ࡱ>  g hbjbjhh 4|\|\80? ,,,,,@@@8x|<@:/00000ddd-------$14>-,ddddd-,,004.d,0,0-d-Y+h,0]+- /0:/+44 ,,4,,ddddddd--Zddd:/dddd4ddddddddd > : OPTIMAL LAB VALUES Patient: Date: Fasting: Y/N AnalyteTest ResultRef RangeLab High/ LowOptimal RangeFunctionally High/LowCore Centers of Health Correlation (only assess if fasting)WBC3.8-10.8 thousand/uL4.8-7.8RBC3.8-5.10million/uL4.0-4.8HemoglobinF: 11.7-15.5 g/dL M: 13.2- 17.1 g/dLF: 12.9-14.5 M: 14.0-15.0Anaerobic if!HematocritF: 35-45% M: 38.5-50F: 38-42 M: 41-45Anaerobic if !MCV80-100 fL86-95Anaerobic if! Oxidative Stress if!MCH27.0-33 pg28-32MCHC32-36.0 g/dL32-36RDW11.0-15.0 %11-14Anaerobic if!Platelets140-400 thousand/uL140-300ABS Lymphocytes850-3900 cells/uL2000-3000*Ominous sign if count is <1500 along w/albumin <3.5ABS Neutrophils1500-7800 cells/uLAround-3000ABS Monocytes200-950 cells/uL400-600ABS Eosinophils15-500 cells/uL200-500ABS Basophils0-200 cells/uL100-200Neutrophils40-75%50-65Lymphocytes16-46%26-40Monocytes0-12%4-6Eosinophils0-7%0-3Oxidative Stress if!Basophils0-2%0-2MEBs<9= or >9 toxic assault, or infectionGGT (GGTP)3-70 U/L10-40Oxidative Stress if!AST (SGOT)0-40 U/L10-30Oxidative Stress if! Inflammation if!ALT (SGPT)6-40 U/L12-30Oxidative Stress if! Inflammation if!Alk Phos37-130 U/L50-90Inflammation if!Total Bilirubin.2-1.2 mg/dL.5-1.2Oxidative Stress if!Total Protein6.2-8.3 g/dL6.9-7.4 * Should not be below 6.9. Sweet spot is 6.9  7.4Acid Stress if!! Anaerobic if! Connective Tissue Integrity if!! Inflammation if!Albumin3.6-5.3 g/dL4.3-4.8 almost always. Definitely not in the 3s.Acid Stress if !! Anaerobic if! Free Ca++ if! *Ominous sign if less than 3.5 Acute phase reactant if lab !Pro/Alb ratio< 1.65Protease inhibition/Connective Tissue Integrity if !Globulin2.2-3.7 g/dL2.6-3.0Once this goes into the 3s, start thinking maybe infection. Other s/s?A/G Ratio1-2.6 (calc)1.8-2.2Inflammation if! *Ominous sign if <1.3Glucose65-99 mg/dL80-93 (79-89) *Not above 90Anaerobic if! Oxidative Stress if! Inflammation if!HGB A1c<5.7%<5.2 (or <5)BUN7-25 mg/dL13-20Oxidative Stress if!!Creatinine.50-.1.05 mg/dL.8-1.01Connective Tissue Integrity if!Calcium8.6-10.2 mg/dL9.1-9.8 * (If protein and albumin are optimal, no less than 9.4)Anaerobic if! Free Ca++ if!*Calcium: Albumin Ratio (calcium divided by albumin)2.2  2.5*Ominous sign if >2.7Free Calcium Excess Risk Index: phosphorus lab level x 2.5 = predicted calcium (calcium level you would expect to see). Then take actual measured fasting calcium from lab and subtract predicted calcium.If 0.9-1.4 = low to slightly increased risk for plaque excess. If 1.5 2.1 = mod risk for plaque excess. Anything above 2.2 is a high riskBelow .8 is the goal (negative numbers are okay) If at risk: until corrected, avoid calcium supplements, increase phosphorus foods to balance out (add raw pumpkin seeds. Refer to high phos foods list). Often seen with vegetarians Phosphorus2.5-4.5 mg/dL3.3-4.0Acid Stress if! Free Ca++ if!Sodium135-146 mmol/L138-142Potassium3.5-5.3 mmol/L4.0-4.8Acid Stress if!Chloride98-110 mmol/L100-105Sodium/Chloride RatioIdeally 1.41Lower than 1.39 is moving into acidic tendencyCO221-33 mmol/L24-29Acid Stress