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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