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CARDIO Chest Pain Palpitations 5. RESP Chronic Cough Pneumonia Shortness of Breath 6. GI Heartburn Ulcers Nausea Vomiting Blood in Stool 7. GU Painful Urination Blood in Urine Kidney Problems 8. SKIN Frequent Rashes Skin Ulcers Lumps Psoriasis 9. ENDO Fever Heat or Cold Night Sweats Comments Family History Have any direct relatives had any of the following disorders None for all Diabetes Heart Disease Hypertension Bleeding Problems Epilepsy Connective Tissue Muscular Dystrophy Stroke...

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Step 3: Move on to entering your current weight in the designated field. Again, use the appropriate unit of measurement (e.g. kilograms, pounds).

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