anticancer Res. 2005 Jul-Aug;25(4):2689-96.
12.) Value of VLCD supplementation with medium chain triglycerides.Int J Obes Relat Metab Disord. 2001 Sep;25(9):1393-400.
13.) The thermic effect is greater for structured medium- and long-chain triacylglycerols versus long-chain triacylglycerols in healthy young women. Metabolism. 2001 Jan;50(1):125-30.
14.) Greater rise in fat oxidation with medium-chain triglyceride consumption relative to long-chain triglyceride is associated with lower initial body weight and greater loss of subcutaneous adipose tissue. Int J Obes Relat Metab Disord. 2003 Dec;27(12):1565-71.
15.) Thermogenesis in humans during overfeeding with medium-chain triglycerides.Metabolism. 1989 Jul;38(7):641-8.
16.) Dietary medium-chain triacylglycerols suppress accumulation of body fat in a double-blind, controlled trial in healthy men and women.J Nutr. 2001 Nov;131(11):2853-9.
17.) Enhanced thermogenesis and diminished deposition of fat in response to overfeeding with diet containing medium chain triglyceride. Am J Clin Nutr. 1982 Apr;35(4):678-82.
18.) Medium-chain triglycerides increase energy expenditure and decrease adiposity in overweight men.Obes Res. 2003 Mar;11(3):395-402.
19.) Comparison of diet-induced thermogenesis of foods containing medium- versus long-chain triacylglycerols.J Nutr Sci Vitaminol (Tokyo). 2002 Dec;48(6):536-40.
20.) Effect of dietary medium- and long-chain triacylglycerols (MLCT) on accumulation of body fat in healthy humans. Asia Pac J Clin Nutr. 2003;12(2):151-60.
21.) Beneficial effects of virgin coconut oil on lipid parameters and in vitro LDL oxidation. Clin Biochem. 2004 Sep;37(9):830-5.
22.) Effect of medium-chain triglycerides on the postprandial triglyceride concentration in healthy men. Biosci Biotechnol Biochem. 2003 Jan;67(1):46-53.

Dr. Dana Myatt’s Wellness Club

Naturopathic Medical Education Comparative Curricula

Comparing Curricula of Naturopathic Medical Schools and Conventional Medical Schools

Medical School:

National College of Naturopathic Medicine

Bastyr University – Naturpoathic Medicine

Yale University

Johns Hopkins

Medical College of Wisconsin

Status:

Federally and Regionally Accredited Naturopathic Medical School

Federally and Regionally Accredited Naturopathic Medical School

Federally and Regionally Accredited Conventional Medical School

Federally and Regionally Accredited Conventional Medical School

Federally and Regionally Accredited Conventional Medical School

Basic and Clinical Sciences: Anatomy, Cell biology, Physiology, Histology, Pathology, Biochemistry, Pharmacology, Lab diagnosis, Neurosciences, Clinical physical diagnosis, Genetics, Pharmacognosy, Bio-statistics, Epidemiology, Public Health, History and philosophy, Ethics, and other coursework

1548

1639

1420

1771

1363

Clerkships and Allopathic Therapeutics: including lecture and clinical instruction in Dermatology, Family Medicine, Psychiatry, Medicine, Radiology, Pediatrics, Obstetrics, Gynecology, Neurology, Surgery, Ophthalmology, and clinical electives.

2244

1925

2891 (+ thesis)

3391

2311

Naturopathic Therapeutics: Including Botanical medicine, Homeopathy, Oriental medicine, Hydrotherapy, Naturopathic manipulative therapy, Ayurvedic medicine, Naturopathic Case Analysis/Management, Naturopathic Philosophy, Advanced Naturopathic Therapeutics.

588

633

0

0

0

Therapeutic Nutrition

144

132

0

0

0

Counseling

144

143

Included in psychiatry
(see above)

Included in psychiatry
(see above)

Included in psychiatry
(see above)

TOTAL HOURS OF TRAINING

4668

4472

4311 (+ thesis)

5162

3674

Sources: Curriculum Directory of the Association of American Medical Colleges

 

Thank You For Contacting Dr. Myatt!

