Check all Symptoms and Questions Below That Apply - They should repeat regularly (daily or weekly)
| 11. Get boils or sty's more than once per year
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| 12. Throat infections more than once per year (sore throat)
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| 13. Cold sores, fever blisters more than once per year
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| 14. Any infection with fever more than once per year
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| 15. Swollen lymph glands more than once per year
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| 16. Ear infections more than once per year
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| 17. Slow to recover from cold or flu
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| 18. Catch colds or flu easily
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| 19. Lacerations (cuts) become infected easily
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| 20. Itchy nose
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| 21. Itchy eyes
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| 22. Itchy roof of mouth or throat
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| 23. Clear watery nasal discharge
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| 24. Headaches
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| 25. Mucous in the throat
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| 26. Post nasal drip
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| 27. Discharge from the eyes
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| 28. Puffiness under the eyes
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| 29. Ear discharge or stuffed up
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| 30. Nasal congestion
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| 31. Running nose
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| 32. Wheezing
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| 33. Sneezing
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| 34. Fatigue
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| 35. Exposed to cigarette smoke
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| 36. Exposed to mold
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| 37. Sinus congestion
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| 38. Food allergies or sensitivities
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| 39. Skin rashes
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| 40. Entire body aches, painful to touch
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| 41. Swollen joints
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| 42. Certain foods make you sick, nauseous, depressed, jittery
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| 43. Painful stomach or intestine
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| 44. Alternating constipation and diarrhea
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| 45. Swollen or itchy tongue or mouth
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| 46. Difficulty in swallowing
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| 47. Hyperactivity
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| 48. Fatigue increases after eating
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| 49. Exposed to chemicals or radiation at work
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| 50. Eat luncheon meats containing nitrates or nitrites
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| 51. Eat fruits and vegetables that contain pesticides
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| 52. Eat foods that contain monosodium glutamate (MSG)
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| 53. Use artificial sweeteners regularly
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| 54. Milk makes allergy symptoms worse
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| 55. Pain in chest and left arm
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| 56. Calf muscles cramp while walking
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| 57. Heart palpitations
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| 58. Feel jittery
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| 59. Irregular heart beats
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| 60. Swelling of feet and ankles
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| 61. Fast heart beat
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| 62. Exhaust with minor exertion
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| 63. Light-headedness
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| 64. General weakness
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| 65. Smoke cigarettes/tobacco
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| 66. Chew tobacco
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| 67. More than 3 cups of coffee daily
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| 68. High daily stress level
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| 69. Cold hands and feet
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| 70. Tingling or burning in hands and feet
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| 71. Numbness in extremities
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| 72. Skin sores of the legs or feet
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| 73. Spider veins on nose or face
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| 74. Ringing in ears
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| 75. Poor concentration
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| 76. Slurred speech
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| 77. Salt foods without tasting
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| 78. Exercise regularly with low to moderate exertion
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| 79. Exercise regularly with high exertion (Aerobics)
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| 80. Vascular surgery
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| 81. Chest pain without left arm pain
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| 82. Tightness or pressure in the chest
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| 83. Upper chest or neck itch
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| 84. Chronic cough
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| 85. Difficulty in breathing
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| 86. Shortness of breath
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| 87. Sensitive to smog / air pollution
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| 88. Infections settle in lungs
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| 89. Respiratory attacks that last hours to days
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| 90. Bleeding gums or periodontal disease
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| 91. Stomach pains after meals
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| 92. Nausea
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| 93. Dependency on antacids
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| 94. Butterfly sensations in stomach
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| 95. Difficulty in belching
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| 96. Stomach pain when emotionally upset
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| 97. Sudden, acute indigestion
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| 98. Relief of stomach pain by drinking carbonated beverages
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| 99. Relief of stomach pain by drinking cream or milk
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| 100. History of ulcer or gastritis
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| 101. Current ulcer or gastritis
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| 102. Black stool while not taking iron supplements
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| 103. Nervousness
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| 104. White spots or lines on finger nails
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| 105. Indigestion 1-3 hours after eating
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| 106. Diarrhea
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| 107. Roughage and fiber causes constipation
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| 108. Mucous in the stools
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| 109. Stool poorly formed
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| 110. Shiny stool
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| 111. Three or more large bowel movements daily
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| 112. Foul smelling stool
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| 113. Dry skin or dry hair
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| 114. Pain in left side of rib cage
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| 115. Acne
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| 116. Difficulty gaining weight
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| 117. Dizziness when standing suddenly
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| 118. Loss of vision when standing suddenly
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| 119. Crave sweets
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| 120. Crave carbohydrates
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| 121. Headaches relieved by eating sweets or alcohol
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| 122. Impatient
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| 123. Moody
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| 124. Irritable if a meal is missed
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| 125. Wake up in middle of the night craving sweets
