Simply fill out our CustomVite Order Form for each patient by choosing from over 130 supplements and by selecting the dosage that you would like for each ingredient.

Fax, email, or submit online the completed Order Form along with the patient's phone number and we will contact the patient to place the order.

VITAMINS & MINERALS
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(ANY AMOUNT)
Charge per 30-day supply
CustomVite Base Formulation (see formula)
$41.51 per serving (2 caps)
CustomVite B-Complex (see formula)
$14.80 per capsule
Vitamin A (Palmitate)
$0.55 per 5,000 IU
Beta Carotene
$1.21 per 5,000 IU
$1.10 per 500 mg
Vitamin D3 (Cholecalciferol)
$0.55 per 400 IU
Vitamin K1 (Phytonadione)
$1.10 per 100 mcg
Vitamin K2 (Menaquinone)
$4.95 per 75 mcg
Thiamin (Vitamin B1)
$0.66 per 50 mg
Riboflavin-5-Phosphate (Vitamin B2)
$1.00 per 50 mg
Niacin USP (Niacinamide) (Vitamin B3)
$0.55 per 100 mg
D-Calcium Pantothenate USP (Vitamin B5)
$1.10 per 100 mg
Pantethine (20% Pantethine Vit B-5)
$6.05 per 100 mg
Pyridoxal-5-Phosphate (Vitamin B6)
$5.50 per 50 mg
Folic Acid
$0.83 per 400 mcg
Methylcobalamin (Vitamin B12)
$0.83 per 250 mcg
Biotin
$0.39 per 100 mcg
Calcium (Citrate Tetrahydrate)
$1.38 per 500 mg
Calcium (Hydroxyapetite)
$1.38 per 100 mg
Cal/Mag Caplet (as Calcium Oyster shell, Carbonate and Gluconate 500mg 100 mg & Magnesium Oxide and Gluconate 250mg)
$4.50 per 500/250 mg
Iron (Ferrous Bisglycinate Chelate)
$1.65 per 30 mg
Phosphorous (Magnesium Phosphate)
$5.78 per 200 mg
Iodine (Potassium Iodide)
$0.55 per 100 mcg
$2.20 per 250 mg
Zinc (Chelazome Amino Acid Chelate)
$0.28 per 10 mg
Selenium (Amino Acid Complex)
$1.10 per 50 mcg
Copper (Amino Acid Chelate)
$0.83 per 2 mg
Manganese (Amino Acid Chelate)
$0.44 per 10 mg
Chromium (as chromium polynicotinate)
$2.20 per 200 mcg
Molybdenum (Amino Acid Chelate)
$0.33 per 250 mcg
Potassium (Citrate)
$0.83 per 100 mg
Boron (Amino Acid Complex)
$0.44 per 500 mcg
Vanadium (Sodium Metavanadate)
$0.28 per 25 mcg
HERBALS
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(ANY AMOUNT)
Charge per 30-day supply
Ashwagandha
$1.65 per 100 mg
Bilberry (25% anthocyanosides)
$4.62 per 60 mg
Cordyceps Mushroom
$2.00 per 250 mg
Eleuthero Root
$1.00 per 250 mg
Garlic Powder (5,000 mcg allicin/g - deodorized)
$1.93 per 500 mg
Ginkgo Biloba Leaf Extract (24/6)
$3.30 per 60 mg
Ginger Root Extract (5% gingerols)
$3.30 per 250 mg
North American Ginseng (4% ginsenosides)
$8.25 per 500 mg
Green Tea Extract (50% ECGC/1% caffeine)
$3.30 per 500 mg
Gugulipid (10% guggulsterones)
$2.75 per 250 mg
Licorice Root (12% glycyrrhizin)
$3.85 per 500 mg
Milk Thistle (80% silymarin)
$2.20 per 200 mg
Nettle (5% silica)
$5.50 per 450 mg
Rhodiola Rosea
