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Toxicity Symptom Checklist

 

Learn More About My Detox Services

 

Many of my clients and readers are surprised by all of the different conditions which can be indications of toxicity in the system. In fact, this simple "quiz" is quite an eye opener for them!

Print out my Toxicity Symptom Checklist below in order to evaluate your present toxicity level. Put today's date at the top of the first column, and then score yourself for each of the symptoms listed according to the following scale:

0 = absent

1 = mild

2 = moderate

3 = severe

Add up your scores for a total toxicity score with todayıs date.

If you decide to follow the detox plan presented in either THE BODY SMART SYSTEM or REJUVENATE or you work with me as your detox coach, I will recommend that you retest yourself at the end of the program and again three months later. You will notice a marked drop in your toxicity level on Day 21 and again in 90 days as you continue to incorporate your new lifestyle practices into your daily routine. 

  (Day 2)  (Day 21)  (Day 21 + 90 days)   
Symptom Date: Date: Date:
       
Overweight or underweight
 
 
 
Abdominal pain, tenderness, or cramping
 
 
 
Protruding abdomen
 
 
 
Heartburn
 
 
 
Gas, burping, or flatulence
 
 
 
Bad breath
 
 
 
Coated tongue
 
 
 
Offensive body odor
 
 
 
Skin blemishes or sallow complexion
 
 
 
Dark circles under the eyes
 
 
 
Facial puffiness
 
 
 
Fluid retention or bloating
 
 
 
Dry or brittle hair
 
 
 
Brittle nails
 
 
 
Low back pain
 
 
 
Premenstrual tension
 
 
 
Premenstrual or menstrual discomfort (e.g., sore breasts, bloating)
 
 
 
Sore joints
 
 
 
Reduced sexual desire
 
 
 
Headaches
 
 
 
Fatigue
 
 
 
Depression
 
 
 
Irritability or anxiety
 
 
 
Low energy
 
 
 
       
Total Toxicity Score: 
 
 
 
 
   
   
 

Copyright Helene Silver

 

Helene Silver  |  Sonoma, CA