Patient Forms

*Results are not guaranteed and will vary from patient to patient based on a variety of factors, such as overall physical health, diet and exercise, family history, physical condition and adherence to the Le Reve program. The noted weight loss results may or may not be typical and any mention of “losing inches” or inches lost” refers to total combined inches lost from the waist, hips and thighs. Prescriptions and treatments (including testosterone injections) will only be given when a clinical need exists based on a thorough examination, any required testing or labs, a medical consultation and the patient’s current medical history. Nothing herein should be interpreted as a representation that “B-12” or “B Complex/MIC” injections are medically necessary or will cause weight loss. These accounts have not been evaluated by the FDA and this product is not intended to diagnose, treat, prevent or cure any disease. Testosterone treatments will not be prescribed unless a clinical need is identified after an examination, necessary testing or labs, a medical consultation and the patient’s current medical history. Results may vary from patient to patient based on factors such as weight, diet, age and health.