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Medical Background
Height in cm
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Weight in kgs
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BMI (Auto-Calculated)
Pre-existing Health Conditions
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Previous Abdominal or Bariatric Surgery
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History of Blood Clots, Bleeding Disorders, or Stroke
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Currently Taking Blood Thinners
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Mental Health Conditions (diagnosed)
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Allergies (if none, type “None”)
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Do you smoke?
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Do you drink alcohol?
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