Optimization Intake Name * First Name Last Name Email * Targets * Cardiovascular * Metabolic * Nutrition * Movement * Exogenous Toxins * Do you use or ingest any of the following: seed oils, fried out to eat food, aluminum deodorant, sunscreen, alcohol, added sugar, artificial flavors? yes no Balance (work+life stress) * Gut Health * Sleep * Hormones * Other * Please list prescription Rx Please list supplements you take Thank you!
