Your Name: ______________________ E-mail: ________________________
| Hair/scalp:
Thinning or losing hair Dandruff
|
Nails:
White spots Splitting longitudinal ridges
|
|
| Legs:
Edema Cellulite Low lean body mass to fat ratio Broken capillaries, spider veins Varicose veins, hemorrhoids Knee pain
|
Abdomen:
Bloating, distensionAbdominal veins showing Cellulite on stomach Stretch marks or red scars Excess soft fat on women
|
|
| Nose:
Broken capillaries |
Arms:
Red “goosebumps” on triceps |
|
| Cheeks:
Overly rosy from broken capillaries. |
Earlobes:
Diagonal crease |
|
| Jawline:
Pimples, pustules |
Hairline, temples:
Severe brown freckles, pregnancy mask. |
|
| Shoulders:Tight trapeziusPimples, acne
|
Headache:
Left sided Bilateral migraine Sub-occipital
|
|
| Eyes:
Pale conjunctiva Dark circles Bags Bloodshot
|
Skin:
Dry, psoriasis Eczema Wrinkles Loose skin
|
|
| Tongue:
Coating Geographic Tremor upon protusion Scalloped edges
|
Alternatively, get an in-depth Complete Nutritional Analysis, which covers over 600 signs & symptoms, to find out which dietary recommendations and supplements are likely to be of most benefit in your unique case. Book online or call us at (519) 603-0505. Complete Nutritional Analysis $ 90.00 + tax |
751 King Street West, Unit 310, Kitchener, Ontario N2G 1E5
info@kwhomeopathic medicine.com
T (519) 603-0505
