Do you suffer from any of the following symptoms



Do you suffer from any of the following symptoms? If so please X in the box.

(Some symptoms are repeated please tick in all cases)

|Vitamin A | |Vitamin B1 | |Vitamin B2 | |

|Poor night vision | |Tender muscles | |Burning or gritty eyes | |

|Acne | |Eye pains | |Sensitivity to bright lights | |

|Frequent infections | |Irritability | |Sore tongue | |

|Dry flaky skin | |Poor concentration | |Cataracts | |

|Dandruff | |‘Prickly’ legs | |Eczema or dermatitis | |

|Thrush or Cystitis | |Poor memory | |Split nails | |

|Diarrhoea | |Stomach pains | |Cracked lips | |

| | |Constipation | | | |

|Vitamin B3 | |Tingling hands | |Vitamin B6 | |

|Lack of energy | |Rapid heart beat | |Infrequent dream recall | |

|Diarrhoea | | | |Water retention | |

|Insomnia | |Vitamin B5 | |Tingling hands | |

|Headaches or migraines | |Muscle tremors or cramps | |Depression or nervousness | |

|Poor memory | |Apathy | |Irritability | |

|Anxiety or tension | |Poor concentration | |Muscle tremors or cramps | |

|Depression | |Burning feet or tender heels | |Lack of energy | |

|Irritability | |Nausea or vomiting | | | |

|Bleeding or tender gums | |Lack of energy | |Biotin | |

|Acne | |Exhaustion after light exercise | |Dry skin | |

| | |Anxiety or tension | |Poor hair condition | |

|Vitamin B12 | |Teeth grinding | |Prematurely greying hair | |

|Eczema or dermatitis | | | |Tender or sore muscles | |

|Mouth over sensitive to hot/cold | |Folic acid | |Poor appetite or nausea | |

|Irritability | |Cracked lips | |Eczema or dermatitis | |

|Anxiety or tension | |Premature greying hair | | | |

|Lack of energy | |Anxiety or tension | |Vitamin E | |

|Constipation | |Poor memory | |Lack of sex drive | |

|Tender or sore muscles | |Lack of energy | |Varicose veins | |

|Pale skin | |Depression | |Infertility | |

| | |Eczema | |Loss of muscle tone | |

|Vitamin C | |Stomach pains | |Fatigue after light exercise | |

|Frequent colds | | | |Easy bruising | |

|Bleeding or tender gums | |Vitamin D | | | |

|Easy bruising | |Tooth decay | |Selenium | |

|Nose Bleeds | |Excessive sweating | |Family history of cancer | |

|Slow wound healing | |Frequent infections | |Signs of premature ageing | |

| | | | |Cataracts | |

|Calcium | |Chromium | |High blood pressure | |

|Muscle cramps or tremors | |Excessive or cold sweats | |Frequent infections | |

|Insomnia or nervousness | |Need for frequent meals | | | |

|Joint pain or arthritis | |Sleepy during the day | |Zinc | |

|Tooth decay/gum disease | |Excessive thirst | |White spots on nails | |

|Brittle nails | |Addicted to sweet foods | |Poor appetite | |

|High blood pressure | | | |Hair slow to grow | |

| | |Manganese | |Poor sense of smell | |

|Magnesium | |Muscle twitches | |Eczema or spotty skin | |

|Muscle tremors or spasms | |Muscle weakness | |Fertility problems | |

|Muscle weakness | |Childhood ‘growing pains’ | | | |

|Insomnia or nervousness | |Dizziness or poor sense of balance | |EFAs | |

|High blood pressure | |Fits or convulsions | |Soft, fraying or brittle nails | |

|Irregular heart beat | |Joint pain | |Dry, scaly or flaky skin | |

|Constipation | | | |Chicken skin under arms | |

|Hyperactivity | |Iron | |Dandruff | |

|Depression | |Pale skin | |Pain or stiffness of my joints | |

|Kidney stones | |Sore tongue | |Dry, lackluster or unruly hair | |

| | |Fatigue | |Excessive thirst | |

| | |Loss of appetite or nausea | |Menstrual cramps | |

| | |Heavy periods | |Premenstrual breast pain | |

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