Dr Myatt will review your message as soon as possible.

Please Note:

Dr. Myatt and the team at The Wellness Club receive hundreds of emails and questions and requests for information every day. It is impossible to answer each one individually.

Please read through the information on our website first as most questions are answered here. If your question is not already answered on our website, and we feel it is of interest to our Wellness Club members and HealthBeat News readers, Dr. Myatt or Nurse Mark may answer it in our HealthBeat Newsletter – please be sure that you are subscribed!

Questions of a more specific nature or that relate to individual health circumstances often require more research and are dealt with on a priority basis when time permits – after Dr. Myatt’s private practice patients and our Wellness Club members have had their needs attended to.

If you feel that your question is especially important and you have not received a reply in a sufficiently timely manner please understand that we are not ignoring you – it is possible that your question goes beyond what we can answer for someone who is not a patient of Dr. Myatt.

If you wish to have your questions answered more quickly please consider booking a Brief Phone Consultation with Dr. Myatt.

Vitamin C

The Immune and Longevity Vitamin

Vitamin C is a potent antioxidant. It plays a major role in many physical functions including:

  • collagen synthesis (tendon, ligament, cartilage and skin)
  • immune function
  • cardiovascular health
  • cancer prevention

Vitamin C is antiviral and antibacterial, but its most potent effect is to enhance immunity. It increases white blood cell activity, interferon production, and thymic hormone secretion. Levels of vitamin C are quickly depleted during infection.

The Wellness Club offers buffered Vitamin C in two convenient forms:

High-dose Vitamin C in the convenience of capsules

Our Vitamin C is specially buffered to reduce acidity.

This is an exclusive Vitamin C preparation of high potency, hypoallergenic, ultra pure, fully buffered (with calcium and magnesium) Vitamin C.

Each (one) Capsule contains:
Vitamin C  (ascorbic acid) – 1000 mg
Calcium (as calcium carbonate) – 20 mg
Magnesium (as magnesium carbonate) – 12 mg

Suggested dose: 1 capsule, 1-3 times per day, OR 1 capsule every 1-2 hours during acute illness, OR 1 capsule 3-4 times a day for accelerated vitamin C therapy.

Vitamin C Buffered Capsules (60 Capsules) $15.95

Also available for use when larger doses are required or for those who prefer to drink their vitamin C:

Buffered Vitamin C Crystals

Buffered Vitamin C Crystals Mixes Easily with Your Favorite Beverage

High potency buffered Vitamin C preparation in an effervescent, mineral-rich blend. Mixes easily in water or other beverages.

Each 1/4 teaspoon contains:
Vitamin C  – 1066 mg
Calcium (calcium ascorbate) – 117 mg

Suggested dose: 1/4 teaspoon, 1-3 times per day, OR 1/4 teaspoon every 1-2 hours during acute illness, OR 1/4 teaspoon 3-4 times a day for accelerated vitamin C therapy.

Buffered Vitamin C Crystals (8.8 ounces) $18.95

Chocolate Fiber Harmony

Fiber Harmony ChocolateA Tasty Heart-Healthy** Treat

  • Provides heart healthy soluble fiber**
  • Facilitates ease of elimination
  • Soothes and protects intestinal tract
  • Aids protein digestion & assimilation
  • Gluten free
  • Certified 100% organic

The benefits of psyllium with those of inulin, aloe vera leaf, and marshmallow root to provide you with a daily psyllium fiber formula that vitalizes and soothes the digestive tract, keeps your colon healthy and provides heart healthy** soluble fiber.

Psyllium husk powder is a bulk forming, natural dietary fiber which promotes good digestive health and regularity. Doctors recommend psyllium as a convenient way to increase intake of dietary fiber.

