Antibiotic Assessment

1

After taking antibiotics, did you notice new or worsening joint pain, tendon pain, or muscle aches?

yes

no

2

Have you developed tingling, numbness, or burning sensations in your hands, feet, or other areas?

yes

no

3

Did you begin experiencing unusual fatigue or exhaustion that doesn’t improve with rest?

yes

no

4

Do you now have brain fog, memory problems, or difficulty concentrating?

yes

no

5

Have you developed new sensitivities to light, sound, or chemical smells since taking antibiotics?

yes

no

6

Did you notice new digestive issues (bloating, gas, constipation, diarrhea, or food intolerances) after antibiotics?

yes

no

7

Have you experienced increased anxiety, panic attacks, or depression that started after antibiotic use?

yes

no

8

Did your sleep become disturbed (insomnia, waking at night, restless sleep) after antibiotics?

yes

no

9

Have you noticed tendon problems (like Achilles, shoulder, or wrist pain) that were not present before?

yes

no

10

Did you begin experiencing dizziness, balance issues, or a racing heart after antibiotics?

yes

no

11

Have you developed increased sensitivities to medications, supplements, or foods since antibiotic use?

yes

no

12

Did your energy, mood, or physical resilience decline significantly after completing an antibiotic prescription?

yes

no

13

Have you had recurring infections (sinus, urinary, gut) that became harder to treat after antibiotic use?

yes

no

14

Did you develop strange neurological symptoms (vibrations, twitching, buzzing sensations) post-antibiotics?

yes

no

15

Overall, do you feel your health noticeably declined after antibiotics in a way you never fully recovered from?

yes

no

17

Are you looking for a new approach to your health?* This field is required.

To ensure we give every patient the time and attention they deserve, we only accept new patients who are ready to transform their health. Are you ready?

Maybe- I need a little more information

18

Where should we send the results?

example@example.com

19

Name

First Name

Last Name

20

Phone Number* This field is required.

Area Code

Phone Number