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Balanced Integration
Supplement Protocol
Name: Sample Patient
Date:
** Blood type Diet is the key to all health, so this is the cornerstone and the
following is to fine tune.
Supplement/
Therapy
A
B
Dosage
How to take
2 caps
1 tab
Twice daily
daily
C
5-10 pellets BID
*D
E
(might be in
Custom Vit)
F
1 cap
*G
As Directed
Reason
Bacterial overgrowth
Accounts for the
MTHFR mutation to
produce the active
form of folate. Helps
with depression and
anxiety.
Swallow (DO NOT
Antichew)
viral/bacterial/parasitic
Three times daily
anticarcinogenic
Blocks estrogen
receptors
As Directed
With Food
Prevents br CA &
cleaves the estrogen to
help rid the body of
the excess
Overall Immune
support customized for
you!
*Homeopathy
Therapy
Constitutional
Alternating
Epsom Salt Bath
Hydrotherapy
hot/cold shower
Done by Dr Samm
3 min HOT
10 min hot bath with 1
shower, 30 sec
C Epsom salt. End
cold shower.
with 1 Min cold
Repeat 3X end in
shower
cold
Place oil on a cotton or flannel (no dye) cloth. More instructions
would be listed here
Doctor, ND
Sample Protocol
Page 1
*Hydrotherapy
Castor oil pack
Raindrop therapy
She is expecting your call and it will be $50 paid to me
Name of Facility
Contact Massage Therapist: XXX-XXX-XXXX
She is in my same office
A-G would actually have the name of the product
Basic Advice:
Increase in diet: Phytoestrogens, genestein (soy), isoflavones, indole-3-carbinol and
snails
Special Notes:
Grass fed meat has 50% more bioavailable CLA than synthetic
In Balanced Health,
M. Samm Pryce, ND
Naturopathic Physician
Sample Protocol
Page 2