OceanGlo Formulation

NUTRITIONAL INFORMATION

PER 12 G PER 100 G

ENERGY 184 KJ / 43 KCAL 1530 KJ / 360 KCAL

PROTEIN 11G 90 G

TOTAL FAT 0 G 0 G

- SATURATED 0 G 0 G

CARBOHYDRATE 0 G 0 G

TOTAL SUGARS 0 G 0 G

SODIUM 29 MG 250 MG

CONTAINS FISH

Name

Phone Number

Have you used collagen before?

If so, what brand?

What are your current skin/ beauty/ hair concerns? And why you think Revive could assist.

Tell us why you want to join a trial? Please include information such as lifestyle, past health issues and current concerns.

Are you pregnant or breastfeeding?

Do you have an active or sedentary lifestyle?

Do you have any health concerns?

Tell us about your current diet

Please be sure to email us images of your current skin and hair on info@therevivelab.com