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Lab Review
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Chief Complaint/HPI
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Summary of Recommendations
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Deficiencies/Sub-optimal Levels
• • •
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CBC
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RBC
|
RBC Overview
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5-MTHF
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Hemoglobin
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|
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Hemoglobin Support
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Iron Bisglyconate
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Vitamin C
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Ferritin
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Hemoglobin Support
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Current Diet Plan:
• • •
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Behavioral Intervention:
• • •
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Pharmacotherapy:
• • •
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Medication Side effects:
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Weight Loss Since last visit
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|
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Treatment Plan
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|
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Semaglutide
|
|
|
Semaglutide Dosing
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|
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Semaglutide associated recommendations
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Tirzepatide
|
|
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Tirzepatide Injection Recommentations
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|
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Provider comments:
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Medication side effects comments:
|
|
General Instructions:
• • •
|
General instruction comments:
|
|
Diagnosis:
• • •
|
|