if! Anaerobic if!Cholesterol120-200 mg/dL160-200 (not below 155)Oxidative Stress if! Inflammation if! *Ominous sign if below 140Triglycerides<150 mg/dL 70-100Anaerobic if! Oxidative Stress if!HDL>OR= 46 mg/dL55-90Oxidative Stress if!LDL<130 mg/dL calc 70-110Chol/HDLc ratio<OR  5.0 (calc)3-4TG/HDL ratio<2Iron40-160 mcg/ dL60-120TIBC240-450 mcg/dL300-375% Saturation (AKA Transferrin)15-50% calc30-34Acute phase reactant if lab!Ferritin20-380 ng/mL40-150Anaerobic if! Oxidative Stress if! Inflammation if!TSH .40-4.50 mIU/L1.3-3.0Anaerobic if !Total T44.5-12.0 ug/dl6.0-12.0Anaerobic if!Free T4.8-1.8 ng/dL1.0-1.8T3 Uptake24%-39%28%-38%Free T32.3-4.2 pg/mL2.7-4.2Total T371 180 ng/Dl75 - 175TPO0 34 IU/mL0Thyroglobulin antibody 0.0 0.9 IU/mL0LDH0-220 U/L140-180Vitamin B12200-1100 pg/mL500-1100MMA0.0 - .40 umol/L0.0 - .30 umol/LTake in context with related labs/signs & SxFolate, SerumLow: <3.4 Borderline: 3.4-5.4 Normal: > 5.4>10Vitamin D, 25-OH Total30-100 ng/mL45-60 (in some cases 80)Inflammation if LAB !Immunoglobulin A 81-463 mg/ dL100-150Immunoglobulin G694-1618 mg/dL900-1200Immunoglobulin M48-271 mg/dL70-100Anaerobic if!Insulin<23 uIU/mL<10 Goal is less than 5 if hyperglycemicMagnesium RBC4.0-6.4 mg/dL5.0-6.0Beta-2 Microglobulin<OR= 2.51< 1.50Oxidative Stress if!Uric AcidMen 3.7-8.6 mg/dl Women 2.5-7.1 mg/dlMen 5-6.0 Women 3.8-5.5Oxidative Stress if!ANA screen IFANegativeAnti -Nuclear Ab titerNegatlve- <1:40 Low Antibody Level -1:40- 1:80 Elevated Antibody level >1:80NegativeCopper70-175 mcg/dl80-150 More depends on free Cu excessAssess w/CeruloplasminFree Excess CopperCeruloplasm x 3 = #. Fasting copper should equal no more than 20 points above this calculated #.Marker for need for zinc - Consider screen all pts at high risk and with or post cancer; also all estrogen dominant Fibrinogen150-400 mg/dL150-200Acute phase reactant if lab !C-reactive Protein.00-.80.00 - .40Acute phase reactant if lab !Homocysteine<134-8 If >8, assess for B12, B6, and folateAcute phase reactant if lab ! IMPORTANT! This form should not be used without proper training on Functional Blood Chemistry Interpretation and the Six Core Centers of Health, as they are taught in the Next Level Functional Nutrition Certification Course. It would be irresponsible to use this form to interpret lab data without proper training, as misinterpretation could lead to ineffective, or worse yet, negative patient outcomes that place the clinician at increased liability. See Notes Below Lab Optimal Values Remember, lab values out of optimal range, yet still in lab range are not technically high or low and should not be considered independent markers with meaning alone; rather, in context with related markers. It is suggested you mark these ranges with lower cases h (high) and l (low) in the righter-hand open column, and out of lab ranges with capital H and L in the left-hand open column. You cannot have both Lab high and functionally high be sure to only mark one. Notes:: This form is developed for adult lab references. Lab results for children can sometimes be markedly different. This form may not be suitable for pediatric lab results. However, you can