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What is your gender?
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How much do you weigh now? (in KG)
How much do you want to weigh? (in KG)
Check the conditions that apply to you:
Asthma
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Psychiatric disorder
Epilepsy
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Check the symptoms that you' re currently experiencing:
Chest pain
Respiratory
Cardiac disease
Cardiovascular
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Gastrointestinal
Genitourinary
Weight gain
Weight loss
Musculoskeletal
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Are you currently taking any medication?
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Do you have any medication allergies?
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Do you use any kind of tobacco or have you ever used them?
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What kind of tobacco products? How long have you used/been using them?
How often do you consume alcohol?
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