$1.00 per 250 mg
Saw Palmetto Powder
$9.35 per 320 mg
Tumeric Root (95% curcumin), 500 mg capsule
$5.50 per 500 mg
AMINO ACIDS
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(ANY AMOUNT)
Charge per 30-day supply
Acetyl-L-Carnitine
$2.20 per 200 mg
L-Asparagine
$1.76 per 200 mg
L-Arginine
$3.85 per 500 mg
L-Carnitine (Fumarate)
$4.40 per 200 mg
L-Cysteine
$2.20 per 200 mg
L-Glutamine
$1.10 per 200 mg
L-Glycine
$1.93 per 500 mg
L_Histidine
$2.09 per 200 mg
L-Isoleucine
$3.85 per 200 mg
L-Leucine
$2.20 per 200 mg
L-Lysine
$0.88 per 200 mg
L-Methionine
$1.10 per 200 mg
L-Phenylalenine
$1.10 per 250 mg
L-Serine
$1.93 per 200 mg
L-Taurine
$0.66 per 200 mg
L-Theanine
$11.00 per 200 mg
L-Threonine
$0.83 per 200 mg
L-Tyrosine
$1.32 per 200 mg
L-Valine
$0.88 per 200 mg
N-Acetylcysteine (NAC), 600 mg capsule
$6.60 per 600 mg
5-Hydroxytryptophan (5-HTP)
$7.70 per 200 mg
PHYTONUTRIENTS
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(ANY AMOUNT)
Charge per 30-day supply
Chlorella Vulgaris
$3.41 per 500 mg
Kelp (Laminaria)
$1.93 per 500 mg
ENZYMES, ESSENTIAL FATTY ACIDS & PROBIOTICS
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(ANY AMOUNT)
Charge per 30-day supply
Borage Oil (240 mg GLA), 1,000 mg Softgel
$13.20 per 1,000 mg
Bromelain (2,400 gdu/g)
$8.25 per 500 mg
CLA (Conjugated Linoleic Acid)
$4.40 per 500 mg
Co-Enzyme Q-10 (Ubiquinone), 50 mg Softgel
$11.00 per 50 mg
Co-Enzyme Q-10 (Ubiquinone), 200 mg Softgel
$33.00 per 200 mg
Evening Primrose Oil (10% GLA), 500mg Softgel
$4.40 per 500 mg
Fish Oil (EPA 400 mg, DHA 200 mg), 1,000 mg Softgel
$8.25 per 1,000 mg
Flaxseed Oil (Organic), 1,000 mg Softgel
$3.30 per 1,000 mg
Probiotics (Bifidobacterium Longum)
$22.50 per 5 Billion CFU
ADDITIONAL NUTRITIONAL SUPPLEMENTS
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(ANY AMOUNT)
Charge per 30-day supply
Beta Sitosterol (90%)
$3.14 per 300 mg
Choline Bitartrate
$2.75 per 500 mg
Chondroitin Sulfate
$6.60 per 600 mg
Citrus Bioflavanoids (Hesperidin Complex 35%)
$1.65 per 500 mg
D-Ribose
$9.90 per 2,500 mg
Diindolylmethane (DIM)
$10.00 per 100 mg
DMAE
$8.64 per 500 mg
Glucosamine HCI, 750 mg capsule
$4.95 per 750 mg
Indole 3-Carbinol (3 Indolemethanol) (I3C)
$8.25 per 50 mg
Inositol
$2.48 per 500 mg
Lecithin (Non-GMO), 520 mg Softgel
$1.00 per 520 mg
Alpha Lipoic Acid
$4.40 per 100 mg
Lutein (5%)
$3.30 per 6 mg
Lycopene (5%)
$5.50 per 5 mg
$3.30 per 100 mg
Quercetin Dihydrate (95% quercetin)
$7.00 per 500 mg
Red Yeast Rice, 600 mg capsule
$2.75 per 600 mg
Resveratrol (from Polygonum Cuspidatum Root Extract)
$5.50 per 100 mg
Sulfur (Methylsulfonylmethane - MSM)
$2.20 per 500 mg
Trimethylglycine (TMG)
$5.50 per 500 mg
MANUFACTURING AND PROCESSING FEE (MONTHLY): $29.95