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Medical Information Form
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Gender
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Height
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Body Weight
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Percentage of Body Fat
Test Needed
Completed Blood Count (CBC)
Hormone Panel Including Sex Hormones And Thyroid
Lipid Profile
Glycoted Hemoglobin (3- Month Mean Plasma Glucose)
C-Reactive Protein (Inflammation Marker)
Homocystein(inflammation Marker)
D3 and B12
Specific to Females - Regularity of Menstrual Cycle, Menopause Information (If Applicable)
Weight Gain during Pregnancy/Lactation Status(Where Applicable)
Past Weight Pattern
Past Exercise Pattern
Current Workout Regularity And Intensity-Both Weight Training Cardiovascular Training
Dietary Orientation
Whether Vegan,Lacto-Vegetarian, Lacto-Ovo vegetarian Pescetarian
Food Allergies-
Intense Dislikes Leading To Nausea
Dietary Recall Of An Average Day, Especially Making Note Of
Meal Frequency /Time Gap Between Meals
Proportion Of Heigh Thermogenic Food
Pre And Post Workout Meals(Type And Quantity)
Supplementation Details
Wake Up Time
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Workout Time
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