Distil · Supplement Stack Questionnaire

Before you begin

Please answer honestly and as fully as you can. Every field shapes the report; skipped or vague answers leave the engine guessing, and the result is only as good as what you put in. Your responses are confidential, used only to generate your report, and never shared.

Section 1 of 7

About You

We use this to calibrate your recommendations: physiology, metabolism, and environment all shape what works.

Q1 required

What name should we use for your report?

First name is fine. This is for your reference only.

Please enter a name.

Q1b required

What email address should we deliver your report to?

Your report will be sent here as an HTML file once it's ready. Open it in any browser, online or offline.

Please enter a valid email address.

Q2 required

How old are you?

Please enter your age (16–100).

Q3 required

What is your biological sex?

Used only for physiological recommendations.

Male Female I prefer not to say / intersex

Please select an option.

Q4 required

How would you describe your ethnicity?

Affects Vitamin D metabolism, cardiovascular risk, and several other recommendations.

White British / Irish White European (other) South Asian (Indian, Pakistani, Bangladeshi, Sri Lankan) East Asian (Chinese, Japanese, Korean) Southeast Asian Black African Black Caribbean Mixed / dual heritage Arab / Middle Eastern / North African Other Prefer not to say

Please select an option.

Q5 required

Your height

Please enter your height.

Q6 required

Your current weight

Please enter your weight.

Q7 required

How would you describe your main daily environment?

Primarily indoors, desk-based (sedentary) Primarily indoors, active or physical work Primarily outdoors Mixed indoor/outdoor Shift worker: rotating or night shifts Not currently working / retired / student at home

Please select an option.

Section 2 of 7

Your Goals

Select up to 5 goals. The order you pick them becomes your priority ranking: choose your most important first.

Q8 required

What are your top health goals?

Select up to 5. Be honest: your report is built around your actual priorities.

Your priorities (in order)

Wellbeing & Mental Health

Energy + Vitality Sleep Quality Stress + Resilience Mental Health + Emotional Wellbeing Burnout + Adrenal Recovery

Brain & Nervous System

Brain Health + Cognition Neurodivergence + Focus

Body Composition & Performance

Muscle Building + Body Composition Athletic Endurance + Performance Metabolic Health, Weight + Blood Sugar

Cardiovascular & Inflammatory

Cardiovascular Health Inflammation + Pain

Gut, Liver & Digestive

Gut Health + Digestion Liver Health

Structural & External

Joint + Bone Health Skin, Hair + Nails Eye Health Oral Health

Immune & Respiratory

Immune Resilience Allergy + Histamine Support Respiratory Health Post-Illness Recovery

Hormonal & Reproductive

Hormone Balance Thyroid Health Fertility + Reproductive Health Menopause + Perimenopause Pregnancy + Postnatal PCOS Libido + Sexual Wellbeing Prostate Health Iron Deficiency + Anaemia

Longevity

Longevity + Healthy Ageing

Please select at least one goal.

Is there anything specific behind your goals you'd like us to know?

A recent diagnosis, a life event, a particular symptom, or context about why you chose these priorities.

Section 3 of 7

Your Health

This helps us apply the right safety checks and identify which compounds are most relevant to your physiology.

Q10 required

Have you ever been diagnosed with any of the following?

Tick all that apply.

Metabolic & Cardiovascular

Type 2 diabetes or pre-diabetes High blood pressure (hypertension) High cholesterol / dyslipidaemia Cardiovascular disease (heart disease, coronary artery disease, history of heart attack) Stroke or TIA (mini-stroke) Atrial fibrillation, atrial flutter, or other arrhythmia Metabolic syndrome Insulin resistance (non-diabetic) NAFLD / non-alcoholic fatty liver disease

Hormonal & Reproductive

PCOS (polycystic ovary syndrome) Hypothyroidism (underactive thyroid) Hyperthyroidism (overactive thyroid) Hashimoto's thyroiditis Endometriosis Fibroids

Autoimmune

Rheumatoid arthritis (RA) Lupus (SLE) Multiple sclerosis (MS) Psoriasis / psoriatic arthritis Crohn's disease or ulcerative colitis (IBD) Coeliac disease Other autoimmune condition

Respiratory

Asthma (diagnosed) COPD (chronic obstructive pulmonary disease)

Gut & Digestive

Irritable bowel syndrome (IBS) SIBO (small intestinal bacterial overgrowth) Acid reflux / GORD Liver disease (other than NAFLD)

Important: liver disease

Liver disease affects how the body processes many supplements, and some compounds are directly hepatotoxic at higher doses. Your report will apply dose-conservative recommendations for this profile, but the appropriate supplement plan depends heavily on the type and severity of your condition. Please review any recommendations with your hepatologist or gastroenterologist before use.

