5800 Monroe St. A11 Sylvania, OH

Allergy Evaluation & Treatment

Are you feeling sick but can’t find the reason why?

Have you ever been tested for the link between what you eat and how you feel?

Many times perfectly good foods may not be good for you and cause or aggravate your nagging symptoms.

A simple blood test and the resulting diet modification will relieve symptoms such as arthritis, IBS, headache, overweight/underweight, hypertension, diabetes, chronic fatigue, asthma, & sinusitis to name a few.

Evaluate yourself below. Rate each of your symptoms based upon how you have been feeling during the past 30 days. Use the following point scale:

0 = never or almost never have the symptom
1 = occasionally have it, effect is not severe
2 = occasionally have it, effect is severe
3 = frequently have it, effect is not severe
4 = frequently have it, effect is severe

If your overall total score exceeds 10, then an IgG Delayed Food Allergy test is recommended.

Joints & Muscles

______ Pains or aches in joints
______ Arthritis
______ Stiffness, limited movement
______ Pain or aches in muscles
______ Feeling weak or tired
______ Swollen, tender joints
______ Growing pains in legs
______ Total


______ Mood swings
______ Anxiety, fear, nervousness
______ Angry, irritable, aggressive
______ Argumentative
______ Frustrated, cries often
______ Depression
______ Total


______ Binge eating/drinking
______ Craving certain foods
______ Excessive weight
______ Compulsive eating
______ Water retention
______ Total


______ Frequent illness
______ Frequent or urgent urination
______ Genital itch or discharge
______ Anal itching
______ Total

Digestive Tract

______ Nausea & Vomiting
______ Diarrhea
______ Constipation
______ Bloated feeling
______ Belching or passing gas
______ Stomach pains or cramps
______ Heartburn
______ Blood or mucous in stools
______ Total

Energy & Activity

______ Apathy, lethargy
______ Attention deficit
______ Fatigue
______ Hyperactivity
______ Restlessness
______ Poor physical coordination
______ Stuttering or stammering
______ Slurred speech
______ Total


______ Poor memory
______ Difficulty completing projects
______ Difficulty with mathematics
______ Underachiever in school
______ Poor/short attention span
______ Confusion
______ Easily distracted
______ Making decisions
______ Learning disabilities
______ Total


Total of All Sections: _______

If your grand total is higher than 10, please call us to schedule a personal consultation today. You don’t need to suffer any longer!

Mention “Toxic Food Syndrome” and receive that book as a gift from us at your next appointment.

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