Inulin, a prebiotic, helps grow beneficial bacteria needed to maintain a healthy colon. Aloe vera helps promote digestive health by protecting the intestinal tract and aiding protein digestion and assimilation. Marshmallow root helps soothe the digestive system.

Great tasting, all organic Chocolate flavor Fiber Harmony – a safe, effective way to start and end your day.

Dr. Myatt recommends this product in many of her low-carb / ketogenic recipes.

Sorry – Currently Unavailable.

Chocolat Fiber Harmony Nutrition Facts Box** 7g of soluble fiber from psyllium seed husk/day when included as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease. 3 servings per day of Fiber Harmony will provide you the recommended 7 grams.

BHRT Survey Form

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If you could wave a magic wand and have the ideal experience from your doctor and his/her staff in dealing with this struggle, what would that experience look, feel and sound like for you?

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What have you never seen a doctor do that you wish your doctor would do?

What do you already do on your own, outside of your doctor’s office, to take care of your health? (Check any / all that apply)

Exercise for minutes days per week at low medium high intensity.

Eat a healthy diet:
Vegan Vegetarian Raw Food Macrobiotic Low Carb Paleo Mixed or other

Sleep hours per night.

Drink glasses of water per day.

Get minutes or hours of sunlight per day.

Avoid: alcohol tobacco recreational drugs caffeine sugar high fat / deep fried

Take Classes / Research / Read about health.

Take time with friends and family: days per week.

Take time to meditate / pray: days per week.

Take time to pursue hobbies and interests: days per week.

Is there any way your doctor could make your experience with your diagnosis more interesting?

On a scale of 1 to10 with 1 meaning, “If it goes on like this forever, even though I don’t like it, I can live with it”, and 10 meaning, “This is causing so much distress / worry / pain that I have to resolve this NOW and I will do anything and spend any amount of money to have it resolved”, how important is it to you to resolve this health concern you have?
1 2 3 4 5 6 7 8 9 10

What could your doctor do to create a more meaningful relationship with you?

What could your doctor do that would make your treatment less generic and more specific to your personal needs?

What do you want most from your doctor?

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Submit your information to Dr. Myatt

 

 

Untitled Document

Name:

City:

Phone:

Email:

Gender: Male Female

Age:

Ethnicity: Caucasian Hispanic Black Asian Other

Family Status: Single Married Widowed Divorced

How Many Children?

Where do your children live?

Your highest level of education:
Did not graduate HS High School graduate 2 year degree 4 year degree Graduate degree Doctorate

Your profession:

Annual household income:
under $35K $35K to $80K $80K to $100K $100K to $250K Over $250K

Hobbies and interests:

Media they consume:

Where do you get most of your medical information?

Political Affiliation:

Religious Affiliation:

What 3 things do you value most in life right now?

What motivates you to persevere when something is difficult?

What are your biggest 3 fears right now?

Are you convinced that something is true more by:
research or statistics stories ortestimonials both equally?

When you go to the doctor’s office, what 3 things do you appreciate the most about your visit?

When you go to the doctor’s office, what 3 things irritate or bother you the most?

As a person with (diagnosis), what is your single greatest question regarding your diagnosis?

What is your greatest challenge regarding your diagnosis that you experience on a daily basis?

If I were following you around for a day, how would I know, what would I see or hear that would make me know that you have that struggle?

If you could wave a magic wand and have the ideal experience from your doctor and his/her staff in dealing with this struggle, what would that experience look, feel and sound like for you?

Pre-appointment:

During appointment:

Post-appointment:

What have you never seen a doctor do that you wish your doctor would do?

What do you already do on your own, outside of your doctor’s office, to take care of your health? (Check any / all that apply)

Exercise for minutes days per week at low medium high intensity.

Eat a healthy diet:
Vegan Vegetarian Raw Food Macrobiotic Low Carb Paleo Mixed or other

Sleep hours per night.

Drink glasses of water per day.

