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Information request form
Name
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What do you want to achieve with Health with Nature?
Lose weight in a natural and balanced way
Adopt a dietary style suited to my specific needs
Increase muscle mass and my energy in a harmonious and natural way
Improve my skin condition: blemishes, acne, psoriasis etc.
Solve water retention: cellulite etc.
Improve sleep quality
Eliminate gastroesophageal reflux
rebalance the hormonal sphere: estrogen/testosterone ratio
Be guided in preparation for conception and pregnancy
Managing menopause better
Reduce anxiety and stress
Genetica e patologie autoimmuni
Other problems or pathologies treat with our help
Have you tried a diet before?
Yes
No
If so, which ones?
Do you exercise regularly?
Yes
No
If so, which one and how often?
Do you have any medical conditions diagnosed by your doctor?
Yes
No
If so, which ones?
Do you take any medications regularly?
Yes
No
If so, which ones?
Write your suggestions here and everything you think could be useful to help us
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