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Where are you from? *

Henderson/Las Vegas

Northern Nevada

Out Of State

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What is your current diagnosis? (select all that apply) *

Multiple Sclerosis

Hashimotos

Infertility

Mold Toxicity/Biotoxin Illness

Lupus

Gut Issues (IBS, Crohns, Ulcerative Colitis)

Unsure/Undiagnosed

Other

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108 Republic Ave. Ste. B
Lafayette, LA
337-456-6555