Detox Questionnaire

Please fill out your information below and we’ll be happy to see how we can best serve you

Headaches
Dizziness
Insomnia
Bags or dark circles under eyes
Watery or itchy eyes
Sinus congestion, sinus infection
Constant sneezing
Hay fever/allergies
Chronic coughing
Sore throat, hoarseness, loss of voice
Gagging, frequent need to clear throat
Swollen tongue, gums, or lips
Swollen lymph nodes
Canker sores, mouth ulcers
Acne or brown “age/liver spots”
Hives, rashes, cysts, boils
Eczema or psoriasis
Itchy skin/dermatitis
Hair loss, hair thinning
Body odor
Excessive sweating
Pain or aches in joints or lower back
Stiffness or limitation of movement
Arthritis
Pain or aches in muscles
Poor memory
Difficulty concentrating
Mood swings
Depression
Anxiety, fear, or nervousness
Anger, irritability, or aggressiveness
Insomnia
InsomFatigue/low energynia
Restlessness
Hyperactivity
Feeling of weakness
Underweight
Overweight
Difficulty losing weight
Crave certain foods
Frequent colds, flus
Chemical or environmental sensitivities
Food allergies/sensitivities
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Dr. Adrian Clegg

When I began practicing eighteen years ago, people suffering from multiple debilitating conditions had few places to turn to receive the care they needed to get better. As the years have gone by, I began to realise that more and more people were suffering with chronic health problems—feeling tired, depressed, gaining weight, experiencing digestive problems, allergies and a host of hormone issues.

Over the years I have worked with 1000’s of people to help them overcome chronic health conditions using Functional Medicine and AO.
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