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MSM-Australia
Oxidative Stress Test
Taking a Dry Blood Sample
Metabolic Profiling and Rebalancing Assessme
nt
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Indicates required field
Name
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First
Last
Date of Birth
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Blood Type (if known)
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SELECT ONE
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A
B
AB
On a scale of 1 - 10 how do you rate your health and vitality right now? (1 being flat on your back, 10 being walking on air).
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Please Select
1
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Email
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Weight (Kgs)
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Time Testing Carried out
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SELECT ONE
1am
2am
3am
4am
5am
6am
7am
8am
9am
10am
11am
NOON
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
11pm
Midnight
Are you on any medications? If so, please note here ...
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Pre-existing conditions
Please list any pre-existing health conditions, health concerns, symptoms or any other relevant information that might be of help with this assessment
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Self-Testing Introduction
Congratulations, you have taken the first step towards truly understanding you biological individuality and precisely what you need to do in order to bring your body back into homeostasis and full health.
You're about to learn how to run some very simple physiological tests on your body. The information gained from these tests will help me assess your Metabolic Health and identify any imbalances that will need to be corrected in order for you to move forward with your health. Once you have carried out your self-testing part of this assessment, please enter your results into the relevant "Your Results" box (don't do this until you have done all your numbers because you may lose entered data if you move to another web-page or shut down the computer). There are number of further questions to answer once you have completed these physiological tests. Some of these questions are repeated in different sections - please answer all of them. Please click the "SUBMIT" button at the bottom of the form once all questions have been answered. Your answers to these self-tests and questionnaire will be assessed as soon as possible after I have received this completed form. As soon as I receive your blood sample back I will then contact you in order to organise consultation to talk you through your results and customised protocol.
Equipment Needed
Glucometer (or use at chemist)
Blood Pressure Monitor (or use at chemist)
Stopwatch
pH Testing Strips
SELF TESTS
Fasting Blood Glucose Test
IMPORTANT:
This FASTING test should be taken
IMMEDIATELY YOU WAKE UP AND BEFORE YOU PUT ANYTHING IN YOUR MOUTH INCLUDING TOOTHPASTE
NOTE: Please convert to mg/dl as per chart below if you are measuring in mmol/l
Wash your hands prior to testing so residue from lotions, etc. don’t affect the test results. Insert a new lancet into the lancing device (Never re-use lancets), prick your finger and allow the blood to make a small bubble. (You can squeeze your finger if needed.) Depending on your glucometer, either drip the blood on top of the test strip or place the test strip up against the drop of blood and it will sip the blood up into the strip like a straw. To get your fasting glucose, test before breakfast and before you drink anything other than water or before you brush your teeth (if possible). When you want to check your fasting glucose, it's best to leave the glucometer out where you will see it first thing in the morning so you won't forget.
Your Result
Blood Glucose Reading mg/dl
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Hours since last meal?
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Blood Pressure Test (resting & resting to standing)
NOTE: Ideally take this test at least 2 hours away from eating a meal. DO NOT TAKE FIRST THING IN THE MORNING
To test your resting blood pressure, lie down, relax for a few minutes and test on your left arm according to the directions for your blood pressure cuff.
To test your standing blood pressure, lie down, push the button to start the inflation, wait approx 4 seconds and then stand up and hold your arm still (by your side) as not to disturb the machine from taking its reading. Wait approximately 5 seconds before taking the reading.
Your Results
Resting
Resting Systolic
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Resting Pulse
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Resting Diastolic
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Standing
Standing Systolic
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Standing Pulse
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Standing Diastolic
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Breath Hold Time Test
Sit comfortably. Take 3 full, deep breaths in and out. On the 4th inhale, start your stopwatch or timer at the end of the inhale and hold your breath as long as you can. Don’t pass out or anything or make this like it's a contest you have to win. But do hold your breath as long as you comfortably can. It's best not to look at the stop watch while you're holding your breath. If you do, you may be inclined to turn it into a competition and hold your breath longer than you normally would.
Your Results
Breath Hold (seconds)
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Breath Rate
This is hard to test on yourself when you’re conscious of what you’re doing because you might adjust your breathing. If you can, get someone else to test this for you so you can let your mind wonder to other things and just breathe normally - it will probably be a more accurate reading. Lie down and relax. Try to think of other things so that you breath normally. Start your timer and count the number of times you inhale for 60 seconds.
Note:
If someone else is doing this reading for you it might be a good idea to place something light coloured on your tummy so that the other person can clearly see each breath.
Your Results
Breath Rate (60 seconds)
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Saliva & Urine pHs
The first morning urine test, while being a valid test, takes greater discretion to sort out the results because you are unloading the previous days "metabolic debt", or those acids you accumulated through the previous day. By testing your urine and saliva pH either just before lunch or just before dinner,
ideally it will have been at least 2 hours since you have eaten any food.
