Protocol Observation Checklist

Purpose: Checklist to use before, during, and after a protocol.

Before starting

• Goal:
• Main hypothesis:
• Known diagnosis:
• Current medications:
• Foods currently avoided:
• Current skin state:
• Medical red flags ruled out:

During

• Daily skin score:
• Foods eaten:
• Remedies used:
• Sleep/stress:
• Bowel changes:
• Adverse effects:

After

Summarize what changed, what stayed the same, and which variable is most likely responsible.