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Copyright - TheHealthSciencesAcademy.org Nutritional Deficiencies Assessment™ Copyright - TheHealthSciencesAcademy.org Name: _____________________________________ Assessment Date: __ /__ /__

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Page 1: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

Copyright - TheHealthSciencesAcademy.org

Nutritional Deficiencies Assessment™

Copyright - TheHealthSciencesAcademy.org

Name: _____________________________________

Assessment Date: __ /__ /__

Page 2: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

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2

The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace medical advice. Rather, it can alert you if you have frequent symptoms that could be linked to a potential nutrient deficiency based on association studies. If you have significant symptoms or any health concerns, you should consult a medical doctor immediately.

Caution!

Page 3: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

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010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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How to complete your assessment3

Go through each nutrient and its relevant deficiency symptoms.

For each symptom that you experience on a regular basis, score 1 point. If you can’t decide on an answer, it’s best to leave the question blank.

Once you have checked the relevant symptoms, put the total score for each nutrient into the score box (top right).

This is important: Discard isolated symptoms as an answer. Only check the symptoms that occur more than once, given that chronic symptoms can be the result of several nutrient deficiencies.

Ready? Good, let’s get started!

Page 4: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

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010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin A score 4

Score 1 point for each symptom that you experience on a regular basis:

Mouth ulcers or cold sores Reduced night vision Acne, rashes, or skin infections Frequent colds or infections Dry, flaky skin or itching skin Dandruff or dry scalp Thrush or cystitis Athlete’s foot Diarrhoea or mushy, watery stools

Page 5: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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Vitamin D score 5

Score 1 point for each symptom that you experience on a regular basis:

Back pains Tooth decay Hair loss Muscle twitching or spasms Joint pain or stiffness Weak bones Arthritis or osteoporosis

Page 6: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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Vitamin E score 6

Score 1 point for each symptom that you experience on a regular basis:

Exhaustion after light exercise Easy bruising Slow wound-healing Varicose veins Poor skin elasticity Loss of muscle tone Lack of sex drive Infertility

Page 7: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

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010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin C score 7

Score 1 point for each symptom that you experience on a regular basis:

Frequent colds Lack of energy Frequent infections Bleeding or tender gums Easy bruising Nosebleeds Slow wound-healing Red pimples on skin Obesity

Page 8: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B1 score 8

Score 1 point for each symptom that you experience on a regular basis:

Tender muscles Eye pains Irritability Poor concentration Numb, prickly, or tingling legs Poor memory Stomach pains Constipation Tingling hands Rapid heartbeat

Page 9: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

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010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B2 score 9

Score 1 point for each symptom that you experience on a regular basis:

Sensitivity to bright lights Sore tongue Eye cataracts Dull or oily hair Eczema or dermatitis Split nails Cracked lips Bloodshot, burning, or gritty eyes

Page 10: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B3 score 10

Score 1 point for each symptom that you experience on a regular basis:

Lack of energy Diarrhoea Insomnia Headaches or migraines Poor memory Anxiety or tension Depression Irritability Obesity

Page 11: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

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010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B5 score 11

Score 1 point for each symptom that you experience on a regular basis:

Muscle tremors, cramps, or spasms Lethargy Poor concentration Burning feet or tender heels Nausea or vomiting Lack of energy Exhaustion after light exercise Anxiety or tension Teeth-grinding

Page 12: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B6 score 12

Score 1 point for each symptom that you experience on a regular basis:

Water retention Infrequent dream recall Tingling hands Depression Nervousness Irritability or bad temper Muscle tremors, cramps, or spasms Lack of energy Obesity

Page 13: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin B12 score 13

Score 1 point for each symptom that you experience on a regular basis:

Poor hair condition Eczema or dermatitis Mouth over-sensitive to heat or cold Irritability Anxiety or tension Lack of energy Constipation Tender or sore muscles Pale skin

Page 14: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Folic Acid score 14

Score 1 point for each symptom that you experience on a regular basis:

