Questionnaire - Page 8(a) of 9
(1014 maximum possible questions)
Last updated: May 05, 2008

THE ANALYST TM
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This section covers the dietary and nutritional supplements that you have taken within the past year. If any are not listed, you may enter them in the box below.
850.  Alpha Lipoic Acid
None / don't know
Some / occasionally
Significant amounts (300mg or more daily)
851.  Calcium
Don't know
None / in the past only
Some / occasionally
300 to 800mg per day
Over 800mg per day
852.  CoQ10 (coenzyme Q10) also called ubiquinone.
Don't know
No
In the past only
Less than 100mg per day
100mg or more per day
853.  Have you used copper supplements within the past year? If taking a multiple or other supplements, please check to see if copper is included in the ingredient list.
Don't know
Definitely none
In the past only, or less than 1mg per day
1 to 3mg per day
More than 3mg per day
854.  Folic Acid
None / very little / don't know
Substantially in the past only
Some / occasionally
Routine use (100 to 400mcg per day)
Routine high dose use (over 400mcg per day)
855.  Glucosamine, Chondroitin or a combination of the two.
Don't know
None
In the past only
Less than 1500mg per day
1500mg or more per day
856.  5HTP (5-hydroxytryptophan)
Don't know
None
Use in the past only
Current use - 100mg or less per day
Current use - over 100mg per day
857.  Iodine
None / don't know
Some / occasionally
Kelp in diet or supplement
Significant amounts
858.  Iron
None / don't know
Minor use in the past only
Significant use in the past only
Currently using low to moderate doses
Currently using large doses (over 50 mg per day)
859.  Magnesium
Don't know
None
Some / occasionally
200 to 600mg per day
Over 600mg per day
860.  Manganese
Don't know
None
Under 5mg
6 to 10mg
Over 10mg
861.  MSM
None / don't know
Some / occasionally
Significant amounts
862.  Do you routinely take hydrochloric acid (HCl) with meals? If so, how much?
No / don't know / only occasionally
1 to 2 caps
3 to 4 caps
5 to 6 caps
7 or more caps
863.  Do you use digestive enzymes? This is plant or pancreatic enzymes, but not bromelain.
No / don't know
Yes, but it definitely does not help
It has helped in the past
Occasionally
Regularly
864.  Niacin
None / don't know
Some / occasionally
Significant amounts
865.  SAMe (S-Adenosyl-Methionine)
Don't know
No
Less than 400mg per day
400mg to 800mg daily
Over 800mg daily
866.  Selenium
No / Don't know
Sporatic / only what is in a multiple
Long term use of 50 to 100mcg daily
Long term use of at least 100mcg daily
Long term use of at least 150mcg daily
867.  TMG (trimethylglycine), DMG (dimethylglycine), pangamic acid or vitamin B15.
Don't know
No
Less than 500mg daily
500mg to 1000mg daily
Over 1000mg daily
868.  Zinc
No / don't know
Sporatic / only what is in a multiple
Long term use of 10 to 30mg daily
Long term use of 31 to 50mg daily
Long term use of over 50mg daily
869.  Vitamin A
None / don't know
Some / occasionally
Significant amounts
870.  Vitamin B complex
None / don't know
Some / occasionally
Significant amounts
871.  Vitamin B12 (taken by mouth)
Don't know
None
Less than 50mcg per day / occasional use
50 to 100mcg per day
Over 100mcg per day
872.  Vitamin B12 (by injection) within the past 5 years.
Not applicable / don't know
Less than 5 shots within that period
More than 5 shots within that period
Current injections but less than once per week
Current injections once per week or more
873.  Vitamin B6. The active metabolite of B6 is pyridoxal-5-phosphate (P5P).
Don't know
None
Sometimes / occasional use
Regular use of up to 100mg or 10mg P5P.
Regular use of over 100mg or 10mg P5P
874.  Vitamin C
None / don't know
Some / occasionally
Significant amounts (more than a gram / day)
875.  Vitamin D
None / don't know
Some / occasionally
Significant amounts (over 500IU / day)
876.  Vitamin E
Don't know
None
200 IU per day or less
201 IU to 600 IU per day
Over 600 IU per day
877.  Tocotrienols (a class of compounds related to vitamin E). These are not the same thing as tocopherols, also know as vitamin E.
Don't know
None
Use in the past only / occasional use
Currently using 50mg or less per day
Currently using over 50mg per day

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GLOSSARY

Calcium:  The body's most abundant mineral. Its primary function is to help build and maintain bones and teeth. Calcium is also important to heart health, nerves, muscles and skin. Calcium helps control blood acid-alkaline balance, plays a role in cell division, muscle growth and iron utilization, activates certain enzymes, and helps transport nutrients through cell membranes. Calcium also forms a cellular cement called ground substance that helps hold cells and tissues together.