Kidney

Chronic kidney disease (CKD): any stage Recurrent kidney stones Single kidney Other kidney condition

Mental Health

Anxiety disorder (diagnosed) Depression (diagnosed) Bipolar disorder History of mania or psychotic episode OCD PTSD Eating disorder (current or history of)

Neurological

ADHD (diagnosed or suspected) Autism Spectrum Disorder / ASD (diagnosed or suspected) Migraine Epilepsy / seizure disorder Parkinson's disease Dementia or Alzheimer's disease

Musculoskeletal

Osteoporosis or osteopenia Osteoarthritis Fibromyalgia Gout

Other

Anaemia (type if known) Haemochromatosis (iron overload) Bleeding disorder (e.g. haemophilia, von Willebrand disease, ITP) Thrombophilia / clotting disorder (e.g. Factor V Leiden, antiphospholipid syndrome) Macular degeneration Tinnitus Caffeine sensitivity / intolerance HIV / AIDS Organ transplant recipient None of the above

Important: antiretroviral interactions

Your report will be generated and may be useful as a general reference, but it does not account for the full range of interactions between supplements and antiretroviral therapy (ART). ART drug interactions are complex and class-specific. Before acting on any recommendation in your report, please review it with your HIV specialist or pharmacist.

Important: immunosuppressant interactions

Several commonly recommended supplements interact with immunosuppressant medications (including tacrolimus, ciclosporin, and mycophenolate). St. John's Wort in particular can reduce blood levels of these drugs sufficiently to trigger organ rejection. Your report will flag known interactions, but it cannot account for every individual protocol. Please review any recommendations with your transplant team before making changes to your supplement routine.

Please select at least one option.

Q9: IBS type

Do you know which type of IBS you have?

Different types respond to different compounds. This helps us tailor your recommendations.

IBS-C (mainly constipation) IBS-D (mainly diarrhoea) IBS-M (mixed: both constipation and diarrhoea) I'm not sure which type

Q10: CKD

Which stage of chronic kidney disease have you been told you have?

This affects safe doses for several compounds including Magnesium, Zinc, and Vitamin C.

Stage 1–2 (mild) Stage 3 (moderate) Stage 4–5 (severe) I don't know my stage

Q10: Eating disorder follow-up required

If you ticked an eating disorder above, please tell us where you are with it.

This affects whether and how we can responsibly produce a report for you. Your honest answer matters.

Currently in treatment (any active eating-disorder care: GP, dietitian, therapist, inpatient, day-patient) In recovery (treatment completed within the last 12 months) Recovered (no active treatment for 12+ months) Prefer not to say

Not the right fit during active treatment

A personalised supplement plan is not the right tool during active eating-disorder treatment. Recovery work is led by your treatment team and centres on food, not supplements: a list of capsules and powders can become its own preoccupation, and we would rather defer to the people who know you and your care plan.

If you would like support, BEAT (the UK eating-disorder charity) runs a free helpline at 0808 801 0677 and webchat at beateatingdisorders.org.uk. Your GP can also refer you back into treatment at any point.

Please select an option.

Q10a

Please add any useful detail about your diagnosis(es).

How long ago, whether it's currently managed, treatment status, or the specific type.

Q10b

Have you taken a course of antibiotics in the last 3 months?

Yes: completed within the last month Yes: completed 1–3 months ago No I'm not sure

Q11 required

Do you have a personal history of cancer?

