What do you want our experts to
help you with most?

Everyone’s goal is different. Let’s figure out yours together

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What inspired you to start your
weight loss journey

We know it’s not always easy, what would you like our experts to support you with?

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From Their Experience
TO YOURS

What’s your daily activity level like?
Be honest, no judgment here

We know it’s not always easy, what would you like our experts to support you with?

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"Your health is unique to you and our job as healthcare providers is to educate and empower you with knowledge that allows you to take back control of your health."

Romario Yousif, PA-C
Physician Assistant, Co-Founder

KATRINA, 36

"It’s been 5 weeks since I started everything and I’m feeling great! I'm down 14lbs and 3% body fat. Even my husband can see a difference!
"

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How would you describe your current eating habits?

Choose the option that feels closest, no pressure to be perfect

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As a neurosurgeon, I didn’t realize the power of hormone optimization—until I experienced it myself. In just 3 months, my energy, mood, and vitality transformed. That journey led me to launch Nuform to help others do the same.

DR. CHRISTOPHER ELIA, DO
Physician, Co-Founder

Introduce yourself

Choose the option that feels closest, no pressure to be perfect

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First Name

*

Last Name

*

Phone number

*

We’ll only use this to confirm your plan, no spam, ever

Email

*

To send your custom plan, no junk, just your health journey

Gender

*

To tailor recommendations based on your biology

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Your health is unique to you and our job as healthcare providers is to to educate and empower you with knowledge that allows you to take back control of your health.

Romario Yousif, PA-C
Physician Assistant, Co-Founder

Current Health Conditions

Select any conditions that apply to you. This helps us ensure your safety and treatment effectiveness.

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Physical Measurements

Accurate measurements help us calculate proper dosing

Height

*

Weight (lbs)

*

Used to calculate your BMI and personalize your treatment plan

Allergies

Do you have any allergies?

*

Do you have pre existing conditions

Helps us avoid any potential medication interactions

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Date of Birth

*

Shipping Address

*

Your address will only be used for delivering personalized treatment.

What is your occupation?

*

Why did you reach out to Nuform?  

Your feedback helps us reach more people

How did you hear about us?

*

Who can we thank for referring you?

*

"As a board-certified neurosurgeon, I didn’t realize the power of hormone optimization—until I needed it myself. Just 3 months of treatment transformed my energy, mood, and vitality. That experience inspired me to launch Nuform and help others reclaim their lives."

DR. CHRISTOPHER ELIA, DO
Physician, Co-Founder

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