Healthy Biome HPx Program: Establishing the foundation of
life and vitality.

All individuals without preexisting pathologies of the intestines or aberrant immune system functionality are eligible to register in research for the Healthy Biome HPx Program.


The basis of human vitality arises from a healthy biome as does the vigor and functionality of every body system. More importantly health biome supports the intestinal lining which is the primary surface of immune system which serves as the surface layer for all other immunological activities.


This homeoprophylaxis (HPx) program establishes healthy bacteria populations and set s the stage for healthy immune activity through conditioning the intestinal lining and expelling pathogenic bacteria. It is the inter play of infectious disease nosodes with mucus membranes that initiates the immune system.

A healthy biome is foundational t o immunologically process any future HPx dosing and develop the appropriate disease specific immune responses . Antibiotics and antifu ngals not only disturb the body’s commensal bacteria, they also upregulate pathogenic bacteria, import yeasts and mold s, and negatively impact immune system functionality

If three or more interventions or conditions bellow are selected, constitutional ho meopathic care prior to commencing the Healthy Biome HPx Program is recommended. HPx is not intended to be used for treatment of pre - existing conditions but to reduce potential conditions from developing. This inclusion/exclusion document will also be used to analyze remedy responses and health outcomes from program participation.


All Personal Health Information (PHI) will be held in confidence within the Patron Portal and not associated with any data entered. Non - personal Health Information (non - PHI) will be used for analysis purposes.


All information will be held in confidence i n the Patron Portal and not be made available to any private, public, or government entity unless there is cause for concern of self - harm or harm of others where it is required by law to report.


Interventions or conditions Yes
No		 Talk with your practitio ner before proceeding. Constitutional homeopathic care is be needed before proceeding
Antibiotics History of no antibiotics
History of less than 5 rounds of Antibiotics
History of 6 - 10 rounds of antibiotics Consult your practitioner
More than 11 rounds of Antibiotics Consult your practitioner
Yeast, fungal, parasites conditions History of Yeast infections Consult your practitioner
History of antifungal or antimicrobial medications Consult your practitioner
History of Worms Consult your practitioner
History of Parasites Consult your practitioner
Conditions History of Irritable Bowel Syndrome Consult your practitioner
History of Celiac disease Consult your practitioner
History of Crohn’s disease Consult your practitioner
History of SIBO Consult your practitioner
Pre - existing Conditions Asthma Consult your practitioner
Eczema Consult your practitioner
Allergies Consult your practitioner
Repeated illness Consult your practitioner
Developmental delays Consult your practitioner
Behavioral difficulties Consult your practitioner
Atypical neurological development Consult your practitioner

Please proceed to Intake and checkout , repeat form for additional children and check out

3 or more X : Thank you for considering the Healthy Biome HPx. At this time, we recommend a full health intake with your HPx Practitioner and constitutional homeopathic care to address some of your underlaying conditions more thoroughly before proceeding with the Health y Biome HPx Protocol. Once stabilized in health then re - register.


Intake
A. File number B. Date C. HP Supervisor
D. Name of Registrant E. Sex Male Female ,DOB
F. Age at time at registration: Years ,Months
Check all that apply.

  1. Current stool condition (pre-program)
    • Healthy stool
    • Number of times per day
    • Quality of stool (Biome stool chart)
      1. Type 1
      2. Type 2
      3. Type 3
      4. Type 4
      5. Type 5
      6. Type 6
      7. Type 7
      8. Changeable
      9. Other

    • Odor
      1. Sour
      2. Fermented
      3. Pungent
      4. Foul
      5. Rotten
      6. Sulphur
      7. Bitter
      8. Other
    • Color
      1. White
      2. Black
      3. Brown
      4. Green
      5. Orange
      6. Other
    • Blood in stool
    • Mucous on stool
    • Other
      1. Reflux
      2. Vomiting
      3. Other
    • Most recent sickness with or without a fever
      1. Cold
      2. Flu
      3. Streptococcal infection
      4. Staphylococcal infection
      5. Pneumonia
      6. Candida
      7. Clostridium difficile
      8. Non-specific dysbiosis
      9. Small intestinal bacterial overgrowth (SIBO)
      10. Food poisoning
      11. Vomiting or diarrhea
      12. Other
    • Number of antibiotic courses taken
      1. When
      2. What for
    • Number of antifungals
      1. When
      2. What for
    • History of Worms
      1. When
      2. What Type
    • History of parasites
      1. When
      2. What Type
    • Previous bowel disease diagnosis:
      1. When
      2. What for , ,
    • Other active condition:
    • Recent stool test with biome markers. (Upload here. Optional)
    • Seasonal allergies
      1. Which allergy
    • Food allergies
      1. Which food
    • Asthma
      1. Frequency 0,1, 2, 3, 4
      2. Intensity i, ii, iii, iv
    • Eczema
      1. Frequency 0, 1, 2, 3, 4
      2. Intensity i, ii, iii, iv

    Separate Data Sheet


  2. MYMOP2
    1. File number:
    2. Today’s Date:
    3. Practitioner:

      4. While HPx Programs are not intended to treat pre-existing conditions, it may be that after completing such a course of remedies health may improve. As such as there may be some condition you are hoping to address through this HPx program please complete the following.

      Choose one or two symptoms (physical or mental) which bother you the most. Write them on the lines. Now consider how bad each symptom is, over the last week, and score it by circling your chosen number.

      As good as it could be, 6 as worse as it could be.


    4. Symptom one
        5. a. Rate: 0, 1, 2, 3, 4, 5, 6
    5. Symptom two
        6. a. Rate: 0, 1, 2, 3, 4, 5, 6

      Now choose one activity (physical, social, or mental that is important to you, and that one or both problems above prevent you from doing it.
    6. Activity
        7. a. Rate: 0, 1, 2, 3, 4, 5, 6
    7. How would you rate your general feeling of well being during the last week prior to commencing this HPx Program?
        8. a. Rate: 0, 1, 2, 3, 4, 5, 6
    8. How long have you had Symptom one
      • 0-4 weeks
      • 4-12 weeks
      • 3 months to 1 year
      • 1-5 years
      • Over 5 years
    9. Are you taking medication for this problem. Yes/No
      • If Yes; name of medication and dosage
        • Is cutting down this medication…
          • Not important
          • A bit important
          • Very Important
          • Not applicable
      • if No
      • Is avoiding medication for this problem
        • Not important
        • A bit important
        • Very Important
        • Not applicable


Book your registration appointment with your practitioner here.

  • Link to Patron Portal
  • Link to d.8. Single Disease Exit interview.
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