Liver Health Nutrition Programme Liver Health Nutrition Programme. Name Name First Name First Name Last Name Last Name Email Phone Date of Birth * Gender MaleFemaleNon-BinaryPrefer Not to Say Do you have a diagnosed liver condition? Yes No If yes, what is your diagnosis? Liver Condition Type Fatty Liver (NAFLD/NASH) Hepatitis (A, B, or C) Cirrhosis Liver Cancer Other Other Are you currently on medication for liver health? Yes No List any medications or supplements you take for liver health. Do you have any other medical conditions? Diabetes High Blood Pressure Obesity Autoimmune Disorders Other Other Current Diet Type Low-Fat Diet Low-Sugar Diet Plant-Based Diet Mediterranean Diet Standard Diet Other Other Are you following any dietary restrictions? Low-Sodium Low-Carb Dairy-Free Gluten-Free Vegetarian/Vegan No Restrictions Other Other How often do you consume alcohol? NeverRarely (1-2 times a month)Occasionally (1-2 times a week)Frequently (More than 3 times a week) How much water do you consume daily? Biggest Dietary Challenges Managing Sugar & Carbs Reducing Processed Foods Controlling Fat Intake Meal Planning & Preparation Lack of Energy & Appetite Other Other Meal Plan Preferences Liver Detox & Healing Diet Low-Fat, Liver-Friendly Meals Anti-Inflammatory & Gut Health Diet Mediterranean Diet for Liver Health No Specific Preference Would you like guidance on hydration & detoxification? Yes No Would you like liver-friendly snack recommendations? Yes No Do you require help with meal preparation? Yes No Would you like additional guidance on weight management for liver health? Yes No Protect My Liver Health Package Selection Basic Meal PlanPersonalized Plan with Dietitian ConsultationPremium Support with Weekly Adjustments Terms and Condition * I confirm that the information provided is accurate, and I agree to the terms of the Liver Health Nutrition Programme. If you are human, leave this field blank.