apply similar principles when interpreting optimal lab status Lab results from other countries may vary widely and may use different forms of measurement. Be sure to compare apples to apples convert metrics before comparing if necessary Only one date of labs per optimal values form do not mix lab dates. Remember, fasting labs are preferred. Not all non-fasting labs can be interpreted the same. For example, a high glucose after breakfast may not represent an abnormal finding. Do not assess normalcy for indicators that can be elevated through caloric consumption. Nutrients generally should be in the top half of their range, but remember, in may cases its about balance of nutrients (especially minerals), and caution for free mineral excess (as in calcium, sodium, and iron)e. Important: For clarity there is no such thing as optimally high or low, only functionally high or low and that is when results are in range but outside of optimal range! Instructions It is always best to use fasting labs to evaluate optimal status. In many cases, the optimal range corresponds, or is based on, the reference range. These are suggested number and are NOT set in stone. Optimal should always take into consideration the health associations. In other words, dont nit-pick on a lab that is just a little out of optimal if there are no other related markers out of place, nor implication with any of the 6 core centers of health. Bottom line These optimallevels are based on these reference ranges, and if your reference ranges are different, then youll need to adjust the optimal range - with a few exceptions. Exceptions: Optimal Glucose is always 79 and 89. Cholesterol should not really go below 160, though 155-160 may depend on the circumstances Blood calcium is not a great f  > ?    p ŽŽŲŔŔŔ~lŔ~lŔ~Z~#hEYMhDKCJOJPJQJaJo(#hEYMhHCJOJPJQJaJo(hEYMhHCJaJhEYMhDKCJaJhEYMh#;CJaJh3@hHCJaJhdCJaJh3@hb@CJaJh}CJaJh3@h#;CJaJhMTh}CJ aJ mH sH hMTh}>*CJ aJ mH sH hMTh>*CJ aJ mH sH #fnz       FfJFf d$ &#$/IfgdHd$ &#$/Ifgd+$@ ^@ `a$gd} 3 4 < = > ? J K ] p q ~     2 H J \ n Ff d$ &#$/Ifgd32Fftd$ &#$/Ifgd+n p     & ( 4 6 8 : D F Ff,FfFf d$ &#$/Ifgd32d$ &#$/Ifgd+    8 : r t < l n p q r ( ) F G d e } ~ ···ߥ··········|hEYMhG9CJaJhEYMhtCJaJhEYMCJaJhEYMh;CJaJ#hEYMhDKCJOJPJQJaJo(hEYMh#;CJaJh3@h#;CJaJ#hEYMhHCJOJPJQJaJo(hEYMhHCJaJhEYMhDKCJaJhEYMh3KCJaJ-F ` b n p r t | ~   FfFfd$ &#$/Ifgd3KFfVd$ &#$/Ifgd+   0 1 ; < q r Ff#Ff d$ &#$/IfgdGd$ &#$/Ifgd+    & ' ( ) 5 6 = > D E F Ff|-FfR*d$ &#$/Ifgd+Ff('F G S T [ \ b c d e o p v w { | } ~ Ff6Ff3d$ &#$/Ifgd+Ff046N:PZ\`bd|  $*Jbh̶⫠x⫠x⠊x⫕x⫊x⫊#hEYMhFCJOJPJQJaJo(hEYMhHCJaJhEYMhFCJaJhEYMh3KCJaJhEYMhtCJaJh3@h^|CJaJhEYMh;CJaJhEYMh^|CJaJh3@h#;CJaJhEYMh#;CJaJ#hEYMhG9CJOJPJQJaJo(/ &(0246@BDFLNFfx@FfN=d$ &#$/Ifgd+Ff$:d$ &#$/Ifgdt*,8:dFfIFfFd$ &#$/Ifgd3KFfCd$ &#$/Ifgd+"$:<HJln "2FfJPFf Md$ &#$/Ifgd&ad$ &#$/Ifgd+hjln2>@B`bptv|~♎{{pe]hMTCJaJhEYMh_CJaJhEYMhUCJaJhEYMh^|CJaJh>CJaJhEYMhDKCJaJhEYMh;CJaJ#hEYMhG9CJOJPJQJaJo(hEYMh&aCJaJhEYMhG9CJaJhEYMhtCJaJh3@h#;CJaJhEYMh#;CJaJ#hEYMh9nCJOJPJQJaJo( @BRTnp2rFfVd$ &#$/Ifgd+FftSd$ &#$/Ifgd; FHJLN "@BXZ`b46^` "$BǼ{hEYMh9-CJaJ hEYMh;CJOJPJQJaJ#hEYMh;CJOJPJQJaJo(h>CJaJh3@h;CJaJhEYMh;CJaJh3@hMTCJaJh~yCJaJhEYMh~yCJaJh0)CJaJhMTCJaJhEYMhMTCJaJ0LN`b|~ "68RTdfFf\FfYd$ &#$/Ifgd;d$ &#$/Ifgd+d$ &#$/IfgdMT8bFfpfFfFcd$Ifgd;d$ &#$/Ifgd;Ff`"$:<\^npfh FfoFflFfid$ &#$/Ifgd;TVy9HYfrLNhjlndfdf8:<rt  hEYMh;CJOJPJQJaJhEYMh;CJPJaJhEYMhUCJaJhEYMh9-CJaJh,h9-CJaJh3@h;CJaJhEYMh;CJaJ#hEYMh;CJOJPJQJaJo(< &(TVxy9:;FfBvd$ &#$/Ifgd,d$Ifgd9-Ffsd$ &#$/Ifgd;.0Pln|~02NPFfFf|Fflyd$ &#$/Ifgd;P`bdf8:FHhFf>FfFfd$ &#$/Ifgd;<rt   * , 8 : d f n FfFfFfhd$ &#$/Ifgd;  ` b d f &!