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Program Summary
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Program 1
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Type of Program
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Program Start Date
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Program End Date
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Weight Loss- pounds (%)
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Program 2
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Type of Program 2.
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Program 3
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Type of Program 3
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Program 4
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Type of Program 4
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Program 5
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Type of Program 5
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Program 6
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Type of Program 6
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Program 7
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Type of Program 6
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Program Start Date.
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Program End Date.
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Weight Loss- pounds (%)
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Follow Up
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Medical F/u
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Follow-UP
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PCP update
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PCP F/u
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F.U with Exercise Health Coach
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Lab
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3 month maintenance labs
• • •
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One Month Electrolyte Check
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Weight Loss Medications
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Actigall
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Multivitamin
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Phentermine
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Qsymia
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Topirimate
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Belviq
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Saxenda
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Contrave
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Metformin
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Additional Comments
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