Register To register with our database, please complete the form below. Providing us with this information will allow our research team to determine your eligibility for any of our current or future studies. Your information is kept strictly confidential and will only be used to notify you of studies that you have indicated an interest in. First Name* Last Name* Year of Birth:*Gender*MaleFemaleCity*Email* Phone*Do you have any medical conditions?*YesNoDo you have Diabetes Mellitus Type 2?*YesNoDo you have Cardio Vascular Disease (CVD) - Heart or Vessels Disease?*YesNoDo you have Hypertension (High Blood Pressure)?*YesNoDo you have Cerebro-Vascular-Accident (CVA) - Brain Stroke or Hemorrhage?*YesNoDo you have Migraines?*YesNoDo you have Gout?*YesNoDo you have Arthritis?*YesNoDo you have Fibromyalgia?*YesNoDo you have Chronic Pain?*YesNoDo you have Kidney Disease?*YesNoDo you have Thyroid Disease?*YesNoDo you have Anemia?*YesNoDo you have a history of alcohol abuse?*YesNoDo you have Obesity?*YesNoDo you have Male Sexual Health Problems?*YesNoDo you have Depression?*YesNoDo you have Allergies or Asthma?*YesNoIf your medical condition is not in this list, please provide it below.Are you currently taking any medication?*YesNoIf you are taking medication, please list them below (name, dose & frequency):Do you have any history of smoking?*YesNoIf yes, provide details (years, number of packs/week):How did you hear about us?*(Please be specific, i.e. Google search, Facebook ad, etc.)If you would like to refer your friends, please list their email below. You will be compensated $50 for every referral that is successfully randomized into one of our trials:Can we contact you in the future about studies that may pertain to you?*YesNoPlease prove you are a real human being by typing the sequence below.NameThis field is for validation purposes and should be left unchanged.