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Patient personal details:

Client Name Mrs. Pearl Weepers
ClientID 11 Age 53
Gender Female Marital Status Married
Weight 80 Height 6
BMI 32 Ideal Wt 60
Email PEARLNGEORGE@HOTMAIL.COM Mobile 9920019217
First Consultation Date 20 January 2022 Next Review Date 08 April 2022
Record creation date 20 January 2022 ClientID 11
Address US

Patient history form:

Family History Mother and Father had DM, HTN Mother was allergic Current medication TAB THYROX 100 MG, TAB TELMA 40 MG , TAB CTD 06.25 MG, OMEPRAZOLE 20 MG, CETRIZENE 10 MG, calcium, vit D, VIT C SUPPLEMENTS
Surgical History appendictomy , c section Menstrual History menses are irregular , no menses since a year
Pregnancy Details nil My overall health goals are: be healthy, weight loss, healthy diet plan
Techniques I have used in the past to reach my goals: Mother and Father had DM, HTN Mother was allergic Current medication TAB THYROX 100 MG, TAB TELMA 40 MG , TAB CTD 06.25 MG, OMEPRAZOLE 20 MG, CETRIZENE 10 MG, calcium, vit D, VIT C SUPPLEMENTS
I am having the current weight since: since a year
Activities
Yoga nil
Cardio nil
Training nil
Sports nil
Average Sleep
Week end
Week day 7 hrs
Do you associate any digestive symptoms with eating certain foods? Yes
Do you have regular bowel movement? Yes
Have you made any recent changes your diet for any reason? No
Culture Christian Diet prefrences nil
Strong likes nil Strong dislikes
Allergic food eggs , Sleep time
Wake up time 5 am
Sleep time 9.30 pm
Meal schedule 5 am - a cup of tea with almond tea toast with butter lunch - dinner - wheat and potatoes
Final Diagnosis Obesity grade 1, HTN, HYPOTHYROIDISM ,


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