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Patient Profile Personal Information Date: Last Name: First Name: M.I. Ethnic Group: Caucasian Asian African American Native American Hispanic Other: Date of Birth: SS#: Home Address: Apt.#: City:
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To fill out weight:
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Step on a weighing scale.
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Take note of the reading displayed on the scale.
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Record the weight accurately.
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To achieve weight loss:
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Set a realistic goal for weight loss.
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Adjust your diet by consuming fewer calories.
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Increase physical activity to burn more calories.
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Keep track of your progress through regular weigh-ins.
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Stay consistent and make gradual changes for long-term success.

Who needs weight and weight loss?

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Weight and weight loss are important for individuals who:
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- Are overweight or obese and desire to improve their health.
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- Have specific weight-related health conditions.
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Weight refers to the measurement of an object's heaviness while weight loss is the decrease in body weight that may result from various factors such as diet, exercise, or illness.
Individuals who are tracking their weight or weight loss progress may be required to file this information for personal or health purposes.
To fill out weight and weight loss, simply record the measurements accurately and consistently over a period of time.
The purpose of tracking weight and weight loss is to monitor progress towards health, fitness, or weight management goals.
Information such as current weight, starting weight, goal weight, rate of weight loss, and any relevant factors influencing weight changes.
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