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Excellent 4.5

Reach your goal weight
fast without restrictive
diets and exercise.
Please answer the following questions so we can qualify you
for medical weight loss.
Within the last 3 months, have you taken opiate pain
medications and/or opiate-based street drugs?
No
Yes
Have you had prior weight loss surgeries?
No
Yes
Do you currently take any prescription medications?
No
Yes
What is your blood pressure range?
< 120/80
Normal
120 - 129/<80
Elevated
130 - 139/80-89
Hypertension Stage 1
≥ 140/90
Hypertension Stage 2
What is your average resting heart rate?
<60 beats per minute
Slow
60 - 100 beats per minute
Normal
101 - 110 beats per minute
Slightly Fast
>110 beats per minute
Fast
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