No Yes: previous history, treatment completed Yes: currently receiving treatment Prefer not to say

Not suitable during active cancer treatment

During active treatment, supplement decisions need to be made together with your oncology team: many otherwise-helpful compounds can interfere with the mechanism of chemotherapy or radiotherapy, and the right answer depends on your specific regimen and current bloods. We would not feel comfortable producing a report that could undermine your treatment, so we cannot generate one for you right now. We hope to be able to help you again once you are past active treatment.

Please select an option.

Q12 required

Does any of the following apply to you right now?

I am currently pregnant I am currently breastfeeding I am trying to conceive (actively trying or plan to within the next 12 months) None of the above

Not suitable during pregnancy or breastfeeding

This report is not designed for use during pregnancy or breastfeeding. Supplementation during these periods carries specific risks that require oversight from your midwife, GP, or obstetrician, not a general-purpose report. Please speak to your healthcare provider for personalised guidance.

Please select an option.

Q12a

How would you describe your menstrual bleeding?

Heavy periods are a significant driver of iron deficiency. This shapes our recommendations.

Normal Heavy (changing every 1–3 hours, or passing clots) Very heavy (flooding or impacting daily life) Light or irregular No periods / post-menopause / hormonal contraception Prefer not to say

Q13 required

What is your current menopause status?

This significantly affects bone, cardiovascular, hormonal, mood, and sleep recommendations.

Pre-menopausal: regular periods, no symptoms Perimenopause: irregular periods and/or symptoms present Post-menopausal: no periods for 12 months or more Post-menopausal and currently taking HRT I've had a surgical menopause (ovaries removed) Not sure / I'd rather not say

Please select an option.

Q14

Have any of the following affected a first-degree blood relative (parent or sibling)?

Cardiovascular disease (heart attack, angina, stroke) Type 2 diabetes Dementia or Alzheimer's disease Macular degeneration or age-related vision loss Thrombophilia or clotting disorder (DVT, pulmonary embolism, Factor V Leiden) Bleeding disorder (haemophilia, von Willebrand disease) Osteoporosis or hip fracture Prostate cancer None of the above / don't know

Section 4 of 7

Medications & Allergies

This is the most safety-critical section. Please read each question carefully: specific interactions depend on these answers.

Q15 required

Are you currently taking any prescription medications?

Yes No

Please select an option.

Please list all your prescription medications by drug name and dose if known. Include inhalers, patches, injections, and contraceptives.

Q16 required

Do you currently take any of the following types of medication?

A safety check for specific interactions. Please read each option carefully.

Antidepressant: SSRI (e.g. sertraline, fluoxetine, citalopram) Antidepressant: SNRI (e.g. venlafaxine, duloxetine) Antidepressant: MAOI (e.g. phenelzine, tranylcypromine) Mood stabiliser (e.g. lithium, lamotrigine, valproate) Antipsychotic (e.g. quetiapine, olanzapine, risperidone) Dementia or memory medication (e.g. donepezil, rivastigmine) Anticoagulant / blood thinner (e.g. warfarin, apixaban, rivaroxaban) Aspirin: prescribed daily Thyroid medication (e.g. levothyroxine, liothyronine) Metformin Other diabetes medication (e.g. SGLT2 inhibitors, GLP-1 agonists) Statin (e.g. atorvastatin, simvastatin, rosuvastatin) ACE inhibitor (e.g. lisinopril, ramipril, perindopril) ARB / angiotensin receptor blocker (e.g. losartan, candesartan) Diuretic / water tablet (e.g. furosemide, spironolactone) Beta blocker (e.g. bisoprolol, atenolol, propranolol) Oral contraceptive / hormonal contraception HRT (hormone replacement therapy) Immunosuppressant (e.g. methotrexate, azathioprine, adalimumab) Inhaled corticosteroid (e.g. beclometasone, fluticasone) Oral corticosteroid (e.g. prednisolone) PDE5 inhibitor (e.g. sildenafil, tadalafil) Antiepileptic / anticonvulsant (e.g. carbamazepine, phenytoin) None of the above

Please select at least one option.

Q16b required

Do you regularly take any of the following?

Include anything taken at least weekly, even if bought from a health food shop or online.

