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Suggested LDN Order Form Print E-mail

Click Orange PRINT Icon & FAX to 630-859-0114

Please circle the correct Naltrexone strength:

 

3.0mg        4.5mg         ____mg

 

Quantity of Capsules:   #_________          -             Refills: ______

 

Instructions: Take 1 capsule at time of sleep


Doctor Signature: _____________________________      Date: ___/___/____

 

Patient Name:
Patient Phone:
Patient Address:
City/State/ZIP
Doctor Name:
Doctor Phone:
Doctor Address:
City/State/ZIP
DEA#:
License Number:
Product costs do not include shipping and handling fees. Shipping will be added prior to charging.
Please print & FAX to 630-859-0114

All information will be verified prior to processing.
All patient information is considered confidential and is to be released only to authorized personnel, as delineated by HIPAA.
 
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The UnDruggist is available!
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I'm the Un-Druggist, a pharmacist disgusted with what commonly passes for health care today in the U.S. The truth about healthy living often conflicts with those common medical beliefs.
If you're planning on killing yourself with prescription drugs, feel free to not read my book.

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LARRY'S BLOG

Ask Larry:Question: Is there such a thing as a homeopathic flu shot that does not have all...
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TALK TO YOUR DOCTOR -
LOW DOSE NALTREXONE

From autoimmune to multiple sclerosis, learn about this treatment and how to talk to your doctor about it. Read More.
Stops Acid Reflux, 8 fl oz
Stops Acid Reflux is a time proven Amish remedy that almost immediately stops agonizing acid reflux. It can take from 20 seconds up to two minutes to completely eliminate acid reflux.
$12.00
From our customers...

FROM OUR CUSTOMERS

I love LDN. It’s a great med! Garrett F. - St. Charles, IL
I am very satisfied with everything The Compounder handles for me. Thanks much! I also like the helpful inserts I receive with my order. Pat P. - Barrington, IL
Happy to be able to obtain LDN from you! Stacia R. - Cary, IL