Bio-Organics™: Product Advice




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		Product Advice Please fill in the following brief form (where relevant) so one of our qualified Naturopaths can assist with your recommendation of supplement/s for your condition and lifestyle. * Indicates a required field. Name * Email * NB: If your email address is incorrect, your response may not reach you. Please ensure your email address is correct. Today's date is Mar 10, 2010 Country of Residence * Gender * Age * (years) Occupation Marital Status Your Question or General Comment Main Diagnosed Condition(s) / Complaint(s) Other Condition(s) / Complaint(s) Symptoms / Signs (what makes symptoms/signs better or worse) Medical Investigations Performed - Give Details (and Results, if known eg. blood tests, x-rays etc.) Past Illnesses / Hospitalisations / Operations Current Medications / Supplements Any Other Relevant Details

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Use only as directed. Always read the label. If symptoms persist consult your healthcare professional