This will be an easier test to discern what the numbers are showing.
Urine:
Simply hold the test strip in your urine stream for a second and read against the colour chart. If the chart goes from 6 to 6.5 and it’s somewhere in between, make a guess and say 6.3 or wherever you think it lands.
Saliva:
Try not to drink or have anything in your mouth for 20 minutes before testing, and wait at least 2 hours after eating. Just bring up a little saliva between your lips and run the test strip through the saliva.
Read against the chart right away
because saliva, the Co2 in your saliva will outgas and that reading will often rise the longer you wait to read it.
Note: Do both these pH tests at the same time.
Your Results
Saliva pH
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Urine pH
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These are the test strips we recommend. Please take note of the increments.
Spit
Test
Before going to bed, place a clear glass full of water on your bathroom counter or wherever you go first thing in the morning when you wake up. This will help remind you to do this test when you see the glass so you don’t brush your teeth first. Make sure the glass is see-through so you can see what’s going on inside. Immediately upon waking, swallow the saliva in your mouth and bring up some new saliva. Let it drop gently into the glass on top of the water. Now watch what happens. You’re looking to see if the saliva floats on top of the water or if it starts to string down into the water. Watch for 30 seconds or so to determine this.
Your Results
Spit Test
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SELECT ONE
SALIVA FLOATING
SALIVA STRINGING DOWN
Dermographic Line
To perform this test, run the non-ink side of a pen across the inside of your arm and then wait 20-30 seconds to see if your skin turns red, white, or the mark just disappears. If the mark disappears, you would be considered balanced in this test.
This is an autonomic nervous system indicator. Typically if a person's vascular system is constricted, the dermographic line stays with a white centre and can indicate the individual is leaning too far on the sympathetic side. If the dermographic line stays red, that can indicate a person is leaning toward the parasympathetic side.
Your Results
Dermographic Line
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SELECT ONE
RED
WHITE
DISAPPEARS
Gag Reflex
Gag reflex is another indicator of the autonomic nervous system. High gag reflex is indicating that a person is leaning toward the parasympathetic side. The lack of a gag reflex indicates a leaning toward the sympathetic side. No test is required here. Simply ask yourself, if I'm brushing my teeth and the toothbrush goes a little too far back, do I have a tendency to gag?
Your Results
Gag Reflex
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SELECT ONE
Gag Reflex (YES)
Gag Reflex (NO)
Pupil Size
Pupil size is another indicator of the autonomic nervous system. Small pupils indicate parasympathetic; large pupils indicate sympathetic. Looking at the coloured area of your eye, if your pupils cover less than 25% of that space, they can be considered small. If your pupils cover more than 50% of the coloured area, they can be considered large. If your pupils take up between 25% - 50% of the coloured space, this can be considered normal.
Select one of the 9 pupil sizes below and record results.
Your Results
Pupil Size
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SELECT ONE
1
2
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8
9
Questionnaire
Do you suffer from vertigo (a specific kind of dizziness - a sense that you, or your environment, is moving or spinning, even though there is no movement)?
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Please Select
YES
NO
Do you suffer from depression?
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Please Select
YES
NO
Do you suffer from general fatigue?
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Please Select
YES
NO
Do you suffer from insomnia?
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Please Select
YES
NO
Do you have cravings?
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Please Select
YES
NO
Do you suffer cramps?
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Please Select
YES
NO
Do you suffer hypertension?
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Please Select
YES
NO
Do you have poor circulation?
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Please Select
YES
NO
Do you suffer cardiovascular disease?
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Please Select
YES
NO
Do you normally have a high body temperature?
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Please Select
YES
NO
Do you have polyuria (excessive or abnormally large production or passage of urine)?
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Please Select
YES
NO
Do you find it hard to wake up in the morning?
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Please Select
YES
NO
Do you suffer from anxiety?
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Please Select
YES
NO
Do you normally have a low body temperature?
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Please Select
YES
NO
Do you have olyguria (low output of urine)?
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Please Select
YES
NO
Do you often have soft / loose stools?
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Please Select
YES
NO
Do wake up in the morning easily?
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Please Select
YES
NO
Are you slow to heal?
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Please Select
YES
NO
Do you get migraines?
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Please Select
YES
NO
Do you suffer from muscle loss?
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Please Select
YES
NO
Do you suffer from weight issues?
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Please Select
YES
NO
Do you get irritable when hungry?
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Please Select
YES
NO
Do you have type II diabetes?
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Please Select
YES
NO
Are your hands normally warm and dry?
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Please Select
YES
NO
Are your fingers warmer than your triceps?
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Please Select
YES
NO
Do you suffer from asthma?
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Please Select
YES
NO
Do you suffer from allergies (not food)?
