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Follow-up Anamnesis
Welcome back. This is a short check-in so your next action plan reflects where you are now — not where you were when you first joined. Lasting facts like family history stay on file, so we only ask what changes. Everything here is optional.
What are your primary health goals right now?
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What is your weight (kg)?
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Over the past month, how often have you felt stressed?
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A
Never
B
Rarely
C
Sometimes
D
Often
E
Very often
How would you describe your sleep quality?
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A
I fall asleep easily and wake up rested
B
I have trouble falling asleep
C
I wake up frequently during the night
D
I wake up early and can't fall back asleep
E
I wake up feeling unrested or tired
How would you rate your energy level during the day?
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A
Very good
B
Good
C
Okay
D
Bad
E
Very bad
Select all symptoms you have experienced in the last 6 months:
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Fatigue / brain fog
Hair loss / feeling cold often
Heavy periods
Bloating / IBS
Tingling / numbness
Increased thirst / frequent urination
Low libido / erectile dysfunction
None of the above
Other
Are you currently taking supplements?
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A
Yes
B
No
Which supplements are you taking and in what dosage per day?
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Have you taken any of these medications in the last 3 months?
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Thyroid meds (levothyroxine, etc.)
Statin or PCSK9
Metformin or GLP-1 (semaglutide, tirzepatide)
Oral contraceptive / HRT
Testosterone therapy
Steroids (oral / injectable)
PPI (omeprazole, etc.)
High-dose biotin (>5 mg/day)
Iron / B12 supplements
Anticoagulants / blood thinners (e.g. warfarin, apixaban)
None of the above
Other
If you have any previous lab results at hand, feel free to upload them here.
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Click to choose a file or drag here
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