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  • NEW PATIENT WEIGHT LOSS INTAKE

  • As detailed in the Consent portion, it is highly recommended that you are under the care of a qualified healthcare professional, who has verified that it is safe for you to exercise and be on a weight loss program and is monitoring medications and any health concerns that you list here (besides your weight issues- that’s what we’re covering). If you are on medications (particularly for high blood pressure, heart issues, or diabetes), you will need these to be monitored during and after the program as your need for them may change.

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  • MEDICAL HISTORY

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  • How many hours do you sleep on average?

  • Diet and Lifestyle

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    3 MONTH Premium Weight Loss Plan Tier 1  Product Image
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    3 MONTH Basic Weight Loss Product Image
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