T MISCELLANEOUS PAGE 2 Do you occasionally have uncontrollable muscle spasms? Do your hands tremble when stretching? Do you have a twitching tongue, l

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1 MOODS Please note it is in your own intrest that the test is only efficient if you answer the questions honestly Do you sweat the small stuff? Do you get aggravated quickly when someone critizes you? Are you discouraged quickly? Do you suffer from depression? Do you have trouble tackling a new task? Are you often depressed? Do you suffer from fears? Are you shy and insecure? Did you ever or do you have suicidal thoughts? SLEEP - TIREDNESS Do you get tired often? Do you have an increased urge to sleep? Do you still feel tired after sufficient sleep? Do you suffer from insomnia? Sudden awakening because your body is in turmoil? Poor sleep with many dreams? Do you have the feeling that you are coming down with a cold? Are you shaky? Do you feel shivers once in a while? Do you feel sick? Do you have a feeling of feebleness? SPEECH & THINKING Do you often forget what you were about to say? Do you have difficulties concentrating? Is it difficult for you to move your lips? Is your speech impaired? Is it difficult for you to complete a thought? Is if difficult for you to follow when someone is speaking? Is it difficult for you to comprehend what you have read? Is it difficult for you to remember something from the past? Please go to page 2

2 T MISCELLANEOUS PAGE 2 Do you occasionally have uncontrollable muscle spasms? Do your hands tremble when stretching? Do you have a twitching tongue, lips or eye lids? Do you tremble as if you had shivering fits? Do you have unintentional weight loss? Do you suffer from lack of appetite? Do you occasionally have hot flashes? Are you frequently cold? Are parts of your body occasionally cold- nose, hands, feet? Do you occasionally have swollen fingers, feet, wrists or ankles? CRAMPS AND PAIN Cramps or uncontrollabel twitches in the face? Do you have cramps in your calf? Aching muscles between - under - or behind the shoulders? Pain in hands or feet? Pain in arms or legs? Do you have pains in your neck? Do you generally have shoulder pains? Do you have pain in your joints? Do you have pains in the lumbar region or genitals? Do you have pains in the sternum? Does the pain spread towards the back? Do you have pain under your right rib? Do you have pain under your armpits? Do you have shoulder pains in general? GENITALS Do you have irregular menstrual periods? Do you feel uncomfortable before your menstrual periods? Please go to page 3

3 PAGE 3 Do you have heavy menstrual periods? Do you have light menstrual periods? Do you have increased trouble during your period? Do you have increased trouble after your period? Do you have prostate problems? SKIN - HAIR - NAILS Do you get a rash - irritated skin - after touching metal? Do you get a rash after sunbathing? Are you getting more and more freckles? Adults: Do you get continuously more pimples? Are you susceptible to haematoma? Do you have boils on your body? Is your skin itching once in a while? Do you have repeated rashes? Do you get eczema once in a while? Do you sometimes feel like your skin is crawling? Does your skin have a yellowish tone? Are you rather pale? Do you sweat a lot? Is your hair dull or brittle? Has your hair turned darker for unexplainable reasons? Do you have hair loss? Do you have brittle finger nails? HEAD Do you often have head aches? Are you dazed once in a while? Do you feel giddy which makes it difficult for you to walk? Go to page 4

4 PAGE 4 Did you ever fall due to giddiness? Did you ever feel giddy as if you were swaying? Giddy when lying down? Numbness or cold feeling at the back of your head? Does your head feel like it is bursting? Do you feel pressure on your forehead? Do you feel like your eyes are pressing out? Do you have sunken eyes? Do you have blood-shot eyes? DIGESTIVE ORGANS - BLADDER Do you have feelings of nausea once in a while? Do you often burb or suffer from heartburn? Do you vomit? Do you often feel bloated? Do you have gas pains? Do you often have stomach aches? Do you often have abdominal pains? Is the colour of your stool light? Is the colour of your stool dark? Do you have loose stool? Do you often have diarrhea? Are you often constipated? Passing water: Small, dark quantities Passing water: Large, light quantities HEART & BREATHING Do you have an irregular heartbeat? Do you have a weak heartbeat? Do you sometimes feel like your heart would stand still? Go to page 5