(!f!h!!!@"H"L"N""""""""P#R#T#V######$$$A$B$g$h$$$$$$$$$$$I%J%%%&&^&`&&&$'&'('*'\'ؼhEYMh;CJOJQJaJ hEYMh;CJOJPJQJaJhEYMhUCJaJ#hEYMh;CJOJPJQJaJo(hEYMh;CJaJh3@h;CJaJCn p !!!!"!$!&!(!2!4!Ff:FfFfd$ &#$/Ifgd;4!R!T!b!d!f!h!r!t!!!!!!!!!""""L"N"`"b"|"FfFfFfdd$ &#$/Ifgd;|"~"""""""##"#$#4#6#T#V#h#j#########Ff6Ff Ffd$ &#$/Ifgd;######$ $ $$$$$$$'$($6$7$?$@$A$B$K$L$[$FfFfFf`d$ &#$/Ifgd;[$\$e$f$g$h$l$m$z${$}$~$$$$$$$$$$$$$Ff2$ &#$/Ifgd;FfFf޻d$ &#$/Ifgd;$$$$$$$$$$$$$$$$$$ % %%%I%J%X%Y%FfFfFf\d$ &#$/Ifgd;Y%w%%%%%%%%%%%%%&&(&,&H&J&Z&\&^&`&&&Ff.FfFfd$ &#$/Ifgd;&&&&&&&&&&& ' '('*':'<'R'T'\'''''''FfFfFfXd$ &#$/Ifgd;\''''''''@(D(L(N(v(x(z(|(8):)<)>)x)z)))))))))))**%*-*0*1*H*N*O*n*tiihEYMhEYMCJaJhEYMh;CJRH_aJhEYMh;@CJaJhEYMh;@CJaJhEYMh;@CJaJhEYMh;@CJaJ#hEYMh;CJOJPJQJaJo(hEYMh;>*CJaJhEYMh;5CJaJh3@h;CJaJhEYMh;CJaJhEYMh9-CJaJ)'''''''((*(>(@(N(P(z(|((((((())<)>)\)Ff*FfFfd$ &#$/Ifgd;\)^)p)r)t)v)x)z)))))**$*%*~$ &#$/If^~gd;$ &#$/If^gd;~ $ &#$/If^~gd;~Y$ &#$/If^~gd;Ffpd$ &#$/Ifgd;%*.*/*0*1*8*9*G*H*O*n*o********++v+w+gd$If^ggd9-FfFfd$ &#$/Ifgd;n***+++v+w+x++++++++++,,,,.,<,@,R,V,,,,,,,,,,,,,--:-@-H-J-öhEYMhEYM>*CJaJhEYMh;CJOJQJaJhEYMhUCJaJhEYMh;CJOJQJaJh}z8h;CJ^JaJ!h}z8hEYMB*CJ^JaJph***hEYMhEYMCJaJhEYMh9-CJaJh3@h;CJaJhEYMh;CJaJ,w+x+kd$$Ifl֞ 7"+'[ 8 t 6 0^,644 laytEYMx+++++++,d$ &#$/Ifgd;,,kd$$Ifl֞ 7"+'[ 8 t 6 0^,644 laytEYM,,,.,>,@,T,V,,d$ &#$/Ifgd;,,kd$$Ifl֞ 7"+'[ 8 t 6 0^,644 laytEYM,,,,,,--L-d$ &#$/Ifgd;J-L-N-R-j-. .#...p/////////00000141p1q1ɸߧvlblXlXLXBhEYMhX75CJhEYMh^|5>*CJhEYMh^|5CJhEYMh|/5CJhEYMh+5CJhEYMhEYM5CJ(h[hEYM5B*CJOJQJaJph#"hEYM5B*CJOJQJaJph# hEYM5CJhEYMh;5CJhEYMhEYM5CJ h^l5CJ ht5CJhtht5B*CJph h;5CJh3@h;CJaJhEYMhEYMCJOJQJaJL-N-R-kd$$Ifl֞ 7"+'[ 8 t 6 0^,644 laytEYMR-o/p///////q1z1q2"3h3o4G5H555d"Z-DM [$\$gd[ & Fd"ZZ-DM [$\$gds]d"ZZ-DM [$\$gdje1d"Z-DM [$\$gdEYMq1t1w1x1z11q2"3'30383O3g3h3n4o4D5E5F5G5H5̼̼zn[nOn[?hs]B*CJOJQJaJphhgwCJOJQJ^J%hs]hs]B*CJOJQJaJph#hs]CJOJQJ^J%hs]h}B*CJOJQJaJph#hs]hs]5CJOJQJ^Jhs]h}5CJOJQJ^Jhs]h}CJOJQJ^Jhs]B*CJOJQJaJph#hje1B*CJOJQJaJph#hje1B*CJOJQJaJph%hyhje1B*CJOJQJaJphH5S555556E6666777777888ʸs^L:^#h[0JB*CJOJQJaJph##h[0JB*CJOJQJaJph#(h[h[>*B*CJOJQJaJph#h%B*CJOJQJaJph#h[B*CJOJQJaJph#h|/B*CJOJQJaJph#(h[h[5B*CJOJQJaJph#"h;5B*CJOJQJaJph#%h;h[B*CJOJQJaJphhyh;CJOJQJaJ%h;h;B*CJOJQJaJph56788889hUǣȣХѥAêd"ZZ-DM [$\$gd[ & Fd"Z-DM [$\$gdy & Fd"Z-DM [$\$gd[d"Z-DM [$\$gd[8s88869ա֡ghUƣǣȣޣ'./RSZ[ҤӤڤۤ=>EFZߪߪxffxffxffxffxf#h[0JB*CJOJQJaJph##h[0JB*CJOJQJaJph#h^|B*CJOJQJaJph#h|/B*CJOJQJaJph#hX7B*CJOJQJaJph#%h^|hyB*CJOJQJaJph#Uh%B*CJOJQJaJph#h[B*CJOJQJaJph#hyB*CJOJQJaJph##indicator of stores and therefore need for supplementation. Calcium levels moves with protein/albumin so if protein is low and one is too acidic, youd expect calcium to be low but you should not supplement