How Do I Know If I have Food Sensitivities?

April 24, 2013 by VIEO Design

Have you experienced any of the following symptoms in the last 60 days:

Symptom Scoring System:
●○○○= No Symptoms (Zero Points)
○●○○= Experience Mild Symptoms (One Point)
○○●○= Experience Moderate Symptoms (Two Points)
○○○●= Severe Symptoms (Three Points)

If your score is over 40 we believe you should contact our office today for an assessment. Also, if any one symptom is severe enough, it may require consideration.

Digestive Symptoms Emotional/Mental
○○○○ Stomach Pains or Cramping
○○○○ Constipation
○○○○ Diarrhea
○○○○ Reflux or Heartburn
○○○○ Bloating
○○○○ Gas
○○○○ Nausea or Vomiting
○○○○ Depression
○○○○ Anxiety
○○○○ Mood Swings
○○○○ Irritability
○○○○ Poor Concentration
Weight Energy
○○○○ Inability to Lose Weight
○○○○ Food Cravings
○○○○ Binge Eating
○○○○ Water Retention
○○○○ Fatigue
○○○○ Hyperactivity
○○○○ Lethargy
○○○○ Restlessness
○○○○ Insomnia
Sinus/Respiratory Skin Disorders
○○○○ Stuffy or Runny Nose
○○○○ Asthma
○○○○ Chest Congestion
○○○○ Chronic Cough
○○○○ Wheezing
○○○○ Frequent Sneezing
○○○○ Eczema
○○○○ Dermatitis
○○○○ Excessive Sweating
○○○○ Rashes
○○○○ Hives
Head/Ears  Other Symptoms:
○○○○ Migraines
○○○○ Headaches
○○○○ Earaches
○○○○ Ear Infection
○○○○ Ringing in Ears
○○○○ Joint Pain
○○○○ Arthritis
○○○○ Irregular Heartbeat
○○○○ Chest Pains
○○○○ Muscle Aches
Eyes/Throat Total Score:_________
○○○○ Itchy Eyes
○○○○ Watery Eyes
○○○○ Sore Throat
○○○○ Persistent Canker Sores

 

 

Western Ave. / I-640

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Knoxville, TN 37921
Office: (865) 524-1234
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Tuesday: 7am - 5:30pm
Wednesday: 7am - 11:30am
Thursday: 7am - 5:30pm
Friday: 7am - 5:30pm
Saturday: 8am - 11am
Sunday: Closed

Cedar Bluff

312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093

Monday: 8am - 5:30pm
Tuesday: 7am - 5:30pm
Wednesday: 2pm - 5:30pm
Thursday: 8am - 5:30pm
Friday: 7am - 5:30pm 312 Prosperity Drive
Suite 101
Knoxville, TN 37923
Office: (865) 691-3155
Fax: (865) 694-8093