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Karl Mincin, Clinical
Nutritionist |
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Karl Mincin, Clinical
Nutritionist |
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Free Vitamin Supplement Evaluation Karl J.
Mincin Vitamin Supplement Review RecordIn order to help facilitate the free Supplement Review and professional evaluation by Nutritionist Karl Mincin please complete and return this form to the address above within seven (7) days. List below all single ingredient products that you take such as a vitamin, mineral, amino acid, herbal, homeopathic and prescription or OTC drug(s). (Multiple-Ingredient products may be listed in the chart provided on the next page.) Be sure to enter the information under every heading category, following the example provided.
NAME________________________________________________ DATE_________________________ ADDRESS ___________________________________________________________________________ C/S/Z_________________________________________ PHONE - 1 __________________________ E-MAIL ________________________________________ PHONE - 2 __________________________
Supplement Record for Multiple-Ingredient Formulas List here all combination products that contain more than one ingredient (i.e. “Stress Formula,” “B-Complex,” “Multiple Vitamins,” “Trace Minerals,” etc.) Write in the product name directly under the “Product #” column. Then, with your bottle in hand, continue down the column itemizing the amount of each nutrient listed. Be sure to note how many tablets or capsules equal the labeled dosage in relationship to how many you use.
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