St John's Wort Ginkgo Biloba Kava / Kava Kava Valerian or Valerian root Echinacea Ginseng (any type) Regular ibuprofen / NSAID (3+ days/week) Daily acid suppressant / antacid (e.g. omeprazole, lansoprazole) None of the above

Please select at least one option.

Any other herbal, plant-based, or natural remedies you take regularly?

Q17 required

Are you scheduled for any surgical procedure in the next 6 weeks?

Yes No I'm not sure / awaiting a date

Please select an option.

Q18 required

Do you have any known allergies or intolerances?

Fish Shellfish / crustaceans Soy Mushrooms Latex Ragweed / daisy-family plants Pineapple Tree nuts None known

Please select at least one option.

Section 5 of 7

Your Lifestyle

Exercise, sleep, stress, and habits all shape which compounds are most relevant, and at what dose.

Q19 required

How would you describe your diet?

Omnivore: I eat everything including red meat, poultry, fish, dairy, and eggs Pescatarian: vegetarian but I eat fish and seafood Vegetarian: no meat or fish, but I eat dairy and/or eggs Vegan: I avoid all animal products Carnivore or very low carbohydrate Other: please describe below

Please select an option.

Q20

How often do you exercise in a typical week?

Daily or almost daily (5–7 days) 3–4 times per week 1–2 times per week Occasionally (less than weekly) Rarely or never

Q21

What type of exercise do you mainly do?

Strength / resistance training Cardio (stationary bike, elliptical, treadmill) Endurance training (running, cycling, swimming) HIIT or circuit training Team sports Yoga, Pilates, or flexibility training Martial arts or boxing Walking or light daily activity

Q22 required

How would you describe your sleep at the moment?

I sleep well: no significant issues I struggle to fall asleep (lying awake 30+ min) I fall asleep easily but wake during the night I wake very early and can't get back to sleep Multiple of the above It varies a lot: no consistent pattern

On average, how many hours do you sleep per night?

If you go to bed late by choice and average less than 7 hours, select that: it affects which compounds we recommend.

Please select an option.

Q23 required

How would you describe your current stress level?

Low: generally calm and able to manage daily demands Moderate: some stress present but manageable High: significant daily stress Chronic: persistently elevated over many months Burnout: severely depleted, struggling to function

Please select an option.

Q24 required

How many units of alcohol do you typically drink per week?

1 unit = half pint of standard beer, 25ml spirit, or 125ml wine

None 1–3 units 4–7 units 8–14 units 15–20 units More than 20 units

Please select an option.

Q24a required

Do you currently smoke, or have you smoked regularly in the past?

I have never smoked I am a current smoker I vape / use e-cigarettes (current) I quit smoking less than 12 months ago I quit smoking more than 12 months ago I prefer not to say

Please select an option.

Q24b

Are there any side effects you particularly want to avoid?

Tick all that apply. We'll use this to guide compound selection and dosing where alternatives exist.

Jitteriness, anxiety, or overstimulation GI upset, nausea, or digestive discomfort Daytime drowsiness or fatigue Blood pressure effects Hormonal effects or changes Caffeine sensitivity (prefer caffeine-free forms) Skin reactions or flushing None: no specific concerns

Section 6 of 7

Current Supplements & Blood Work

Knowing what you already take, and any recent test results, allows us to avoid duplication and calibrate doses precisely.

Q25

Are you currently taking any supplements?

Yes No

Please list every supplement: brand, form, and dose where you know it.

Q26

Do you have any recent blood test results (within the last 12 months)?

Tick any you have results for.

Vitamin D (25-OH) Ferritin (iron stores) HbA1c (blood sugar) Testosterone Lipids / cholesterol panel Vitamin B12 CRP (inflammation marker) Homocysteine Thyroid panel Liver enzymes Full blood count (FBC) Bone density (DEXA scan) I haven't had recent blood tests

Please share your results: value, unit, and reference range if shown.

Q26b

Have you ever been tested for the MTHFR gene variant?

Yes: I have an MTHFR variant (C677T or A1298C) Yes: tested, no MTHFR variant No: I haven't been tested I don't know what this is

Q27

Is there anything else you'd like us to know?

