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Are you living with Neuropathy pain?

Are you living with Neuropathy pain?

Do you suffer from…

  • Numbness in your hands and/or feet?
  • Painful tingling in hands and/or feet?
  • Nighttime discomfort and twitching in hands and/or feet?
  • Needle prick pain with every step?
  • Burning sensation on the bottom of the feet?

Have you ever been told…

  • You have Neuropathy?
  • You have to live with the pain?
  • There is nothing that can be done?

If you answered YES to any of these questions, you are in LUCK!

If you are your loved one suffers from neuropathy then you cannot  afford to miss the informative talk on

Wednesday, November 12 at 2:30pm.

PureBalance, 1332 Waukegan Road, Glenview, IL

Dr. Tom Bayne will explain why you are having this problem, and the steps you can take to reverse this degenerative nerve disease and eliminate the numbness, tingling and pain you are experiencing. Call PureBalance today at 224-521-1212 to reserve your seat!

 

 


Toxicity Assessment

TOXICITY ASSESSMENT

The Toxicity Assessment is designed to aid the practitioner in assessing the patient’s need for a Detoxification Program.

SECTION I: SYMPTOMS

Rate each of the following based upon your health profile for the last 90 days.
Use this guide to circle the number of your answer to the following questions:
0 = Never
1 = Rarely
2 = Not severe (Occasionally experience)
3 = Is severe (Often experience)
4 =Very severe (Frequently experience)
HEAD:
A. Headaches 0  1  2  3  4
B. Faintness 0  1  2  3  4
C. Dizziness 0  1  2  3  4
D. Pressure 0  1  2  3  4
TOTAL =                
MIND:
A. Poor memory 0  1  2  3  4
B. Confusion 0  1  2  3  4
C. Poor concentration 0  1  2  3  4
D. Difficulty making decisions 0  1  2  3  4
E. Stuttering, stammering 0  1  2  3  4
F. Slurred speech 0  1  2  3  4
G. Learning disability 0  1  2  3  4
H. Poor coordination 0  1  2  3  4
TOTAL =                
EYES:
A. Watery, itchy eyes 0  1  2  3  4
B. Swollen, reddened 0  1  2  3  4
C. Dark circles under eyes 0  1  2  3  4
D. Blurred tunnel vision 0  1  2  3  4
TOTAL =                 
EARS:
A. Itchy Ears 0  1  2  3  4
B. Ear Aches / Ear Infections 0  1  2  3  4
C. Drainage from Ear 0  1  2  3  4
D. Ringing in Ears / Hearing Loss 0  1  2  3  4
TOTAL =                 
NOSE:
A. Stuffy nose 0  1  2  3  4
B. Sinus problems 0  1  2  3  4
C. Hay fever 0  1  2  3  4
D. Sneezing attacks 0  1  2  3  4
E. Excessive mucous 0  1  2  3  4
TOTAL =
MOUTH / THROAT:
A. Chronic coughing 0  1  2  3  4
B. Gagging, need to clear throat 0  1  2  3  4
C. Swollen or discolored tongue, gums or lips 0  1  2  3  4
TOTAL =                
DIGESTIVE
:
A. Nausea and/or vomiting 0  1  2  3  4
B. Diarrhea 0  1  2  3  4
C. Constipation 0  1  2  3  4
D. Bloated Feeling 0  1  2  3  4
E. Belching and/or passing gas 0  1  2  3  4
F. Heartburn 0  1  2  3  4
TOTAL =                
LUNGS:
A. Chest congestion 0  1  2  3  4
B. Asthma, bronchitis 0  1  2  3  4
C. Shortness of breath 0  1  2  3  4
D. Difficulty breathing 0  1  2  3  4
TOTAL =                
HEART:
A. Skipped heartbeats 0  1  2  3  4
B. Rapid heartbeats 0  1  2  3  4
C. Chest pains 0  1  2  3  4
TOTAL =               
BOWELS / OTHER:
A. Frequent or urgent urination 0  1  2  3  4
B. Leaky bladder 0  1  2  3  4
C. Frequent illness 0  1  2  3  4
TOTAL =                
SKIN:
A. Acne 0  1  2  3  4
B. Hives, rashes or dry skin 0  1  2  3  4
C. Hair loss 0  1  2  3  4
D. Flushing 0  1  2  3  4
E. Excessive sweating 0  1  2  3  4
TOTAL =                 
JOINTS / MUSCLE:
A. Pain or aches in joints 0  1  2  3  4
B. Rheumatoid arthritis 0  1  2  3  4
C. Osteoarthritis 0  1  2  3  4
D. Stiffness / limited movement 0  1  2  3  4
E. Pain / aches in muscle 0  1  2  3  4
F. Frequent back pain 0  1  2  3  4
G. Feeling of weakness or tiredness 0  1  2  3  4
TOTAL =                
WEIGHT:
A. Binge eating / drinking 0  1  2  3  4
B. Craving certain foods 0  1  2  3  4
C. Excessive Weight 0  1  2  3  4
D. Compulsive eating 0  1  2  3  4
E. Water retention 0  1  2  3  4
F. Under weight 0  1  2  3  4
TOTAL =               
EMOTIONS:
A. Mood swings 0  1  2  3  4
B. Anxiety / Fear / Nervousness 0  1  2  3  4
C. Anger / Irritability 0  1  2  3  4
D. Depression 0  1  2  3  4
E. Sense of despair 0  1  2  3  4
F. Lethargy 0  1  2  3  4
TOTAL =                
ENERGY:
A. Fatigue / Sluggishness 0  1  2  3  4
B. Hyperactivity 0  1  2  3  4
C. Restlessness 0  1  2  3  4
D. Insomnia 0  1  2  3  4
E. Startled awake at night 0  1  2  3  4
TOTAL =                
SECTION I TOTALS   ______________

SECTION II: RISK OF EXPOSURE

Rate each of the following based upon your health profile for the last 120 days.
Circle the corresponding number for the following:
0=Never    1=Rarely      2=Monthly     3=Weekly     4=Daily
A. How often are strong chemicals used in your home?
    (Disinfectants, bleaches, oven and drain cleaners, furniture polish, floor wax, window cleaners) 0  1  2  3  4
B. How often are pesticides used in your home? 0  1  2  3  4
C. How often do you have your home treated for insects? 0  1  2  3  4
D. How often are you exposed to dust, overstuffed furniture, tobacco smoke, mothballs,
     incense, or varnish in your home or office? 0  1  2  3  4
E. How often are you exposed to nail polish, perfume, hairspray and other cosmetics? 0  1  2  3  4
F. How often are you exposed to diesel fumes, exhaust fumes,or gasoline fumes? 0  1  2  3  4
TOTAL =
Answer Yes or No and circle the corresponding number for the following questions:
A. Do you have a water purification system in your home?
Y=0, N=2
B. Are pesticides used frequently in your home?
Y=2, N=0
C. Do you have an air purification system in your home? Y=0, N=2
D. Are you a dentist, painter, farm worker or construction worker? Y=2, N=0
SECTION II TOTALS   ______________
SECTION I TOTAL =    _______
SECTION II TOTAL =    _______GRAND TOTAL = _______
Add up the numbers to arrive at a total for each section and then add the totals of BOTH sections together to arrive at GRAND TOTAL. If any section is 6 or more, or GRAND TOTAL is 40 or more, you may benefit from a Detox Program. We are here to guide you through your options. Give us a call at 224-521-1212.