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Brief Medical History
Do you take medication OR have your ever been DIAGNOSED with any of the following? How about anyone in your family?
You
Anyone in Family
High Blood Pressure
High Cholesterol
Diabetes
Chest Pain
Irregular Heart Beat
Blood Clot
Stroke
Cancer
High Triglycerides
Obesity
Sleep Apnea
Thyroid disorder
Weight Problems
new test
Calculations
HBP
HBP FH
Cholesterol
Cholesterol FH
Diabetes
Diabetes FH
Chest Pain
Chest Pain FH
Irregular HB
Irregular HB FH
Blood Clot
Blood Clot FH
Stroke
Stroke FH
Cancer
Cancer FH
TG
TG FH
Obesity
Obesity FH
Sleep Apnea
Sleep Apnea FH
Thyroid
Thyroid FH
Weight Problems
Weight Problems FH
Sx Sex
Diagnoses
Hypertension
Hypertension FH
Hypercholesterolemia
Hypercholesterolemia FH
Diabetes Type 2
Family Hx - Diabetes
Dx Chest Pain
Family Hx - Chest Pain
Arrythmia
Family Hx - Arrythmia
Thrombotic Event
Thrombotic Event - FH
Dx Stroke
Dx FHx Stroke
Dx Cancer
Dx FHx Cancer
Hypertriglyceridemia
FHx Hypertriglyceridemia
Dx Obesity
Dx FHx - Obesity
Dx Sleep Apnea
Dx FHx Sleep Apnea
Dx Thyroid
Dx FHx Thyroid
Dx Weight Issues
Dx FHx weight issues
Dx of Symptoms
Dx Sx Readable
What symptoms are you experiencing? (Check all that apply in the last 6 months)
Fatigue / Low Energy
Problems with Sex
Loss of muscle
Trouble losing weight
Difficulty Sleeping
Problems with concentration or memory
Chest pain
Trouble breathing
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