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Home Uncategorised Diet Plan

Diet Plan

Name: Diet Plan
SKU: 11653
Price: 25.00 GBP
Availability: InStock

£25.00

Diet Plan quantity

Category: Uncategorised

Description

Description

Didun Test --- Diet plan, no touch

Full Name

Contact Email

Contact Number - please include your country code

Your WhatsApp number include country code

Country of Residence

Occupation

Date of Birth

Weight in KG

Height In CM

Are you based in London, If yes , Would you like to book clinic consultation for you?

Do you have other symptoms with your periods? Or general?

Headache

Neck & Shoulder Stiffness or Ache

Back Pain

Breast Tenderness

Bloating

Gas

Constipation

Poor Sleep

Night Urination

Low Energy or Fatigue

Anxiety, Moody

Poor Concentration

IBS

Cold Hands/Feet

Tiredness

Skin Dryness

Dehydration (Thirst)

Anemia

Overweight

None of the above

If any applies, when during your cycles do you have these symptoms (check all that apply)

Before

During

After

Have you ever had any of the following infections involving any part of the reproductive system?

Vagina

Cervical Uterus

Ovaries

Fallopian Tubes

None of the above

If you had any treatment for these, when? (leave blank if you did not)

Have you ever attempted in vitro fertilization (IVF)?

Yes

Medical history - do you have the following conditions?

High Blood Pressure

High Cholesterol

Diabetes

Allergies

How much water/liquid do you drink daily?

< 1 litre

1-1.5 litre

1.5-2 litre

> 2 litre

Do you consume meat or follow a vegetarian/vegan diet?

Omnivore (Eats Meat & Plant-Based Foods)

Vegetarian

Vegan

Where did you hear about us? Where did you hear about us?

I would like to receive email updates from TCM blog by GinSen *

Yes

Our privacy policy can be found in the footer.

I can confirm I have read the terms and conditions

Yes

Terms and conditions can be found in the footer.

Diet Plan *

Diet Plan consultation

Coupon

Coupon Expiration Date

Total

Payment *

If you are human, leave this field blank.

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Chelsea Clinic

157 King's Road
Chelsea
London
SW3 5TX

Kensington Clinic

10 Kensington Church Street
Kensington
London
W8 4EP

Opening Hours

Mon – Sat : 10am – 8:30pm
Sun : 11am - 8pm

Clinic Bookings

Tel 0207 937 7968

Clinic WhatsApp/Mobile

Chelsea 07388823158
Kensington 07555741698

FREE CONSULTATION

Online form: Click here

Virtual Online Consultation

Tel 07769870919 / 07917885925

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Disclaimer:

* These statements have not been evaluated by the Food and Drug Administration. This information is not intended to diagnose, treat, cure, or prevent any disease. We can’t guarantee the treatment result, as the symptoms of conditions are unpredictable and vary greatly from person to person. The treatment length and recovery time also varies for individual.

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