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WBI Health Product Order Form* Product Name: Details: Retail Price: $ Quantity: B-Vitamins Bariatric Advantage B50-Complex (Capsule) Wellesse Vitamin B-Complex, Blueberry & Pomegranate (Liquid) Bariatric Advantage Biotin 5mg (Capsule) Wellesse Vitamin B-12 Sublingual, Berry (Liquid) Calcium Bariatric Advantage Calcium – Wild Cherry 500mg (Chewable) Bariatric Advantage Calcium-Chocolate 500mg (Chewable) Bariatric Advantage Calcium Chewy Bites- Caramel, Chocolate, or Strawberry 500mg Wellesse Calcium & Vitamin D3 (Liquid) D-Vitamins Bariatric Advantage 5000IU (Capsule) Iron Bariatric Advantage Iron 18mg (Chewable) - Strawberry Bariatric Advantage Iron 29mg (Chewable) – Passion Fruit Wellesse Iron 18mg (Liquid) - Berry Multivitamins Wellesse Multi Vitamin+ (Liquid)- Citrus Bariatric Advantage Daily (Chewable)– Berry (includes B complex and vitamin D, no iron) Bariatric Advantage Daily Ultra Multi Formula without Iron (capsule)(includes B-complex and vitamin D) Celebrate Multi-Complete Chewable-Mango-Peach or Forest Berry (includes B complex, vitamin D and iron) Omega 3 Bariatric Advantage Omega-3 (Soft Chews) - Cherry High Protein Meal Replacements Bariatric Advantage Meal Replacement Shake (Chocolate) Bariatric Advantage Meal Replacement Shake (Vanilla) Bariatric Advantage Meal Replacement Shake (Banana) Bariatric Advantage Meal Replacement Shake (Strawberry) Bariatric Advantage Meal Replacement Shake (Orange Cream) Bariatric Advantage Meal Replacement Shake (Latte) Bariatric Advantage Ready-to-Shake Meal Replacement (Vanilla, Chocolate, Strawberry, Latte, Banana, Orange) 180 count 16 fl oz 90 count 2 fl oz 26.40 8.49 14.00 8.99 90 count 90 count 90 count 24.30 24.30 31.70 16 fl oz 6.99 60 count 6.99 90 count 90 count 16 fl oz 23.55 26.75 8.49 16 fl oz 180 count 7.99 39.45 270 count 46.95 180 count 49.95 60 count 19.00 35 servings 35 servings 35 servings 35 servings 35 servings 35 servings 1 serving 67.95 67.95 67.95 67.95 67.95 67.95 3.25 645 North Arlington, Suite 525 – Reno, NV 89503 – (775) 326-9152 – www.westernbariatricinstitute.com High Protein Supplement Shakes/Soups/Drinks Bariatric Advantage High Protein Shake Mix- Chocolate Unjury Unflavored (Powder) Unjury Chicken Soup Flavor (Powder) Nutrimed Creamy Tomato Soup (Powder), Minestrone Soup (Powder) AHS Powder Fruit Dinks- Lemonade, Cranberry Grape with Fiber, Mixed Berry with Fiber, Strawberry Kiwi with Fiber, Orange Protein Supplement Sample Bag- 8 packets of a variety of our protein supplement drinks and hot beverages High Protein Snacks/Bars Details: Retail Price:$ Quantity: 14 servings 19.95 15 Servings 20.95 17 Servings 22.95 7 Servings 9.95 7 servings 8.95 8 servings 9.95 AHS Snack Bar- Sweet & Salty, Vanilla Caramel Crunch, Orange Créme, Dark Chocolate S’mores, Chocolate Almond, Lemon Meringue AHS 10 g Protein Snack Bar Variety Pack – Chocolate Mint, Double Chocolate, 7 Serving Box 7 Serving Box 13.50 ($1.93/bar) 14.00 AHS 15 g Protein Snack Bar Variety Pack-Cinnamon, Fudge Graham, Peanut, Carmel Cocoa, Chocolate Almond, Dark Chocolate S’mores, Peppermint Cocoa Crunch 7 Serving Box High Protein Bars Marshmallow Brownie Crisp, Peanut Butter Crunch, Peanut Butter Mousse, Sweet & Salty, Lemon Meringue High Protein Snacks 15.75 KetogenX - Soy Crisps-Cinnamon Spice, Tangy BBQ, Sun Dried Tomato & Herb Kay’s Natural - Honey Cookie Bites, Almond Delight Puffs, Mocha Expresso Kay’s Natural Pretzels- Cinnamon Toast, Jalepeno Honey Mustard Kay’s Natural Chips- Crispy Parmesan, White Cheddar Kruncheeze, Chili Cheese Nacho, Veggie Pizza, Sweet BBQ Snack Mix 1.1 oz Bag 2.75 1.2 oz Bag 1.2 oz Bag 1.2 oz Bag 1.60 1.60 1.60 Robard Maple Brown Sugar Oatmeal 5 Servings 6.95 7 Servings 9.95 7 Servings 8.95 90 count 16 fl oz 10 Serving Box 26.40 10.99 4.75 High Protein Cereals High Protein Pudding AHS (Powder)- Old Fashioned Butterscotch, Dark Chocolate Pudding/Shake Mix High Protein Hot Beverages AHS (Powder) Hot Chocolate, Mint Hot Chocolate, Cappuccino Therapeutics Bariatric Advantage Probiotic – Strawberry 150mg (Chewable) Wellesse Digestive 3-in-1 Health, Orange-Vanilla (Liquid) Fulfill Chicken Bouillon Fiber Supplement (Powder) General Items: Recipes for Weight Loss Surgery Success: Starting Your Journey Step-By-Step Mindful Eating Course Book and Workbook Blender Bottle with Wire Whisk Ball Bottle (Bariatric Advantage Shaker Bottle) book 2 books 20 ounces 20 ounce 8.00 45.00 7.75 4.50 *Prices subject to change without notice. 6/26/2017 645 North Arlington, Suite 525 – Reno, NV 89503 – (775) 326-9152 – www.westernbariatricinstitute.com