Cobalamin:  Vitamin B-12. Essential for normal growth and functioning of all body cells, especially those of bone marrow (red blood cell formation), gastrointestinal tract and nervous system, it prevents pernicious anemia and plays a crucial part in the reproduction of every cell of the body i.e. synthesis of genetic material (DNA).

Coenzyme:  A heat stable molecule that must be associated with another enzyme for the enzyme to perform its function in the body. It is necessary in the utilization of vitamins and minerals.

Copper:  An essential mineral that is a component of several important enzymes in the body and is essential to good health. Copper is found in all body tissues. Copper deficiency leads to a variety of abnormalities, including anemia, skeletal defects, degeneration of the nervous system, reproductive failure, pronounced cardiovascular lesions, elevated blood cholesterol, impaired immunity and defects in the pigmentation and structure of hair. Copper is involved in iron incorporation into hemoglobin. It is also involved with vitamin C in the formation of collagen and the proper functioning in central nervous system. More than a dozen enzymes have been found to contain copper. The best studied are superoxide dismutase (SOD), cytochrome C oxidase, catalase, dopamine hydroxylase, uricase, tryptophan dioxygenase, lecithinase and other monoamine and diamine oxidases.

Enzymes:  Specific protein catalysts produced by the cells that are crucial in chemical reactions and in building up or synthesizing most compounds in the body. Each enzyme performs a specific function without itself being consumed. For example, the digestive enzyme amylase acts on carbohydrates in foods to break them down.

Folic Acid:  A B-complex vitamin that functions along with vitamin B-12 and vitamin C in the utilization of proteins. It has an essential role in the formation of heme (the iron containing protein in hemoglobin necessary for the formation of red blood cells) and DNA. Folic acid is essential during pregnancy to prevent neural tubular defects in the developing fetus.

Hydrochloric Acid:  (HCl): An inorganic acidic compound, excreted by the stomach, that aids in digestion.

Iodine:  A essential mineral that is an integral part of the thyroid hormones, thyroxin and triiodothyronine which have important metabolic roles and govern basal metabolism. The best known iodine deficiency symptom is goiter. Other iodine deficiency problems are reduced vitality, hypothyroidism, inability to think clearly, low resistance to infection, loss of control of the muscles of the mouth resulting in mouth contortion and drooling, defective teeth, tendency to obesity and cretinism which is a congenital abnormal condition marked by physical stunting and mental deficiency.

Iron:  An essential mineral. Prevents anemia: as a constituent of hemoglobin, transports oxygen throughout the body. Virtually all of the oxygen used by cells in the life process are brought to the cells by the hemoglobin of red blood cells. Iron is a small but most vital, component of the hemoglobin in 20,000 billion red blood cells, of which 115 million are formed every minute. Heme iron (from meat) is absorbed 10 times more readily than the ferrous or ferric form.

Lipoic acid:  A sulfur-containing coenzyme used in the energy process and is also a powerful antioxidant. Has been used therapeutically in the treatment of AIDS and diabetes because of the synergy between alpha-lipoic acid and vitamin E and the interlocking cycles which lead to better optimization of antioxidant nutrients.

Magnesium:  An essential mineral. The chief function of magnesium is to activate certain enzymes, especially those related to carbohydrate metabolism. Another role is to maintain the electrical potential across nerve and muscle membranes. It is essential for proper heartbeat and nerve transmission. Magnesium controls many cellular functions. It is involved in protein formation, DNA production and function and in the storage and release of energy in ATP. Magnesium is closely related to calcium and phosphorus in body function. The average adult body contains approximately one ounce of magnesium. It is the fifth mineral in abundance within the body--behind calcium, phosphorus, potassium and sodium. Although about 70 percent of the body's magnesium is contained in the teeth and bones, its most important functions are carried out by the remainder which is present in the cells of the soft tissues and in the fluid surrounding those cells.

