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Metabolic Assessment Form

Find Your Weakest Link Fast

Give yourself the Most Important Support and Supplements you are missing....

Complete our interactive online questionnaire and receive our free personalized recommendations based on your Weakest links.

To compare your Health results before and after our suggested support, print any or all 3 of your FREE Nutritional Assessment Forms and save them and see the difference in your health!

4 EASY STEPS

Step 1: Fill out and Submit the form.
Step 2: Your results are reviewed by our doctor; we will provide you with a personalized nutritional protocol.
Step 3: We contact you with your results within a few minutes.
Step 4: Your order of the correct vitamins to support your weakest link will be Free shipping to you!
Optional
Step 5: Retake the test and see the improvements and continue improving

Fill out the forms now and start your FREE test for better health!

*Your privacy is of the utmost importance and none of the information we collect is never sold or shared with others. When you fill out the questions and send it to us, we must ask you for certain personal information so that we can provide your personalized results. We will use your email address to communicate any specials and other information designed to improve your experience and save out time and money with the MyVites.com site. At any time, you may unsubscribe by following the "unsubscribe" link in any such email, or by sending us an email request to remove your name from the list. The personal details collected during the evaluation process will not be shared or used in any other way.

The Metabolic Assessment Form is used to develop dietary, nutritional and lifestyle strategies. The form you fill out and submit will be used to help determine the key priority to fix your weakest link. There are specific patterns that go with symptoms and many correlations can be made using this tool. Using this form on MyVites will allow you to store your tests and help monitor the progress you make. This is a tool to use but not designed to offer a diagnosis for any condition. Further determinations will be necessary to evaluate the value of the findings from this form. These tests are organized to help us quickly identify the major issues and their subjective importance to find and fix your weakest link online. Start Now By Filling Out the Below Form then Fix your Weakest Link and Live Better!

Metabolic Assessment Form (Confidential)

Part I - Please check the appropriate number “0-3” on all questions below. 0 as the least/never to 3 as the most/always.

Please list your 5 major health concerns in your order of importance (one per line) :

CATEGORY I: Colon Support* (Repair and Clear Program)
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CATEGORY II: Intestinal Integrity* (Leaky Gut/ RepairVite Program)
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CATEGORY III: Chemical Tolerance* Support
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CATEGORY IV: Stomach* Support (Acid Levels)
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CATEGORY V: Stomach* Support (Hyperacidity)
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Category VI: Pancreas / Small Intestine*
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Category VII : Small Intestine
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CATEGORY VIII: Gallbladder Function*
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CATEGORY IX : Liver / Detoxification*
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CATEGORY X: Sugar Metabolism
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CATEGORY XI: Carbohydrate/Sugar Metabolism *
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CATEGORY XII: Under Active Adrenal *
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CATEGORY XIII: Over Active Adrenal*
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CATEGORY XIV: Minerals and pH Balance*
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CATEGORY XV: Under Active Thyroid*
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CATEGORY XVI: Over Active Thyroid *
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CATEGORY XVII: Prostate* (Males Only)
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CATEGORY XVIII: Andropause (Males Only)
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CATEGORY XIX : Menstruating Women* (Females Only)
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CATEGORY XX : Menopausal Women* (Females Only)
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Part III

PART IV

* Required Fields