The Toxic Bowel

Answer the questions below, using the symptom scale:

0=Never 1=Seldom 2=Occasionally 3=Frequently

4=Infrequently with severe symptoms 5=Almost always

Constipation (hard or difficult stools)

Excessive gas

Appendicitis

Food allergies

Eczema, psoriasis, dermatitis

High-sugar diet

Abdominal fullness, bloating

Gallbladder problems

Bad breath

Ulcers

Excessive cheese

Bad digestion

Diverticulosis

High blood cholesterol

Insufficient fluid

Incomplete bowel elimination

Varicose veins

Diabetes

Headache

Low back pain

Constipation alternating with diarrhoea

Hiatal hernia

Heart disease

Fatigue

Low-fibre diet

Reliance on laxatives

Haemorrhoids

Colorectal cancer

Too many processed grains


	Please ensure all boxes are filled in with a number, or your report may be inaccurate.


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