90 Day Challenge Completion

Congratulations On Completing The Lysulin 90 Day Challenge!We can't wait to hear about your experience and your results.

Now it’s time for the fun part! Simply fill out the form below and you could win $100 CASH plus 3 Months of FREE Lysulin product!

Be sure to like/follow us on social media and feel free to share your story – our community would love to hear about your journey!

Submit Your Challenge Results In The Form Below

The information entered will be your official entry into our 90-Day Challenge reward program. Participants will be notified via email if they have received a prize.

"*" indicates required fields

Personal Information

Name*

Phone*

Email*

Challenge Results

Challenge Start Date*

Challenge End Date*

Which Lysulin Formula Did You Select?*

Capsules

Chewables

Powder

Liquid

Starting A1c

Ending A1c

Tell us about your experience and how you feel now that you've completed your 90-day journey including results achieved and any obstacles you overcame.

Testimonial*

CAPTCHA