Are you currently taking any medication or supplements? YesNo
Please select what you are taking medication for: DiabetesThyroidPCODCholesterolAcidityBlood PressureSkin ProblemsAsthmaHeart DiseaseOther
Since you are above the age of 40, and you are on medication, we recommend you join this fast only after consulting with your medical professional
Waiver: Since you are currently on medication, it is required that you consult with your medical doctor prior to committing to the fast. Fasting is a personal decision that should be made at the discretion of the individual.
I have read the waiver, and I accept full responsibility for my own actions
We do not recommend the online juice fast for people above the age of 50