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Please Select
YES
NO
Are your hands normally cold?
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Please Select
YES
NO
Are your fingers colder than your triceps?
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Please Select
YES
NO
Is your mouth normally dry?
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Please Select
YES
NO
Do you suffer from food allergies?
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Please Select
YES
NO
Do you suffer from shortness of breath?
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Please Select
YES
NO
Do you suffer from chronic fatigue?
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Please Select
YES
NO
Do you suffer from sleep apnea?
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Please Select
YES
NO
Do you normally suffer from Osteoarthritis?
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Please Select
YES
NO
Do you normally suffer from Rheumatoid Arthritis?
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Please Select
YES
NO
Do you frequently pass gas after meals?
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Please Select
YES
NO
Do you suffer from reflux or heartburn?
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Please Select
YES
NO
Do you often burp after meals or feel bloated? (Even just small burps.)?
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Please Select
YES
NO
Does your meal ever feel like it's sitting in your stomach like a rock for too long?
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Please Select
YES
NO
Do you crave sweet or salty foods?
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Please Select
YES
NO
Do some foods make you nauseous?
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Please Select
YES
NO
Is your stool sometimes lighter than the colour of corrugated cardboard?
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Please Select
YES
NO
Do you have regular (daily) bowel movements?
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Please Select
YES
NO
How many bowel movements do you have on a typical day?
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Do you ever experience heartburn or acid reflux?
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Please Select
YES
NO
Have you recently taken any antacids or acid reflux medications?
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Please Select
YES
NO
Are you frequently constipated?
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Please Select
YES
NO
Do you frequently experience diarrhoea?
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Please Select
YES
NO
Do you have a stomach ulcer?
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Please Select
YES
NO
Have you had your gallbladder removed?
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Please Select
YES
NO
Do you ever see undigested food in your stool?
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Please Select
YES
NO
Do you seem to gain weight no matter what you eat?
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Please Select
YES
NO
Do cravings frequently derail your weight loss attempts?
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Please Select
YES
NO
Conductivity Readings
NOTE:
This test is only for those of you that have access to a conductivity meter (not essential). Ideally these readings are taken later in the day/early evening.
Urine mS
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Saliva mS
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Urine Debris
NOTE:
Please carry out this test towards the end of the day at least an hour away from drinking anything.
Add some urine to a clear plastic cup, hold the cup up to the light and gauge how much debris is floating around in the urine (small bits/particles):
If you can see clearly through the cup with only a few bits or particles floating around, select LOW.
If you can see clearly through the cup but notice a higher level of bits or particles floating around in the sample, select MEDIUM.
If you cannot see clearly through the cup and notice large amounts of particles floating in the sample, select HIGH.
Level of debris in Urine
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Please Select
LOW
MEDIUM
HIGH
Approximately how many litres of water do you drink per day (not including coffee / tea / soft drinks etc?
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Please Select
0.5
1
1.5
2.0
2.5
3
3.5
4
4.5
5
Over 5
Do you drink coffee regularly?
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Please Select
YES - 1 Cup per day
YES - 2 Cups per day
YES - 3 Cups per day
YES - More than 3 Cups per day
I don't drink coffee
Do you drink alcohol on a regular basis?
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Please Select
YES
NO
Do you smoke tobacco?
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Please Select
YES
NO
How much salt do you normally add to your food or water each day?
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Please Select
I don't eat salt
0-5 grams
5-10 grams
10-15 grams
over 15 grams
What type of salt do you normally use (normal table salt / Celtic sea salt / Himalayan pink salt etc.)
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Do you take recreational drugs?
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Please Select
YES
NO
Do you normally drink water / alcohol / other drinks with your meals?
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Please Select
YES
NO
What is normally your first drink of the day?
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Do you normally drink your first drink of the day before you eat any food?
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Please Select
YES
NO
Please list any other drinks you would normally drink each day
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How many hours of sleep on average do you get each night?
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Please Select
1
2
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5
6
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10
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13
How often do you exercise?
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Please Select
Daily
Weekly
Monthly
I don't usually exercise
What type of exercise do you do?
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Please list any supplements you are taking and why you are taking them.
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Do you normally eat breakfast?
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Please Select
YES
NO
Please list foods you would normally eat for breakfast?
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Do you normally eat lunch?
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Please Select
YES
NO
Please list foods you would normally eat for lunch
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Do you normally eat tea / evening dinner?
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Please Select
YES
NO
Please list foods you would normally eat for tea / evening dinner?
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Do you normally eat supper?
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Please Select
YES
NO
Please list foods you would normally eat for supper
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On a scale of between 1 an 10 (1 being very poor and 10 being excellent), how would you rate your current emotional wellbeing?
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Please Select
1
2
3
4
5
6
7
8
9
10
Submit
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