About your Condition We need to understand more about your specific condition to help find the most suitable medication or advice to help you. Please can you answer the following questions. If you get stuck or need any help, you can contact us.
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Back Have you ever previously attempted to lose weight by both diet and exercise?
Do you currently or have you previously used any medication to help you lose weight?
Do you currently suffer with any of the following conditions? - High blood pressure
- Diabetes
- High cholestrol
- Sleep apnoea
How many calories do you intake on a usual day?
Have you ever previously been diagnosed or suffer with an eating disorder such as anorexia or bulimia?
Do you or have you ever previously suffered with any kidney or liver impairment or damage?
Have you ever previously been diagnosed with Atrial Fibrillation or any condition related to heart beat rhythm?
Have you ever previously been diagnosed with heart failure?
Do you or anybody in your family have any history of thyroid cancer, any previous thyroid issues or any endocrine issues?
Have you ever been diagnosed with any other medical conditions? This can include:
-Immune system conditions such as HIV -Liver or kidney issues Do you suffer with any allergies?
Do you currently take any medication? This includes herbal remedies and over the counter medication.
Are you currently pregnant, planning a pregnancy or breastfeeding?
Is there any other information you would like to share with our prescribing team? If so, please provide more information
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