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Hormone Follow Up Labs
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Hormone Follow UP Labs
• • •
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Women labs
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Women Labs
• • •
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Surgical Biopsy/Patholgy Obtain
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Surgical pathology
• • •
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Men's Labs
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Men's Labs Ordered
• • •
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Imaging
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Imaging
• • •
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Referrals
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Referrals
• • •
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Education
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Diet
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General Instructions
• • •
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General Instruction Comments
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Supplements Given
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Supplements
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PEPTIDE Treatment
|
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PEPTIDE Treatment
• • •
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Testosterone Therapy
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Testosterone Therapy
• • •
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Pellet Post Instruction
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GLPL1 Plan
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G1P1 Medication
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Optimal
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Optimal Pharmacy GLP1 Medication
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Dosing
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Patient Education
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GLP1 RA Patient Expectations Education
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Semaglutide Medication Information
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Tirzepatide Medication Information
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Aseptic Technique for Drawing up Medications
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SubQ Injection Instructions
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Nutritional Recommendations
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Comprehensive Weight Loss Symptom Management Protocols
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Weight Loss Basic Wellness Labs
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Weight Loss Additional Boosters
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IV Therapy Treatment
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IV Therapy Plan
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Pallative Care
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Type of IV therapy
• • •
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Last Urine Drug Screen (Date / / )
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Specimen read by M.D.?
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Drugs Present on Toxicology Screen
• • •
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Valid Urine Toxicology Screen?
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PMP Checked
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Therapies/Treatments Advised
• • •
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Activity Instructions
• • •
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Treat and Goals
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Light Exercise/Activity Level Advised
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Referrals Advised
• • •
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Labs
• • •
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Radiology
• • •
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Non Opioid SIG
• • •
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Opioids Prescribed
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Violated Narcotic Agreement(Discharge)
|
Diagnosis subject to change
|
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Short Acting Opioids
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Short Acting Opioid SIG
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Long acting opioids
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Long Acting Opioid SIG
|
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Face Time
• • •
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Follow Up?
• • •
|
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General Instructions
• • •
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