Lyme Strategies
  Practical Research on Lyme Infection

Researchers' Reports

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Researcher Report Forms

The following form can be used to help with the overall research effort regarding the Salt/C protocol.   

The first part is the initial, establishing form where you can fill in basic info regarding your own lyme condition prior to the start of the protocol.

The second part can be done then as an "update report" periodically, to report changes and observations as the occur.

You can come back at any time you feel a significant point to report.  

Just fill in as indicated and then hit the "submit" button at the bottom.  Your help in the overall effort is greatly appreciated.

Onward & upward,

Lyme Strategies

Part 1: Initial Case Report
(*Optional fields)

Name:
Email:
Address:*
City:*
State/Province:
Postal Code:*
Country:
When Infected:
(estimated or established)
How established:
Treatments To Date (List briefly)
How did you hear about the Salt/C protocol?
 

Description/Itemization of Symptoms (describe briefly):
Head Area: 
Eye/Vision:
Ear area/hearing
/tinnitis/balance:
TMJ/Jaw/teeth area:
Neck area:
Back area:
Lymph area:
Joint area (anywhere):
Muscle area (anywhere):
Nerve/neurological (any aspect):
Sleep pattern:
Emotional/Mood:
Heart area:
Liver/gall bladder area:
Kidney area:
Spleen area:
Pancreas area:
Urinary/bladder area:
Reproductive organ area:
Temperature:
Appetite:
Sweating (sweats or lack of sweating):
Fever/chills:

Any area not covered by the above inventory:

 
Which of the described areas are the most noticeable/severe?

 

             

Part 2: Case Update Report

Name: 
Email:
When started?
Other protocols/ treatments being done?
How long on protocol?
Dosing/measurements coinciding with items reported?

Describe observations/experience:

 

 

Thank you! 

Onward & Upward, 

Lyme Strategies

 
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