Metabolic Health Assessment

By Dr. Laara Van Bryce | July 13, 2018

Fill in your information below and click Next to begin.

We will email you a copy of your results.

This assessment presents questions that your healthcare practitioner can use to determine which body systems require further investigation. It is brought to you by Biotics Research Corporation.

Instructions: Enter your information below. Rate each of the following symptoms based upon your typical health profile.

First

Last Name

*Difficulty gaining weight, even with large appetite

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

*Nervous, emotional, can’t work under pressure

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

*Flush easily

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Fast pulse at rest

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Inward trembling

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Intolerance - high temperatures

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Difficulty losing weight

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Mentally sluggish, reduced initiative

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Easily fatigued, sleepy during the day

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Sensitive to cold, poor circulation (cold hands and feet)

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Excessive hair loss and/or coarse hair

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Morning headaches, wear off during the day

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Loss of lateral 1/3 of eyebrow

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Infrequent bowel movements

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Craves Sweets

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Irritable if missed meals

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Light headed if meals are missed

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Frequent urination

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Frequent thirst

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Fatigue after meals

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Eating relieves fatigue

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Agitated or easily upset

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Blurred vision

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Headache if meals are missed

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Poor memory/forgetful

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Shaky if missed meals

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Binge or uncontrolled eating

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

*Cannot fall asleep; wake up after a few hours of sleep

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Perspire easily

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Wake up tired – after 6+ hours of sleep

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Tend to be “keyed up” during the day

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Clenched or grind teeth

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

*Excessive thirst

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Crave salty foods

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Cannot stay asleep. Awaken after a few hours of sleep

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Slow starter in the morning

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Afternoon fatigue

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Become dizzy when standing up suddenly

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Weak nails

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Weakness / Dizziness

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Afternoon yawning

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Allergies or hives

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Arthritic tendencies

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Chemical & odor sensitivities

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Headaches after exposure to chemicals

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Intolerance to household chemicals (e.g. shampoo, lotion, laundry detergent, etc.)

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Skin outbreaks

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Excessive mucus

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Bloating and distention after eating

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Intolerance to sugars & starches - upset the stomach

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Abdominal swelling

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Increased reactions to eating foods

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Pains, aches and swelling throughout the body

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Unpredictable food reactions

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Skin issues: acne, rosacea

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Bad breath (halitosis)

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Heartburn or acid reflux

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Excessive belching or burping

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Undigested foods in stool

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Gas after meals

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Difficult bowel movements

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Sense of excess fullness after meals

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Sleepy after meals

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Nausea

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Hormone imbalances

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Light colored stools

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Pain between shoulder blades

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Stomach upset after greasy foods

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Acne or unhealthy skin

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Hemorrhoids or varicose veins

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Dry or flakey skin

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Itchy skin

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Removal of gallbladder

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Gallbladder attacks

Occasionally have symptom Frequently have symptom, but not severe Frequently have symptom, and effect is severe Not applicable

Headache over eyes

Occasionally have symptom

Frequently have symptom, but not severe

Frequently have symptom, and effect is severe

Not applicable

Disclaimer: This personal assessment is not diagnostic of any health condition. It is designed to help licensed health practitioners organize varied body occurrences that, when viewed as an organized whole, may lead to a common factor.

Time's up

Metabolic Health Assessment

Fill in your information below and click Next to begin.

We will email you a copy of your results.

This assessment presents questions that your healthcare practitioner can use to determine which body systems require further investigation. It is brought to you by Biotics Research Corporation.

Instructions: Enter your information below. Rate each of the following symptoms based upon your typical health profile.

Disclaimer: This personal assessment is not diagnostic of any health condition. It is designed to help licensed health practitioners organize varied body occurrences that, when viewed as an organized whole, may lead to a common factor.

Dr. Laara Van Bryce D.C.

Additional Resources

Van Bryce Wellness

(425) 785-5504 [email protected]

Fill in your information below and click Next to begin.

We will email you a copy of your results.

This assessment presents questions that your healthcare practitioner can use to determine which body systems require further investigation. It is brought to you by Biotics Research Corporation.

Instructions: Enter your information below. Rate each of the following symptoms based upon your typical health profile.

Disclaimer: This personal assessment is not diagnostic of any health condition. It is designed to help licensed health practitioners organize varied body occurrences that, when viewed as an organized whole, may lead to a common factor.

Dr. Laara Van Bryce D.C.

Additional Resources

Van Bryce Wellness

(425) 785-5504
[email protected]