Acidic Checklist: Are you overly acidic?

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Taken from “The Chemistry of Success” by Susan M. Lark, M.D. and James Richards, M.B.A.

Email *

First and Last Name *

How do you know if your health is being affected by an overly acidic environment?

There are several factors that can cause our bodies to be out of balance. Please go through the checklist below and mark all that apply.

Once you are done, go ahead and submit your form to find out how you can bring your body back to a state of balance - A return to Origin.

(Don't worry, your email will not be shared with any third parties.)

Lifestyle Indicators *

I do not feel my best when I eat fast foods, fried foods, colas, and desserts.

I do not feel my best when I eat red meat or red meat dishes.

I do not tolerate acidic condiments like vinegar and lemon juice.

I regularly consume processed and refined foods that contain chemical additives

I regularly consume breads and baked goods made with white flour and sugar.

I eat few fruits and vegetables.

I drink more than one cup of coffee or tea each day.

I frequently take ascorbic acid (vitamin c), aspirin, or antibiotics

I do not tolerate alcohol

I have a history of cigarette smoking

I frequently travel by plane

Other:

Required

Performance Indicators *

I often feel exhausted after vigorous exercise or very physical work.

I often experience fatigue and lack of stamina.

I run out of breath running up stairs or walking briskly.

I am physically and mentally tired after an hour of desk work.

I have a tendency to be pessimistic, with little energy for new projects.

Other:

Required

Physical Indicators *

I have thin, porous bones.

I have poorly developed muscles.

I often experience muscle stiffness and soreness.

I am over fifty years of age.

Other:

Required

Medical History *

I catch colds or flus frequently

I am susceptible to heartburn, cancer sores, food or environmental allergies, and sore throat.

I have a history of osteoporosis, arthritis, gout, lung disease, or kidney disease.

Other:

Required

Thank you. I will be in touch soon. Please be on the lookout for my email on how to combat an overly acidic body. If you do not see it in your inbox, please check your SPAM folder and mark as safe.

A copy of your responses will be emailed to the address you provided.

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