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Your height - OLD

Your Weight*

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Your weight - OLD

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You can find our privacy policy here.

1: Do any of the following apply to you?

Epilepsy or seizures or convulsions (except febrile convulsions), Type 1 diabetes, Porphyria, total lactose intolerance, heart failure, arrhythmia or valve disease requiring treatment, taking MAOI or Lithium medications, serious mental health conditions such as schizophrenia, delusional disorder, psychotic episode, bi-polar disorder, sever kidney or liver disease, current active anorexia, bulimia or treatment for any other eating disorder

Section 1: Do any of the following apply to you?*

No
Yes

We’re sorry but under NICE guidelines you may not be suitable to follow our Total Programme. You can, however, use our Foodpacks to FlexiFast.

2: Do any of the following apply to you?

A heart attack or any other heart issues including Angina? a stroke or TIA? Taking medication for type 2 diabetes, or high blood pressure, or anti-coagulant medication (such as warfarin)?

Section 2: Do any of the following apply to you?*

No
Yes

Please speak with your medical professional about your suitability for the Total Programme. They may need to reduce your medication as you lose weight.

3: Do any of the following apply to you?

A serious illness, injury, trauma in the last 3 months? Thrombosis (blood clots) or treatment for thrombosis in the last 6 months? Pregnant or breast feeding as the baby’s main form of nutrition? Given birth or had a miscarriage at more than 20 weeks gestation in the last 3 months?

Section 3: Do any of the following apply to you?*

No
Yes

Your body needs time to repair and so we suggest that you use Flexifasting for a while until you have passed the time restraints above. After that you can move onto our Total Programme.

Confirmation

I confirm*

By clicking the Submit button, I am confirming that I have read the above, the information I have provided is correct and I have ticked the correct boxes. I will speak with my medical professional where appropriate.

Data Protection*

Data Protection (shorthand for 'we take your privacy seriously'). By ticking this box you agree to the release of the information you have entered to LighterLife Centres, LighterLife UK Limited and LighterLife Group Works Limited (LighterLife). LighterLife will comply with the Data Protection Act 1998 in processing your personal data. This means that your details will not be passed to third parties without your consent. Although your personal data is essential for us to provide you with LighterLife services and products and you consent to us processing your personal data, you can exercise your right to prevent such data processing and "opt out" by emailing us at any time at privacy@lighterlife.com inserting “UNSUBCRIBE” as the subject. Read our Privacy Policy.

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