Eczema Cracked lips Prematurely greying hair Anxiety or tension Poor memory Lack of energy Depression Poor appetite Stomach pains Migraines

Page 15: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Biotin score 15

Score 1 point for each symptom that you experience on a regular basis:

Dermatitis or dry skin Poor hair condition Prematurely greying hair Tender or sore muscles Poor appetite or nausea

Page 16: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Vitamin K score 16

Score 1 point for each symptom that you experience on a regular basis:

Bowel inflammation Easy bruising Slow wound-healing Anaemia Bleeding of the gums or nose Heavy menstrual bleeding in women

Page 17: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Omega 3 and 6 score 17

Score 1 point for each symptom that you experience on a regular basis:

Dry skin or eczema Dry hair or dandruff Excessive thirst or sweating PMS or breast pain Water retention Frequent infections Poor memory or learning difficulties High blood pressure or high blood lipids Inflammatory problems, e.g. joint inflammation

Page 18: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Calcium score 18

Score 1 point for each symptom that you experience on a regular basis:

Muscle cramps, tremors, or spasms Insomnia or nervousness High blood pressure Tooth decay Joint pain, joint inflammation, or arthritis

Page 19: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Magnesium score 19

Score 1 point for each symptom that you experience on a regular basis:

Muscle cramps, tremors, or spasms Muscle weakness Insomnia, nervousness, or hyperactivity High blood pressure Irregular or rapid heartbeat Constipation Fits or convulsions Breast tenderness or water retention Depression or confusion

Page 20: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Iron score 20

Score 1 point for each symptom that you experience on a regular basis:

Pale skin Hair loss Brittle nails Sore tongue Fatigue, lethargy, or weakness Loss of appetite or nausea Heavy periods or blood loss Low immunity Anaemia

Page 21: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Zinc score 21

Score 1 point for each symptom that you experience on a regular basis:

White marks on more than two fingernails Frequent infections Stretch marks Acne or greasy skin Desensitised to pungent smells Intense food cravings Need for extreme sweetness, saltiness, or spiciness –

bland foods are unappetising Obesity

Page 22: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Manganese score 22

Score 1 point for each symptom that you experience on a regular basis:

Joint pains Sore knees Muscle twitches or ticks Dizziness or poor sense of balance Fits, convulsions, or epilepsy history

Page 23: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Selenium score 23

Score 1 point for each symptom that you experience on a regular basis:

Frequent infections High blood pressure Signs of premature ageing Eye cataracts Family history of cancer

Page 24: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Chromium score 24

Score 1 point for each symptom that you experience on a regular basis:

Excessive or cold sweats Cold hands Need for frequent meals Frequent carbohydrate cravings Dizziness or irritability after 6 hrs. without food Need for excessive sleep Lethargy during the day

Page 25: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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Potassium score 25

Score 1 point for each symptom that you experience on a regular basis:

Muscle cramps or weakness Irritability, confusion or mental tiredness Vomiting or nausea Swollen abdomen or diarrhoea Low blood pressure Cellulite

Page 26: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001

010101000110100001101001011100110010000001000011011011110110111001110100011001010110111001110100001000000100100101110011001000000100100101

1011100111010001100101011011000110110001100101011000110111010001110101011000010110110000100000010100000111001001101111011100000110010101110010011101000111100100100000011000010110111001100100001000000100001101101111011100000111100101110010011010010110011101101000011101000010000001010000011100100110111101110100011001010110001101110100011001010110010000100000011000100111100100100000010101000110100001100101001000000100100001100101011000010110110001110100011010000010000001010011011000110110100101100101011011100110001101100101011100110010000001000001011000110110000101100100011001010110110101111001C

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26

You have completed your Nutritional Deficiencies Assessment™.

If you are concerned about your health symptoms or feel undue pain or

discomfort, talk to your doctor or GP as soon as possible and follow their advice.

Well done!

Page 27: Nutritional Deficiencies Assessment · The Nutritional Deficiencies Assessment™ is NOT meant to “diagnose” a deficiency, an ailment, a condition, or a disease, NOR to replace

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