[cs_content][cs_element_section _id=”1″ ][cs_element_layout_row _id=”2″ ][cs_element_layout_column _id=”3″ ][x_custom_headline level=”h2″ looks_like=”h2″ accent=”false” class=”cs-ta-center” style=”margin: 0px;text-shadow: 1px 1px #fff;”]Folic Acid Mini-Test[/x_custom_headline][/cs_element_layout_column][/cs_element_layout_row][/cs_element_section][cs_element_section _id=”5″ ][cs_element_layout_row _id=”6″ ][cs_element_layout_column _id=”7″ ][gravityform id=”4″ title=”false” description=”false” ajax=”true” tabindex=”1″][/cs_element_layout_column][/cs_element_layout_row][/cs_element_section][/cs_content][cs_content_seo]Folic Acid Mini-Test

Which of these apply to you?

Delayed Wound Healing

Lack of Appetite

Heartburn and/or Indigestion

Inflammation and/or Soreness of the Tongue

Cracks at the Corners of the Mouth

Lips which are Constantly Chapped

Memory Loss

Growth Impairment

Dry and/or Brittle Hair

Slow Growing Nails and/or Hair

Mouth Sores, that is Canker Sores

Receding and/or Bleeding Gums
Do you have hangnails?*Yes, ModeratelyYes, SeverelyNoDo you smoke cigarettes heavily, that is one-third pack or more per day, or have you smoked heavily in the past for over five years?*YesNoDo you drink alcoholic beverages?*A Few per WeekOne or Two DailyThree to Five DailySix or More DailyNoDo you consume refined sugar obviously or hidden in food?*Moderate ConsumptionSevere ConsumptionExtreme ConsumptionNoDo you have a history of abnormal pap smears,
cervical dysplasia, and/or cervical cancer?*YesNoDo you have gout?*YesNoDo you have celiac disease and/or wheat allergy?*YesNoDo you avoid eating dark leafy green vegetables?*YesNoDo you take birth control pills currently?*YesNoHave you taken birth control pills in the past for five or more years?*YesNoDo you take antibiotics?*Yes, Several Doses per YearYes, Several Doses per Month or WeekNoDo you take Dilantin?*YesNoDo you take Tagamet, Pepsid, Nexium, or Zantac on a daily or weekly basis?*YesNoDo you take aspirin on a daily or weekly basis?*YesNoAre you on the drug Methotrexate and/or are you under-going chemotherapy?*YesNo

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