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The Lotus Moon Apothecary
iSteepDaily
The Steep Alchemy System
Cafe
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About you...
First name
Last name
Email
Address (Magalogue loading...)
*
Age Range
30-39
40-49
50-59
60+
Which best describes your current hormonal stage?
Regular cycles
Irregular cycles
Perimenopause
Postmenopause
Menopause
Unsure
What are you currently experiencing? Select all that apply.
Weight feels stuck
Bloating or constipation
Low or inconsistent energy
Sleep challenges
Hormonal shifts / mood changes
Inflammation / swelling
Stress or nervous system fatigue
How does weight feel in your body right now?
Recently changing
Stuck for a long time
Fluctuating
I'm not sure.
Are you open to weight changes that may show up first through digestion, energy, or clothing fit before the scale?
Yes
I’m open to learning
Not sure
This circle is not rapid weight loss and requires consistent, gentle use over 10 weeks. Does this align with what you’re looking for?
Yes
I need something faster
Are you willing to use only the Light Body products for weight support during the 10-week circle?
Yes
No
Are you able to complete a short weekly check-in (5–7 minutes)?
Yes
No
Are you currently pregnant or breastfeeding?
Yes
No
Do you have any known medical conditions or medications we should be aware of for safety?
Are you currently taking any GLP-1 medications (Ozempic, Wegovy, Mounjaro, Zepbound)? This helps me understand how your body works with this product system. It allows me to collect data for this. Honestly is appreciated.
Yes - Currently
No
Not anymore
Not anymore / currently regaining
In your own words: Why does this feel like the right time for you to join this circle?
Please confirm the following:
I understand this is a wellness observation circle, not medical treatment
I understand results vary and are not guaranteed
I agree to respect the privacy of the group
I agree to participate honestly and consistently
If this experience supports you, would you be open to sharing feedback or a testimonial later?
Yes
Maybe
No
Submit
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