Health Screening

Health Screening

Patient Information

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Your Health Conditions. Check all that apply:

Weight Loss
Urinary Tract Infections
Alzheimer’s/Memory Loss
High Blood Pressure
High Cholesterol
Diabetes (Type 1 or 2)
Peripheral Neuropathy
Fatty Liver
Cirrhosis
Osteoarthritis
Low Testosterone
GERD/Acid Reflux
Gastroparesis
Celiac Disease
Ulcerative Colitis
Crohn’s Disease
Hepatitis C
Sinus Issues
Migraines
Asthma
COPD

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