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About Us
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Menu

Turnkey Nutrition Counseling Program
Body composition analyzer
Request Meal Plan
Meal Plan Software
Revenues
Training / Marketing
Benefits
About Us
For Patients
More

Request More Information

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Lifestyle Nutrition Request For More Information

Request a Private Webinar To Review Your Nutrition Program.

First Name

Last Name

Speciality

Assistant Name

Daytime Phone

Evening Phone

Fax

Email

Confirm Email

Address

City

State

Zip

I am primarily interested in (Please check at least 1).

Interest Areas

Scientific Validity CPT Insurance Income Potential Practice Building Marketing Tool Elevate Current Nutritional Program / Products Disease Management Cash Income Potential Medical or Health Risk Assessments Corporate Wellness Program

Comments

Doctor: Complete Questionnaire below to realistically evaluate the Lifestyle Nutrition Metabolic Counseling Program for your philosophy and patient demographic. (Demonstration Purposes)

Height

Sex

Weight LBS

Birth Month

Birth Year

The Lifestyle Metabolic Analyzer Accurately Provides Metabolic and Body Composition Data. Please estimate your body fat for demonstration purposes.

Basic guidelines :

Healthy range Males 11 - 15%

Healthy range Females 16 - 24%

Your Estimated Body Fat %

Your Personal Goal Weight

Rate of Weight Loss/Gain Pounds Per Week

Meal Preferences

How many meals per day do you want to eat? Meals

Snacks

Body Fat Measured by Scales or Hand Held Devices are Not Accurate but we can use this body fat reading for demonstration purposes.

How did you estimate your body fat?

Name of device

What size are your meals and snacks?

Breakfast

AM Snack

Lunch

PM Snack

Dinner

Bedtime Snack

Exercise

List at least one or two favorite exercises you are willing to start or are already doing, such as aerobics, tennis, weight training, walking, cycling, swimming, etc., and which days (recommend 3 days per week minimum).

Activity 1

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Activity 2

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Activity 3

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Meal Plan Options

Most doctors use the default meal plan.based on your metabolism, lean mass, age, sex, ht, wt & activity level or you can specify what type.

Meal Plan Options

Default Meal Plan Diet for GLP-1 Medications Diabetic, Pre-Diabetic AM Heart Vegetarian, Vegan Zone Ketogenic Intermittent Fasting Arthritic Atkins Sports Nutrition Chronic Fatigue Paleo Metabolic Syndrome Fibromyalgia Gluten Free Pregnancy Pritikin Like Alkaline Fatty Liver Pain Mgt.

What DAY and TIME would you prefer a WEBINAR with a NUTRITIONIST to review your nutritional program, the economic benefits of the program to your specific practice and any COMMENTS.

First Name

Last Name

Speciality

Assistant Name

Daytime Phone

Evening Phone

Fax

Email

Confirm Email

Address

City

State

Zip

I am primarily interested in (Please check at least 1).

Interest Areas

Scientific Validity CPT Insurance Income Potential Practice Building Marketing Tool Elevate Current Nutritional Program / Products Disease Management Cash Income Potential Medical or Health Risk Assessments Corporate Wellness Program

Comments

Doctor: Questionnaire below to realistically evaluate the Lifestyle Nutrition Metabolic Counseling Program for your philosophy and patient demographic. (Demonstration Purposes)

Height

Sex

Weight LBS

Birth Date

The Lifestyle Metabolic Analyzer Accurately Provides Metabolic and Body Composition Data. Please estimate your body fat for demonstration purposes.

Basic guidelines :

Healthy range Males 11 - 15%

Healthy range Females 16 - 24%

Your Estimated Body Fat %

Your Personal Goal Weight

Rate of Weight Loss/Gain Pounds Per Week

Meal Preferences

How many meals per day do you want to eat? Meals

Snacks

Body Fat Measured by Scales or Hand Held Devices are Not Accurate but we can use this body fat reading for demonstration purposes.

How did you estimate your body fat?

Name of device

What size are your meals and snacks?

Breakfast

AM Snack

Lunch

PM Snack

Dinner

Bedtime Snack

Exercise

List at least one or two favorite exercises you are willing to start or are already doing, such as aerobics, tennis, weight training, walking, cycling, swimming, etc., and which days (recommend 3 days per week minimum).

Activity 1

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Activity 2

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Activity 3

Minute

Day

Mon Tue Wed Thur Fri Sat Sun

Meal Plan Options

Most doctors use the default meal plan.based on your metabolism, lean mass, age, sex, ht, wt & activity level or you can specify what type.

Meal Plan Options

Default Meal Plan Diet for GLP-1 Medications Diabetic, Pre-Diabetic AM Heart Vegetarian, Vegan Zone Ketogenic Intermittent Fasting Arthritic Atkins Sports Nutrition Chronic Fatigue Paleo Metabolic Syndrome Fibromyalgia Gluten Free Pregnancy Pritikin Like Alkaline Fatty Liver Pain Mgt.

What day and time would you prefer a webinar with a nutritionist to review your nutritional program and the economic benefits of the program to your specific practice?

Please verify all details are correct before submitting

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