QUESTION -"YES?"
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POINTS
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|
Under excessive emotional stress
|
2
|
|
Irritable, or easily provoked to anger
|
3
|
|
Restless, or hyperactive
|
2
|
|
Easily startled by sounds or lights
|
4
|
|
Difficulty sleeping
|
2
|
|
Chronic headaches or migraines
|
3
|
|
Convulsions
|
2
|
|
Fine tremor or shakiness in your hands
|
3
|
|
Fine, barely noticeable muscle twitching around your eyes, facial muscles, or other muscles of your body
|
3
|
|
Muscle cramps
|
3
|
|
Muscle spasms in hands or feet
|
3
|
|
Gag or choke from spasms in your esophagus
|
4
|
|
Have asthma or wheezing
|
3
|
|
Suffer from emphysema, chronic bronchitis, or shortness of breath
|
2
|
|
Have osteoporosis
|
5
|
|
Have you ever had a kidney stone
|
3
|
|
Suffer from chronic kidney disease
|
2
|
|
Have diabetes
|
4
|
|
Have an overactive thyroid, or parathyroid gland
|
3
|
|
Have high blood pressure
|
3
|
|
Have mitral valve prolapse ("floppy heart valve")
|
4
|
|
Have very fast heart beats, irregular heart beats, or arrhythmia
|
3
|
|
Take Digitalis (Digoxin)
|
3
|
|
Take any kind of diuretic
|
5
|
|
Recent radiation therapy or exposure
|
5
|
|
Have more than 7 alcohol drinks weekly
|
4
|
|
Have you ever had a drinking problem?
|
3
|
|
Have more than 3 servings of caffeine daily
|
2
|
|
Eat sugar containing food daily
|
2
|
|
Crave carbohydrates &/or chocolate
|
2
|
|
Crave salt
|
2
|
|
Eat a high processed food/ junk food diet
|
2
|
|
Eat a diet low in green, leafy vegetables, seeds, & fresh fruit
|
2
|
|
Eat a low protein diet
|
2
|
|
Pass undigested food or fat in your stools
|
2
|
|
Suffer from chronic intestinal disease, ulcerative colitis, Crohn's,
irritable bowel syndrome
|
3
|
|
Frequent diarrhea or constipation
|
3
|
|
Suffer from PMS or menstrual cramps
|
3
|
|
Pregnant or recently pregnant
|
2
|
|
In previous pregnancy had high blood pressure or preeclampsia
|
4
|
|
Chronic fatigue
|
2
|
|
Muscle weakness
|
2
|
|
Cold hands &/or feet
|
2
|
|
Numbness in face, hands, or feet
|
2
|
|
Persistent tingling in body
|
2
|
|
Chronic lack of interest, indifference, or apathy
|
2
|
|
Poor memory
|
2
|
|
Loss of concentration
|
2
|
|
Anxiety
|
3
|
|
Chronic depression for no apparent reason
|
2
|
|
Feelings of disorientation as to time or place
|
2
|
|
Feel your personality is stiff or mechanical
|
2
|
|
Hallucinations
|
2
|
|
Feel that people are trying to harm or persecute you
|
2
|
|
Face pale, puffy, or lacking in color
|
2
|
|
Loss of considerable sexual energy or vitality
|
2
|
|
Been told by your Dr that your blood calcium is low
|
3
|
|
Take Calcium supplements regularly without magnesium
|
2
|
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Take iron or zinc supplements regularly without magnesium
|
2
|
|
Known chronic exposure to fluorides
|
2
|
|
Frequently use antibiotics, steroids, oral contraceptives,
Indomethacin, Cisplatin, Amphotericin B, Cholestyramine, synthetic
estrogens
|
3
|
