Detective Health
Medications & Supplements Intake
Intake Form 8 — Drug & Nutrient Review
What you take matters — and so does what it depletes

Your Medications
& Supplements

Many commonly prescribed medications deplete specific nutrients as a direct pharmacological consequence of how they work. This isn't a flaw in your medication — it's the biochemistry. But without targeted support, these depletions quietly drive symptoms that are often misattributed to your underlying condition rather than its treatment. This form gives Stephen a complete picture of everything you're taking so your protocol can work alongside your medications, not against them.

How to complete this form: List every medication, supplement, herbal product, and over-the-counter item you take. Include anything you take occasionally, not just daily. If you're not sure of the exact name, write what you know — brand name, what it's for, or what it looks like. Include dosage and frequency where you know it.
1
Prescription Medications

Every medication prescribed by a doctor, specialist, or clinic — including contraceptives, HRT, inhalers, skin treatments, and anything delivered by patch, injection, or infusion.

2
Over-the-Counter Medications

Painkillers, antacids, antihistamines, sleep aids, cold and flu remedies, topical creams, eye drops — anything bought from a pharmacy or supermarket without a prescription.

3
Nutritional Supplements & Vitamins

Vitamins, minerals, fish oil, probiotics, protein powder, collagen, greens powders — anything you take because you think it's good for you or were advised to. Include brands where you know them.

4
Herbal, Plant-Based & Traditional Remedies

Herbal teas taken regularly, tinctures, CBD, adaptogenic mushrooms, Ayurvedic or Chinese medicine preparations, traditional remedies. Some herbs have significant interactions with medications.

5
Context & Additional Information
Send to Stephen

When you've completed everything above, enter your email and click Submit — your medication and supplement list goes directly to Stephen. No saving or emailing separately.

Transmitted securely to [email protected] · Detective Health · detectivehealth.com

Submit Your Responses

Send your Drug-Nutrient review to Stephen

Enter your name and email below and click submit. Your answers go directly to Stephen.

Your responses go directly to stephen@stephenduncan.co