5 PAGE 5 Do you have a strong, fast heartbeat? Do you have pains spreading towards your chest? Do you have a high heart rate? Do you have a slow pulse? Fast heart rate at little effort? Out of breath at little effort? Out of breath without any effort? Short of breath for a long time? Do you have general respiratory problems? Are you gasping for breath? Do you breath forcefully? Do you have shortness of breath? Do you have a shallow breath? Do you feel your chest is weighted down? THE SENSES Do you see everything foggy? Do you have aversity to light? Is your visual field limited? For a split second you cannot see anything? Do you have sparks, stars or shaddows in front of your eyes? Are there grey or colourful spots wandering about in your visual field? You see things double? At dawn your vision is impaired? Do you have trouble hearing? You are not comprehending what you are hearing? Is your sense of smell impaired? Is your sense of smell oversensitive - food, perfume, smoke? Do you have a taste of metal in your mouth? You feel like having aluminium foil in your mouth? Do you always have a bad taste in your mouth? Please go to page 6

6 PAGE 6 Food has no taste? Burning in mouth or throat? Numbness in hands, feet or legs? General- uncomfortable sensation of warmth or heat? Do you have the feeling that your nerves are twitching? COORDINATION - ABILITY TO COPE Do you often drop objects? Do you often run into furniture corners or door frames? Are you often tired when standing? Do you have weak muscles? Are you exhausted quickly? Do you often have heavy, uncontrollable legs? Do you have increased trouble after activities? MOUTH - THROAT Do you have growths in the mouth? Do you often have bleeding gums? Do you produce a lot of saliva? Do you have a dry mouth although you drink regularly? Do you often feel thirsty? Do you have bad breath - or the feeling that you have bad breath? Do you have unexplainable tooth ache once in a while? Do you have pain in the jaws once in a while? Do you have receding gums? Do you have pimples or growths on the roof of your mouth - gums - tongue? Do you have light, white spots on lips or mouth? Do you have dark spots on the gums? Do you have dark lines between gums and teeth?? Do you have imprints of your teeth on your tongue? Do your lips or tongue feel furry? Please go to page 7

7 PAGE 7 Do you have the feeling that your tongue is too large? Do you have the feeling as if you had a lump or pressure in your throat? Do you have mucus in your throat - without having a cold? Do you have difficulties to swollow? Do you often have a hoarse throat -without having a cold? Do you often have unfounded coughing fits? Do you have a soar throat - reddening without infection? Do you often have infections? Do you have swellings in the vicinity of the thyroid glands? Do you have soft, small, movable knots on the side of your neck? Do you get a choking feeling from clothes or jewelry? Decisive symptom improvements after amalgam removal In 1991 the the Foundation Food Food Toxin T Free Dentistry analysed cases regarding side side effects effects of amalgam of amalgam If more than 80% of the symptoms apply, amalgam in the which had been been received by the by FDA the from FDA 762 from patients. 762 patients. mouth or body are most likely the culprit. 440 symptoms before before the removal the removal of amalgam of amalgam could be could be determined. Only six six months after after removal removal of the of the If 40% of the symptoms apply it has to be suspected that amalgam all all patients declared declared that: that: amalgam is the culprit if the patient suffers also from: 20% of the symptoms had disappeared 75% of the symptoms had improved 5% of the symptoms had not changed After analysing more cases in Sweden, Denmark, Canada and the United States of America, 440 symptoms were found most frequently, as stated in the charts. Our self-test: Do you have an amalgam problem? Swedish scientists have made a list of troubles found usually in amalgam affected persons and developed a self-test. Some symptoms are listed several times - in different ways - because not everybody describes them with the same words. PAINS - CRAMPS IN THE JAWS PERMANENT TIREDNESS PAINS - CRAMPS IN THE CALF PAINS IN HANDS & FEET A TASTE OF METAL IN THE MOUTH STRONG, FAST HEARTBEAT AFTER LITTLE EFFORT SHAKY HANDS DIMINISHED STRENGTH IN THE MUSCLES If this applies in your case - or if you wish to be tested thoroughly and diagnosed we would ask you to contact us so an appointment can be arranged for you.