BioSCORE

BIOCLEAR – SOTA Score

Precision clinical assessment for oxidative toxicity

Evaluate smoking-related toxicity and oxidative stress to generate a bespoke treatment plan.

Patient Information

Full Name

Age

Weight (kg)

Height (cm)

1. Smoking Exposure (Max 30 pts) Smoking Status Cigarettes per Day Smoking Duration

2. Respiratory & Vascular Symptoms (Max 20 pts) Chronic cough Shortness of breath on exertion Chest tightness Frequent respiratory infections Cold extremities / poor circulation

3. Fatigue & Mitochondrial Signs (Max 25 pts) Persistent fatigue Brain fog / poor focus Poor exercise tolerance Slow recovery after exertion Irregular sleep

4. Oxidative Stress & Inflammation Signs (Max 20 pts) Premature skin aging / dull skin Frequent headaches Joint or muscle aches Poor wound healing Chronic inflammatory condition

5. Lifestyle & Antioxidant Deficit (Max 10 pts) Poor diet (low fruits/vegetables) High alcohol intake Sedentary lifestyle

6. Medical History & Systemic Risk (Max 20 pts) History of cancer (active or past) Chronic lung disease

Cardiometabolic (Additive):

Hypertension Diabetes Dyslipidemia

7. Blood Test (Max 50 pts) Elevated hemoglobin (>16) Elevated ESR (>35), CRP (>25) or WBC (>13,000) Abnormal liver enzymes (>1.5x) Abnormal PFT Test not taken

8. Pulmonary Status on CXR (Max 80 pts) Bronchial inflammation Ground Glass Opacities (Recommend CT SCAN) Decreased Lung Compliance (Recommend PFTs & CT SCAN) Emphysema + Chronic Irreversible Changes (Recommend PFTs, CT SCAN, Intensive Treatment) Test not taken

BIONAD Therapy Assessment

Cellular regeneration and longevity optimization

Comprehensive evaluation for BioNAD infusion therapy eligibility and dosing.

Patient Information

Full Name

Age

Weight (kg)

Height (cm)

1. Energy Assessment (Max 25 pts) Chronic fatigue / low energy Mental fog / poor concentration Reduced physical stamina Afternoon energy crashes Slow recovery after exercise

2. Sleep Cycle (Max 20 pts) Difficulty falling asleep Frequent night waking Non-restorative sleep Irregular sleep schedule

3. Inflammatory Status (Max 20 pts) Chronic joint pain Frequent muscle soreness Digestive issues / gut inflammation Elevated inflammatory markers (CRP, ESR)

4. Aging Process (Max 20 pts) Visible skin aging / wrinkles Decreased muscle mass Memory decline Reduced metabolic rate

5. Clinical Status (Eligibility Check)

Note: The following conditions make the patient ineligible for NAD+ therapy.

Active or history of cancer Currently pregnant Currently breastfeeding

6. BioNAD Treatment History (Dosage Determination)

This determines starting dose recommendations only, not the treatment duration.

Patient has never received BioNAD IV therapy Patient received BioNAD IV therapy more than 1 year ago Patient received BioNAD IV therapy less than 1 year ago

BIOVITAL

Full-body reactivation and cellular restoration

Comprehensive assessment targeting energy, cognition, cardiovascular, oxygenation, inflammation, and cellular aging.

Patient Information

Full Name

Age

Weight (kg)

Height (cm)

1. Energy & Fatigue (Max 25 pts) Persistent fatigue despite adequate sleep Mid-day energy crash or inability to sustain energy Reduced physical endurance or stamina Slow post-exertion recovery (>24 hrs) Daily reliance on stimulants (caffeine, energy drinks)

2. Brain & Cognitive Function (Max 20 pts) Difficulty concentrating or staying focused Memory lapses or forgetfulness Mental fog or slowed thinking Mood instability or low motivation

3. Cardiovascular & Circulation (Max 20 pts) Frequent shortness of breath with mild activity Cold hands or feet / poor peripheral circulation Elevated resting heart rate or palpitations History of hypertension or cardiovascular risk factors

4. Oxygen Utilization (Max 15 pts) Frequent dizziness or lightheadedness Low exercise tolerance or breathlessness History of respiratory conditions (asthma, COPD)

5. Inflammation & Oxidative Stress (Max 20 pts) Chronic joint or muscle pain Elevated inflammatory markers (CRP, ESR, IL-6) Frequent illness or slow wound healing Digestive issues or leaky gut symptoms

6. Cellular Aging & Stress (Max 20 pts) Visible premature aging (skin, hair, nails) Loss of muscle mass or reduced strength Chronic psychological stress or burnout symptoms Poor sleep quality or non-restorative sleep

BIOGLOW

Skin rejuvenation and cellular detoxification

Comprehensive skin health assessment for glutathione and NAD+ therapy optimization.