Get minutes or hours of sunlight per day.

Avoid: alcohol tobacco recreational drugs caffeine sugar high fat / deep fried

Take Classes / Research / Read about health.

Take time with friends and family: days per week.

Take time to meditate / pray: days per week.

Take time to pursue hobbies and interests: days per week.

Is there any way your doctor could make your experience with your diagnosis more interesting?

On a scale of 1 to10 with 1 meaning, “If it goes on like this forever, even though I don’t like it, I can live with
it”, and 10 meaning, “This is causing so much distress / worry / pain that I have to resolve this NOW and I will do
anything and spend any amount of money to have it resolved”, how important is it to you to resolve
this health concern you have?
1 2 3 4 5 6 7 8 9 10

What could your doctor do to create a more meaningful relationship with you?

What could your doctor do that would make your treatment less generic and more specific to your personal needs?

What do you want most from your doctor?

How much time do you think that would take?

What do you want most from your doctor’s staff?

How much time do you think that would take?

How would you like to hear from your doctor or his staff in between visits?

Is there any other advice you’d like to give us to understand how to best serve you?

Submit your information to Dr. Myatt

 

Untitled Document

Gender: Male Female

Age:

Race: Caucasian Hispanic Black Asian Other
Family Status: Single Married Widowed Divorced
How Many Children Where do your children live?
Highest Level of Education:
Did not graduate HS High School graduate 2 year degree 4 year degree graduate degree doctorate
Your profession: Annual Household Income: under $35K $35K to $80K $80K to $100K $100K to $250K $250K or more
Hobbies and Interests
Media They Consume
Where do you get most of your medical information?
Political Affiliation Religious Affiliation What 3 things do you value most in life right now?
What motivtes you to persevere when something is difficult?
What are your biggest 3 fears right now?
Are you convinced that something is true more by stories or statistics or both equally ?
When you go to the doctor’s office, what 3 things do you appreciate the most about your visit?
When you go to the doctor’s office, what 3 things irritate or bother you the most?
As a person with (diagnosis), what is your single greatest question regarding your diagnosis?
What is your greatest challenge regarding your diagnosis that you experience on a daily basis?
If I were following you around for a day, how would I know, what would I see or hear that would

If you could wave a magic wand and have the ideal experience from your doctor and his/her staff in dealing with this struggle, what would that experience look, feel and sound like for you?

Pre-Appointment
During Appt
Post Appt
What have you never seen a doctor do that you wish your doctor would do?

What do you already do on your own, outside of your doctor’s office, to take care of your health? (Check any / all that apply)

Exercise for Minutes days per week at low medium high intensity
Eat a healthy Diet : Vegan Vegetarian Raw Food Macrobiotic Low Carb Paleo Mixedor Other:
Sleep hours per night Drink glasses water per day Get minutes or hours sunlight per dayAvoid: alcohol tobacco recreational drugs caffiene sugar high fat / deep fried
Take Classes / Research / Read about health Time with friends and family: Days per week Time to meditate / pray: Days per week Time to pursue hobbies and interests: Days per week Is there any way your doctor could make your experience with your diagnosis more interesting?
Is there any way your doctor could make your experience with your diagnosis more interesting?
On a scale of I -10 ( I meaning, “/f it goes on like this forever, even though I don’t like it, I can live with
it”, and 10 meaning, “This is causing so much distress / worry / pain that ] have to resolve this NOW and I will do
anything and spend any amount of money to have it resolved”), how important is it to you to resolve
this health concern you have?

1 2 3 4 5 6 7 8 9 10

What could your doctor do to create a more meaningful relationship with you?
What could your doctor do that would make your treatment less generic and more specific to your personal needs?
What do you want most from your doctor?
How much time do you think that would take?
What do you want most from your doctor’s staff?
How much time do you think that would take?
How would you like to hear from your doctor or his staff in between visits?
Is there any other advice you’d like to give us to understand how to best serve you?