Manganese:  An essential mineral found in trace amounts in tissues of the body. Adults normally contain an average of 10 to 20mg of manganese in their bodies, most of which is contained in bone, the liver and the kidneys. Manganese is essential to several critical enzymes necessary for energy production, bone and blood formation, nerve function and protein metabolism. It is involved in the metabolism of fats and glucose, the production of cholesterol and it allows the body to use thiamine and Vitamin E. It is also involved in the building and degrading of proteins and nucleic acid, biogenic amine metabolism, which involves the transmitting of nerve impulses.

Metabolite:  Any product (foodstuff, intermediate, waste product) of metabolism.

Niacin:  (Vitamin B-3): A coenzyme B-complex vitamin that assists in the breakdown of carbohydrates, fats and proteins. Essential for the health of the skin, nerves, tongue and digestive system. It is found in every cell of the body and is necessary for energy production. Niacin is also needed for DNA formation.

Selenium:  An essential element involved primarily in enzymes that are antioxidants. Three selenium- containing enzymes are antioxidant peroxidases and a fourth selenium-containing enzyme is involved in thyroid hormone production. The prostate contains a selenium-containing protein and semen contains relatively large amounts of selenium. Clinical studies show that selenium is important in lowering the risk of several types of cancers. In combination with Vitamin E, selenium aids the production of antibodies and helps maintain a healthy heart. It also aids in the function of the pancreas, provides elasticity to tissues and helps cells defend themselves against damage from oxidation.

TMG:  Tri-methyl-glycine. After supplying a methyl group, TMG becomes di-methyl-glycine. DMG, a natural component of animal and plant metabolism, positively influences the immune response in laboratory animals and humans and boosts physical and mental performance.

Tocopherol:  Any of several fat-soluble, oily, phenolic compounds with antioxidant vitamin E activity.

Vitamin A:  A fat-soluble vitamin essential to one's health. Plays an important part in the growth and repair of body tissue, protects epithelial tissue, helps maintain the skin and is necessary for night vision. It is also necessary for normal growth and formation of bones and teeth. For Vitamin A only, 1mg translates to 833 IU.

Vitamin B6:  Influences many body functions including regulating blood glucose levels, manufacturing hemoglobin and aiding the utilization of protein, carbohydrates and fats. It also aids in the function of the nervous system.

Vitamin C:  Also known as ascorbic acid, Vitamin C is a water-soluble antioxidant vitamin essential to the body's health. When bound to other nutrients, for example calcium, it would be referred to as "calcium ascorbate". As an antioxidant, it inhibits the formation of nitrosamines (a suspected carcinogen). Vitamin C is important for maintenance of bones, teeth, collagen and blood vessels (capillaries), enhances iron absorption and red blood cell formation, helps in the utilization of carbohydrates and synthesis of fats and proteins, aids in fighting bacterial infections, and interacts with other nutrients. It is present in citrus fruits, tomatoes, berries, potatoes and fresh, green leafy vegetables.

Vitamin D:  A fat-soluble vitamin essential to one's health. Regulates the amount of calcium and phosphorus in the blood by improving their absorption and utilization. Necessary for normal growth and formation of bones and teeth. For Vitamin D only, 1mcg translates to 40 IU.

Vitamin E:  An essential fat-soluble vitamin. As an antioxidant, helps protect cell membranes, lipoproteins, fats and vitamin A from destructive oxidation. It helps protect red blood cells and is important for the proper function of nerves and muscles. For Vitamin E only, 1mg translates to 1 IU.

Zinc:  An essential trace mineral. The functions of zinc are enzymatic. There are over 70 metalloenzymes known to require zinc for their functions. The main biochemicals in which zinc has been found to be necessary include: enzymes and enzymatic function, protein synthesis and carbohydrate metabolism. Zinc is a constituent of insulin and male reproductive fluid. Zinc is necessary for the proper metabolism of alcohol, to get rid of the lactic acid that builds up in working muscles and to transfer it to the lungs. Zinc is involved in the health of the immune system, assists vitamin A utilization and is involved in the formation of bone and teeth.



 


Your attitude determines your outcome. Successful people embrace this truth, whether it is a doctor going into surgery, a pastor preparing a sermon or a business-person launching a new venture. Confidence increases your chance of success every time. When you approach a task, especially one you do not relish, fix your mind on the facts, not your feelings. That will put your attitude on the right track.