with extra calcium until you correct the protein and the acidity and retest calcium. If calcium is low in the presence of acid/alkaline balance (by all measures) and theres a good fasting pro/alb, then consider calcium supplementation after diet is considered. *If protein and albumin are optimal, calcium should be no less than 9.4 Fasting Protein should not go below 6.7. Albumin should not go in the 3s. HgbA1C should always be in the low 5s, some even prefer in the high 4s. LDL could potentially be higher optimally, as long as the particle size/distribution is favorable. Other cardio test variable and risks should be favorable as well. Fasting Insulin should always be less than 10. Some feel it should be less than 5 in glucose challenged patients. With everything else, if any of your reference ranges are different than mine, and we know the optimalis based on the reference, then theoptimalrange must be adjusted to reflect your different reference range. Example: My reference range for iron is 30-170 and myoptimalis 50-130. Note that relationship....on the low end,optimalis 20 pts higher and on the high end,optimalis 40 points lower. If your reference range is 40-160 (different than mine), then youroptimalrange must be different than mine as well. You chose the newoptimalrange based on the same relationship that you see, both between my ref andoptimaland between mine and your references. In this case, you ref range is 10 higher at the bottom, and 10 lower at the top end - in other words, it's a tighter range. So, you already know youroptimalrange is going to be tighter than mine as well. If wouldn't be wrong to choose the 10/10 relationship and then choose to make your newoptimalsimilar - 10 in from both ends ofoptimaltoo....so, that would be 60 to 120. Technically anything between 55 and 60 on the low end and 120-125 on the high end would be right. What you must remember...there is NO absolute way to do this - there are NO mathematical equations or ratios you can do to make this exact! Labs aren't perfect in the first place. Different folks will have slightly differing opinions on what'soptimal. Youre just eyeballing the relationship I have between ref andoptimaland you are trying to pick something similar. In the above example, if your reference was 30-200, you might choose optimalto be 50-160 - which is the same low end (our references had the same low end) but a higher high end (your reference was 30 pts higher than mine - so your reference can be 30 pts higher as well. It's not always so mathematically easy but that's okay - just eyeball it and get close. Again, there's no perfect way and this does not have to be exact! Same reason why you don't pick on lab markers that are "close" to theoptimalrange (but out) unless you see them fitting into a pattern of imbalance. Note: Especially related to the 6 subclinical defects (but in the absence of health conditions the grossly affect protein labs) Protein and albumin should be in the same relationship relatively. If albumin is optimally high and protein is normal or low, consider the possibility that protein could also be falsely elevated. Likewise, if someone has a normal albumin but a low total protein, consider treating the albumin as if it were high. Note: In someone highly acidic, iron and calcium are permitted at lower levels. Correct the acidity, then reevaluate.     