Patient Information

Full Name

Age

Weight (kg)

Height (cm)

1. Daily Routine Affecting Skin (Max 25 pts) Inadequate water intake (<2L/day) Poor diet (processed foods, low antioxidants) Excessive sun exposure without protection Smoking or secondhand smoke exposure Irregular sleep schedule

2. Skin Features (Max 50 pts)

High impact section - check all that apply:

Visible wrinkles / fine lines Dark spots / hyperpigmentation Under-eye dark circles / shadows Active acne or acne scarring Dull or uneven skin tone Loss of skin elasticity / sagging

3. Liver, Alcohol & Gut Status (Max 30 pts)

This section affects glutathione dosage:

Alcohol Intake Elevated liver enzymes (ALT/AST) Fatty liver diagnosis Gut inflammation / IBS / bloating

4. Energy Assessment (Max 25 pts) Chronic fatigue / low energy Mental fog / poor concentration Reduced physical stamina Afternoon energy crashes Slow recovery after exercise

5. Sleep Cycle (Max 20 pts) Difficulty falling asleep Frequent night waking Non-restorative sleep Irregular sleep schedule

6. Inflammatory Profile & Joint Pathology (Max 25 pts) Chronic joint pain or stiffness Frequent muscle soreness Arthritis diagnosis Elevated inflammatory markers (CRP, ESR) Autoimmune condition

7. BioNAD Treatment History (Dosage Determination)

This determines starting BioNAD dose recommendations.

Patient has never received BioNAD IV therapy Patient received BioNAD IV therapy more than 1 year ago Patient received BioNAD IV therapy less than 1 year ago

BioFM Assessment

2010 ACR BioFM Diagnostic Criteria

Standardized clinical evaluation using Widespread Pain Index (WPI) and Symptom Severity Scale (SS) for BioFM diagnosis and treatment planning.

Section 1: General Assessment

Patient Full Name

Age

Since when has the pain begun? 3 months or more Less than 3 months

Other possible etiologies for the pain: Absent — no other disorder explains the pain Present — another disorder may explain the pain

Section 2: Widespread Pain Index (WPI) — Max 19

Check all areas where the patient has felt pain over the past week. Each checked area adds +1 to the WPI score.

Shoulder girdle, left Shoulder girdle, right Upper arm, left Upper arm, right Lower arm, left Lower arm, right Hip (buttock), left Hip (buttock), right Upper leg, left Upper leg, right Lower leg, left Lower leg, right Jaw, left Jaw, right Chest Abdomen Neck Upper back Lower back

Section 3: Symptom Severity Scale I (SS1) — Max 9

Rate the severity of each of the following symptoms over the past week:

1. Fatigue No problem (0) Slight or mild; generally mild or intermittent (+1) Moderate; considerable problems; often present and/or at a moderate level (+2) Severe; pervasive, continuous, life-disturbing problems (+3)

2. Morning Fatigue / Waking Unrefreshed No problem (0) Slight or mild; generally mild or intermittent (+1) Moderate; considerable problems; often present and/or at a moderate level (+2) Severe; pervasive, continuous, life-disturbing problems (+3)

3. Cognitive Symptoms No problem (0) Slight or mild; generally mild or intermittent (+1) Moderate; considerable problems; often present and/or at a moderate level (+2) Severe; pervasive, continuous, life-disturbing problems (+3)

Section 4: Symptom Severity Scale II (SS2) — Max 3

Check all symptoms the patient has experienced. Score is based on total count: 0 checked = 0 pts • 1–7 = Mild (+1) • 8–15 = Moderate (+2) • >15 = Severe (+3)

Muscle pain Irritable bowel syndrome Fatigue/tiredness Thinking or memory problem Muscle weakness Headache Pain/cramps in abdomen Numbness/tingling Dizziness Insomnia Depression Constipation Pain in upper abdomen Nausea Nervousness Chest pain Blurred vision Fever Diarrhea Dry mouth Itching Wheezing Raynaud's Hives/welts Ringing in ears Vomiting Heartburn Oral ulcers Loss/change in taste Seizures Dry eyes Shortness of breath Loss of appetite Rash Sun sensitivity Hearing difficulties Easy bruising Hair loss Frequent urination Bladder spasms

Patient Information

Name:

Age:

Date:

Pain Duration:

Other Etiology:

Section 2 — Widespread Pain Index (WPI)

Areas reported with pain:

WPI Score: — / 19

Section 3 — SS Scale I (SS1)

Symptom	Severity	Score
Fatigue	—	—
Morning Fatigue	—	—
Cognitive Symptoms	—	—

SS1 Score: — / 9

Section 4 — SS Scale II (SS2)

Symptoms reported:

Items checked: 0 — Severity: —

SS2 Score: — / 3

Score Summary

WPI Score	—	/ 19
SS1 Score	—	/ 9
SS2 Score	—	/ 3
SS Total (SS1+SS2)	—	/ 12
Total Score	—	/ 31

Diagnosis

IV Wellness Boost

Walk-in Patient Symptom Assessment

Evaluate patient symptoms to recommend the most suitable IV wellness treatment.

