12-Week Self-Directed Form

This plan includes:

• Comprehensive blood chemistry analysis (all blood work is assessed against optimal ranges, not just ‘normal' reference ranges)
• In-depth functional assessment and symptom analysis
• Identification of underlying patterns, deficiencies and dysfunctions
• Assessment of the foundations of health (sleep, stress, movement, mental health, diet and more)
• Insight into your hidden health blocks
• Nutritional suggestions (Additional 7-day or 14-day meal plan add-ons available at check-out - see below)
• A 12-week detailed supplement protocol, which may include herbs

Your 12-week health plan will have a blend of traditional wisdom with current scientific tools to offer you a well-rounded, personalized roadmap. The focus is on cultivating a strong foundation for long-term health, not just addressing surface-level symptoms.

Once form and payment are received, please allow for 14 days to receive your 12-week self-directed plan via email. Questions? See this FAQ Guide.

There are 3 steps:

Step 1: Getting your bloodwork done (see section below)

Step 2: Submitting your bloodwork and completing an assessment form (see form on following page)

Step 3: Receiving your 12-week health protocol (allow for 14 days following form and payment submission)

For Step 1 - Blood Work Instructions:

Download this form to take to your doctor or nurse practitioner. It includes a full list of the markers I recommend testing. Be sure to request a copy and follow the instructions for testing below:

• Test in the morning, ideally 10-12 hours after your last meal
• Only drink plain water the morning of the test (a litre of water is preferable)
• Stop all supplements 1 week prior to testing (continue all essential medications as prescribed and include in your intake form below)
• No vigorous exercise or sauna use for 2-3 days prior (walking and yoga are o.k.)
• For women please avoid testing during your menses

Attach the results to this form upon check-out, along with any other health-related documents you would like for me to review. Attaching old lab test results up to 1-2 years old can be useful as well.