A recent health event, a supplement you've reacted to, caffeine sensitivity, or anything on your mind about starting supplements.

Section 7 of 7

Your Diet

The final section, and the quickest. This helps us understand what nutrients you're already getting from food, so we only recommend what you genuinely need.

Q28 required

On average, how many portions of fruit do you eat per week?

1 portion = 1 medium piece of fruit, a handful of berries, or roughly 80g

None or almost none 1–3 portions per week 4–7 portions per week (roughly one a day) 8–14 portions per week (1–2 per day) More than 14 portions per week I don't know / hard to say

Q29 required

On average, how many portions of vegetables do you eat per day?

1 portion = roughly 80g: a handful, 3 heaped tablespoons, or one medium vegetable

None or almost none 1 portion per day or fewer 2–3 portions per day 4–5 portions per day More than 5 portions per day I don't know / hard to say

Q30

How often do you eat leafy green vegetables?

Spinach, kale, broccoli, cabbage, chard, pak choi, rocket, watercress, Brussels sprouts

Rarely or never 1–2 times per week 3–4 times per week Daily or almost daily

Q31

How often do you eat oily fish?

Salmon, mackerel, sardines, anchovies, herring, fresh tuna, trout

I don't eat fish Rarely: less than once a month Occasionally: once or twice a month Once a week Twice a week Three or more times a week

Q32

How often do you eat white meat or poultry?

Chicken, turkey, duck, game birds

Rarely or never 1–2 times per week 3–4 times per week 5 or more times per week I don't know

Q33

How often do you eat red meat?

Beef, lamb, pork, venison, liver, kidney, other organ meats

Rarely or never 1–2 times per week 3–4 times per week 5 or more times per week I don't know

Q34

On average, how many eggs do you eat per week?

Including eggs in cooking, baking, and as a meal

None / I don't eat eggs 1–2 per week 3–5 per week 6–10 per week More than 10 per week I don't know

Q35

How much dairy do you consume?

Milk, cheese, yogurt, butter, cream (including fortified plant-based dairy alternatives)

None: I avoid dairy entirely Small amounts (milk in tea, occasional cheese or yogurt) Moderate amounts (milk or yogurt most days) High amounts: dairy features at most meals I don't know

Q36

How often do you eat fermented foods?

Live-culture yogurt, kefir, kimchi, sauerkraut, miso, tempeh, live-culture cheese, kombucha

Rarely or never 1–2 times per week 3–4 times per week Daily or almost daily

Q37

How often do you eat nuts and/or seeds?

Almonds, walnuts, Brazil nuts, cashews, flaxseed, chia seeds, sunflower seeds, pumpkin seeds, hemp seeds

Rarely or never 1–2 times per week 3–4 times per week Daily or almost daily

Q38

When you eat carbohydrates, what do you mainly choose?

Bread, rice, pasta, oats, cereals

Mainly wholegrains Mixed: roughly half wholegrains, half refined Mainly white / refined I eat very few carbohydrates (low-carb or keto) I avoid all grains I don't know

Q39

How often do you eat legumes or pulses?

Lentils, chickpeas, kidney beans, black beans, edamame, tofu, hummus, peas

Rarely or never 1–2 times per week 3–4 times per week Daily or almost daily

Q40

How often do ultra-processed foods feature in your diet?

Packaged snacks, fast food, ready meals, processed meats, fizzy drinks, sweetened cereals, biscuits, crisps

Rarely or never: I mostly cook from scratch Occasionally: one or two times per week Regularly: most days include at least one Frequently: a significant proportion of my diet

Q41

How much time do you typically spend with your skin exposed to outdoor sunlight?

This is the primary determinant of Vitamin D synthesis: diet provides very little.

Very little: mostly indoors, rarely get direct sun Moderate: 15–30 minutes outdoors in spring/summer Good: 30+ minutes outdoors most days in spring/summer I live in or travel regularly to a sunny climate

Q42

How would you rate the overall quality of your diet?

Excellent: varied, nutrient-dense most of the time Good: mostly healthy with occasional lapses Mixed: somewhat healthy but inconsistent Poor: I know my diet is lacking I don't know: I haven't thought about it much

Not suitable right now

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