Patient Information

Full Name

Age

Medical Screening

Is the patient pregnant or breastfeeding?

Pregnant
Breastfeeding

Medical History

Check any conditions that apply:

Renal Disease
Cardiac Disease (Hypertension, Arrhythmias, etc.)
Diabetes or Hypoglycemia
G6PD Deficiency

Any known allergies to vitamins or IV components?

Yes No

Section 1 — Energy & Metabolism

How often do you feel sluggish or low on energy?

Never Rarely Often Always

Do you experience fatigue or heaviness after meals?

Never Rarely Often Always

Do you struggle with weight management or slow metabolism?

Never Rarely Often Always

Do you feel mentally foggy or lack focus?

Never Rarely Often Always

Section 2 — Stress & Muscle

How often do you experience high stress levels?

Never Rarely Often Always

Do you have muscle tension, cramps, or body soreness?

Never Rarely Often Always

Do you have difficulty relaxing or winding down?

Never Rarely Often Always

Do you suffer from frequent headaches or migraines?

Never Rarely Often Always

Section 3 — Skin & Antioxidant

Is your skin dull, dry, or lacking radiance?

Never Rarely Often Always

Do you have dark circles, fine lines, or uneven skin tone?

Never Rarely Often Always

Are you frequently exposed to sun, pollution, or environmental toxins?

Never Rarely Often Always

Do you want to improve overall skin glow and complexion?

Not really Slightly Moderately Very much

Section 4 — Immunity

How often do you get sick (colds, flu, infections)?

Rarely A few times a year Monthly Very frequently

Do you feel your immune system is weak?

No Slightly Moderately Very much

Do you recover slowly from illness?

No Sometimes Often Always

Do you have seasonal allergies or recurrent infections?

No Mild Moderate Severe

Section 5 — Hydration & Recovery

Do you feel dehydrated, or have dry mouth/skin frequently?

Never Rarely Often Always

Are you recovering from a hangover, heavy physical activity, or illness?

No Mildly Moderately Severely

Do you experience frequent fatigue, dizziness, or light-headedness?

Never Rarely Often Always

Do you travel frequently or suffer from jet lag?

No Occasionally Frequently Very frequently

BIOSHIELD AP

After Party Recovery Protocol

Assess patient status for the Bioshield After Party (AP) recovery treatment.

Patient Information

Full Name

Age

Medical Screening

Is the patient pregnant or breastfeeding?

Pregnant
Breastfeeding

Substance Use

Has the patient consumed alcohol or illicit drugs?

Alcohol only
Illicit drugs only
Both alcohol and illicit drugs
None

Allergy Screening

Does the patient have any of the following allergies?

Allergy to Ibuprofen (Profenid, Advil, etc.)
Allergy to Ondansetron (Zofran, Nausetron, etc.)

Medical History

Check any conditions that apply:

Renal Disease
Cardiac Disease (Hypertension, Arrhythmias, etc.)
Diabetes or Hypoglycemia
G6PD Deficiency

BioSCORE

Sign In

BIOCLEAR – SOTA Score

Precision clinical assessment for oxidative toxicity

BioCLEARSOTA Assessment Summary

Patient Profile

Section Scores

SOTA Score

0

Dosage

BIONAD Therapy Assessment

Cellular regeneration and longevity optimization

BIONAD Therapy Assessment Summary

Patient Profile

Section Scores

BIONAD Score

0

Dosage

Option 1

Option 2

BIOVITAL

Full-body reactivation and cellular restoration

BIOVITAL Assessment Summary

Patient Profile

Section Scores

VITAL Score

0

Protocol

Protocol Components

BIOGLOW

Skin rejuvenation and cellular detoxification

BIOGLOW Assessment Summary

Patient Profile

Section Scores

GLOW Score

0

Dosage

BioFM Assessment

2010 ACR BioFM Diagnostic Criteria

BioFM Assessment Report

Patient Information

Section 2 — Widespread Pain Index (WPI)

Section 3 — SS Scale I (SS1)

Section 4 — SS Scale II (SS2)

Score Summary

Diagnosis

IV Wellness Boost

Walk-in Patient Symptom Assessment

IV Wellness Boost Assessment Summary

Category Scores

Recommended Treatment

Protocol

BIOSHIELD AP

After Party Recovery Protocol

Bioshield AP Assessment Summary

Bioshield After Party (AP) Protocol