Copyright 2019: Next Level Functional Nutrition Z\Хѥ56=>45<AD|}ͻ߫ͻͻߛͻͻͻͻͻ߻ͻߋh%B*CJOJQJaJph#htB*CJOJQJaJph#h}B*CJOJQJaJph##h[0JB*CJOJQJaJph##h[0JB*CJOJQJaJph#h[B*CJOJQJaJph#hf%B*CJOJQJaJph#0ê(*+-.0134efgh$a$gdy dgdyd"ZZ-DM [$\$gd3@d"ZZ-DM [$\$gd['()+,./1245CDefghϿh}z8 hEkCJhyhyCJhEkCJ^JhjhUh+B*CJOJQJaJph#h%B*CJOJQJaJph#hyB*CJOJQJaJph#h[B*CJOJQJaJph#h|/B*CJOJQJaJph#21h:py/ =!"#*$% $$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd*$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdT$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM"$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYM kd~ $$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM"$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYM kd $$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd $$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd6$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd`$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd"$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd&$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd2)$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd\,$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd/$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd2$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd5$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd9$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd.<$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdX?$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdB$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdE$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdH$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdL$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd*O$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdTR$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd~U$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdX$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd[$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd^$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd&b$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdPe$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdzh$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdk$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdn$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdq$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd"u$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdLx$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdv{$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd~$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdʁ$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdH$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdr$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdƔ$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdD$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdn$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd§$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd@$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdj$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd<$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdf$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd8$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkdb$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd $$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM:$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 / / p<ytEYMkd4$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM:$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 / / p<ytEYMkdz$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 p<ytEYMkd$$Ifl֞ 7"+'[ 8 t 6 0^,644 lap<ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 ytEYM$$If!vh#v#v$#v. #v#v#v#v :V l t 6 0^,655'5[ 55585 ytEYM s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH J`J Normal dCJ_HaJmH sH tH DA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List tt  Table Grid7:V0 dTT V> Colorful List - Accent 1 ^m$\^@\ [0 Normal (Web)ddd[$\$CJOJPJQJaJBo!B [apple-converted-space2o12 [ highlightnodeRBR wGw0 Balloon Text dCJOJQJ^JaJN/QN wGw0Balloon Text CharCJOJQJ^JaJ^Ob^ ;Table Paragraphd1$7$8$OJPJQJ^J4r4 y0Header  H$6/6 y0 Header CharCJaJ4 @4 y0Footer  H$6/6 y0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] x0 >>>A h \'n*J-q1H58Zh!&*,05>BILMOXZ n F F  Pn 4!|"#[$$Y%&'\)%*w+x+,,,,L-R-5êh "#$%'()+-./12346789:;<=?@ACDEFGHJKNY@ @H 0(  0(  B S  ?Y` 02(*+-[]ILMQ2PQd qs!#CGUY(5##80:0;0=0>0@0A0C0D0v0y0TYPR&&80:0;0=0>0@0A0C0D0v0y033333f h"Iby2fhOr3 5 Y x  K e CJh]@j$7KTf!s!07080:0;0=0>0@0A0C0D0t0v0y0hHII^^7080D0t0y0K#1t25DMZ2io\&-m0 ^`OJPJQJ^Jo(^`OJ QJ ^J o(hHop^p`OJQJo(hH@ ^@ `OJQJo(hH^`OJ QJ ^J o(hHo^`OJQJo(hH^`OJQJo(hH^`OJ QJ ^J o(hHoP^P`OJQJo(hH}^`OJPJQJ^Jo(^`OJ QJ ^J o(o p^p`OJQJo( @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJQJo( ^`OJQJo(^`OJ QJ ^J o(o P^P`OJQJo(^`o() ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.}^`OJPJQJ^Jo(^`OJ QJ ^J o(o p^p`OJQJo( @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJQJo( ^`OJQJo(^`OJ QJ ^J o(o P^P`OJQJo(^`o() ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.io\25-mMZK#1`        b                  _,                 J#Eq@?Wy @%_P&+zC"f%0)]*I|,9-|/je132}z8;#;?)?LB?3@+F|H3KDKE%Ms/MEYMlVZm]_fb^lwGw~y&as]tFGTtd,MT[G9}b@ygwz(9nX7Ek^|>UH80:0@AAAAA A A A AAA""""x0@ @4@ "H@&(T@,\@@@Unknown G.[x Times New Roman5Symbol3. .[x Arial;. *Yu Gothic7..{$ Calibri;. .[x HelveticaG  MS Mincho-3 fg9. . Segoe UI;Wingdings?= .Cx Courier NewA$BCambria Math 1h1xg1xgSF2)W2)W!*n24 0 0C#QHP $P'2! xx joanLauren      Oh+'0h   $ 0 <HPX`joanNormalLauren2Microsoft Office Word@`4<@TD@f}]@f}]2) ՜.+,0 hp  LenovoW 0  Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[]^_`abcdefghijklmnopqrstuvwxyz{|}~ % " !#$Root Entry F]  Data \n1Table4WordDocument4SummaryInformation(DocumentSummaryInformation8MsoDataStore `bf]]5REFUFOPMKATE==2f]0w]Item  PropertiesOGFM10E3XX5==2 f]0{]Item   (Properties @D25WCBPWCGHTQ==2f]]Item PropertiesU  !"#$&DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89qCompObj%r