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LIA Questionnaire Requirements
1. Height in inches
2. Weight in pounds
3. Waist Circumference in inches
4. Hip Circumference in inches
5. Bowel Transit Time in Hours
Bowel Transit Time
To calculate your BOWEL TRANSIT TIME, eat a handful of sunflower seeds with a large meal of the day, but do not chew them very well. You want to leave intact the cellulose layer around the seed.
Mark down the time that you take them.
Time and date taken: .
Now watch your bowel movements and when you see the kernels of sunflower seeds, mark this time down.
Time and date when first observing the kernels come through.
Calculate your BTT
Documents Required
1. A one week diet diary
2. A list of all your present nutritional supplements
3. A copy of a one week grocery receipt.
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1. A One Week Diet Diary
List all your foods and beverages that you consume for every meal at every snack. List separately, all vegetables that may be in a mixture. Take a sheet with you when you go to work or to a restaurant. Mark all your foods down. Add other sheets as necessary.
Do not change your diet in any way for this diary or the results will not be accurate. This information is used to help you eat in a more healthy way. If you have an unusually large meal or at mail that is not the normal for your household, then indicate this on the sheet.
Start the list like the following.
The LIA One Week Diet Diary
Date and Meal: Record all food & drinks consumed, including condiments.
Breakfast:
Please attach other sheets with your name and the date on them.
2. A list of all your present nutritional supplements
Review of your Present Nutritional Supplementation
Record your present vitamin, mineral, and other supplement intake.
Name: Date:
List all of the vitamins, minerals, and other supplements of all kinds of that you consume. Include the manufacturer's name. Add other sheets as necessary.
Bottle or package label name and Manufacturer Amount of Ingredients
List every ingredient in the product please.
3. A copy of a one week grocery receipt.
Please provide a copy of a one week grocery receipt list.
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