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Reasons for consultation
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Reason 1
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since
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Reason 2:
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since
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Reason 3:
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since
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Reason 4:
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since
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Reason 5:
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since
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Actual drugs and supplements
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Drug/supplement 1:
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How long?
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Drug/supplement 2:
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How long?
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Drug/supplement 3:
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How long?
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Drug/supplement 4:
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How long?
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Drug/supplement 5:
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How long?
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Drug/supplement 6:
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How long?
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Drug/supplement 7:
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How long?
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Drug/supplement 8:
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How long?
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Drug/supplement 9:
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How long?
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Drug/supplement 10:
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How long?
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Drug/supplement 11:
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How long?
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Drug/supplement 12:
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How long?
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Your Health
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THYROID DEFICIENCY COMPLAINTS
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Hair
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Diffuse hair loss (all over head)
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Brittle hair
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Slow-growing hair
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Nails
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Brittle fingernails
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Slow-growing nails
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Face
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Swollen (puffy) face
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Swollen lower eyelids
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Edema
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Swollen hands (morning)
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Swollen feet (morning)
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Tendency to weight gain
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Cold
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Excessive sensitivity to cold
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Cold in evening
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Need for blankets at night
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Cold hands
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White winter fingers
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Cold feet
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Poor Blood Flow - Lower Limbs
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Heart
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Irregular, slow beats, palpitations
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Dry Skin
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Facial dry skin
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Elbows (back) dry skin
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Facial dry skin
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Legs - dry skin
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Joints
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Morning stiffness
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Carpal tunnel syndrome (tingling fingers)
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Diffuse pain (arthralgia)
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Muscle Cramps at Night
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Calves
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Feet
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Water
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Poor thirst (oligodipsia)
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Difficulty sweating
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Small amount of urine output (Oliguria)
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Fatigue
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Morning fatigue
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Fatigue at rest
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Reduced vitality
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Lack of enthusiasm (Apathy)
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Sleepiness/drowsiness (Somnolence)
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Slowness (morning)
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Attention deficit
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Memory loss
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Depression (morning)
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Headache
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Diffuse (all over the head)
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Around eyes
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Frontal
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Occipital (Back of head)
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Migraine
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Vomiting, nausea
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Visual spots (scotomas)
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Ear
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Ear sizzling sounds (tinnitus)
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Deafness
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Nose
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Epistaxis (nose bleeds)
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Pharynx (voicebox)
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Hoarseness
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Lungs
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Dyspnea (difficulty breathing)
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Infections
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Ear (otitis)
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Nose (rhinitis)
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Throat (pharyngitis)
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Bronchitis
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Gut
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Poor appetite
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Dyspepsia (indigestion)
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Intolerance to fats
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Constipation
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Enuresis (involuntary urination)
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Bedwetting as a child?
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If yes, until what age?
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Body Temperature
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Body Temperature
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Temperature 1:
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Temperature 2:
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Temperature 3:
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THYROID EXCESS COMPLAINTS
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Underweight body (despite increased food intake)
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Weight loss (abnormal)
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Constant hot feeling
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Diffuse sweating (hair, face, trunk)
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Exaggerated thirst (poludipsia)
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Nervous
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Quick palpitation (Tachycardia)
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Insomnia (the whole night)
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Exaggerated appetite
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CORTISOL DEFICIENCY COMPLAINTS
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Underweight body (despite increased food intake)
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Face
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Hollow face
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Brownish face
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Melasma (brown skin patches)
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Pigment spots
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Vitiligo (discolored skin spots)
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Skin of hands
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Vitiligo (discolored skin spots)
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Dermatitis, eczema, psoriasis
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Allergies
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Skin
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Ear
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Nose
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Throat
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Asthma
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Food allergies
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Medication intolerance
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Joint pains (arthralgia)
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Shoulders
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Hands
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Feet
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In stress conditions
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Irritable
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Low resistance
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Fatigue punch
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Easily confused
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Low blood pressure
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Emotional outbursts
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Appetite loss
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Sweet cravings
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Energy drops (hypoglycemia)
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at 11 hours
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at 16 hours
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Gut
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Gastritis
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Liver
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Enteritis/ colitis
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Abdominal pains
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Quick palpitation (Tachycardia)
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Rheumatoid arthritis
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CORTISOL EXCESS COMPLAINTS
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Moon Face (Excess fat on sides of face)
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Buffalo hump (fat behind neck)
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Hyper agitated
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High blood pressure
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ALDOSTERONE DEFICIENCY COMPLAINTS
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Low blood pressure
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Drowsy when standing up (orthostatism)
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Feeling better if lying on a bed (supine)
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Empty-headedness
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Difficulty focusing, foggy sight
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Salty food cravings
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Frequent daytime urination (pollakiuria)
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ALDOSTERONE EXCESS COMPLAINTS
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Swollen:
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Face (in late afternoon, evening)
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Hands (in late afternoon, evening)
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Feet (in late afternoon, evening)
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Headache (due to high blood pressure)
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High blood pressure
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DHEA DEFICIENCY COMPLAINTS
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Body hair
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Armpit hair loss
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Pubic hair loss
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Dry:
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Dry eyes
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Dry skin
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DHEA EXCESS COMPLAINTS
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Acne
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Scalp hair loss (women)
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INSULIN DEFICIENCY COMPLAINTS
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Underweight body (despite increased food intake)
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Emaciated (thin) face
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Thin (decreased fat and muscles)
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Arms
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Legs
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Digestive troubles
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Droopy (laxity)
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Triceps
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Buttocks
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Exagerated thirst feeling (polydispie)
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Urinate large amounts during the day (polyuria)
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