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| 126. Poor memory
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| 127. Feel faint
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| 128. Calmer after eating
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| 129. Frequent urination
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| 130. Night sweats
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| 131. Increased thirst
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| 132. Lowered resistance to wound infection
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| 133. Leg sores
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| 134. Poor wound healing
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| 135. Feel energized from exercise
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| 136. Failing eyesight
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| 137. Crave sweets, but eating sweets does not relieve symptoms
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| 138. Family history of diabetes
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| 139. Glucose (sugar) in urine
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| 140. Elevated blood glucose (sugar)
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| 141. Toe and fingernail fungus
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| 142. History of antibiotic use
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| 143. Anemic or recent history of anemia
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| 144. Itchy skin
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| 145. Itchy between toes and fingers
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| 146. Abdominal bloating
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| 147. Intestinal gas
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| 148. Chemical sensitivities
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| 149. Depression
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| 150. Crave sweets and yeast containing foods
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| 151. Bladder and kidney infections
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| 152. Dark colored stool
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| 153. Do not eat high fiber foods daily
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| 154. Less than 7 bowel movements per week
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| 155. More than 2 bowel movements per day
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| 156. Bowel movements are irregular
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| 157. Abdominal pain on right or left side
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| 158. Abdominal pain relieved by a bowel movement
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| 159. Abdominal pain is triggered by eating
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| 160. Yellowish conjunctiva (white part of the eyes)
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| 161. Pain radiates along outside of leg
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| 162. Intolerance to greasy foods
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| 163. Headaches after eating
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| 164. Dark urine
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| 165. Light colored stool
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| 166. Hard stool
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| 167. Gray colored skin
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| 168. Pain in right side under rib cage
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| 169. Big toe painful
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| 170. Don't eat regular balanced meals
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| 171. Don't get enough to eat
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| 172. More than 10 beers/week
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| 173. More than 10 ounces of alcohol/week
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| 174. Eat candy regularly
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| 175. Drink soda pop regularly
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| 176. Eat at fast food restaurants regularly
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| 177. Eat fried foods regularly
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| 178. Use refined sugars regularly
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| 179. Diet often
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| 180. Hair loss
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| 181. Dry skin
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| 182. Bones protrude
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| 183. Don't use vitamins and minerals regularly
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| 184. Use very large-doses of vitamins and/or minerals regularly
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| 185. Neurological disorders
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| 186. Sore or burning tongue
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| 187. Lower back pains
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| 188. Poor night vision
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| 189. Confusion
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| 190. Sore or sensitive gums
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| 191. Leg pain or cramps
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| 192. Pain in feet
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| 193. Some alcohol use regularly
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| 194. High stress levels effect stomach
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| 195. Lack of appetite
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| 196. Dizziness
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| 197. Inflamed corners of the mouth
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| 198. Steeply curved nails
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| 199. Exposed to lead in the air or water
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| 200. Sensitivity to light
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| 201. Sensitive to the cold
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| 202. Weight gain
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| 203. Change in personality
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| 204. Loss of temper or irritable
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| 205. Enlarged neck
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| 206. Trouble waking up in the morning
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| 207. Low sex drive
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| 208. Swollen (bulging) eyes
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| 209. Warm, moist skin
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| 210. Tremors
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| 211. Increased activity
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| 212. Increased appetite
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| 213. Weight loss
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| 214. Insomnia
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| 215. Diffuse tanning on exposed and unexposed portions of the body
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| 216. Black freckles over the forehead, face, neck, and shoulders
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| 217. Mood swings
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| 218. Dark circles under the eyes
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| 219. Slender fingers and extremities
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| 220. Purple streak or line on the abdomen
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| 221. Kidney stones
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| 222. Osteoporosis
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| 223. Emotional disturbances
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| 224. Simultaneous inflammation in multiple joints
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| 225. Simultaneous pain in multiple joints
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| 226. Stiffness lasting more than 30 minutes on arising in mornings
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| 227. Stiffness lasting more than 30 minutes after prolonged activity
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| 228. Deformation of joints
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| 229. Joints lock with movement
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| 230. Early afternoon sleepiness
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| 231. Skin nodules
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| 232. Deep aching pain in bones, particularly the back
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| 233. Pain increases when weight is applied
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| 234. Vertebrae crush fractures
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| 235. Bone fractures
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| 236. Bones fracture easily
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| 237. Pain in the extremities
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| 238. Burning sensation in the extremities
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| 239. Weakness in the extremities
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| 240. Frequent tooth decay
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| 242. Throbbing pain on one side or front and rear of head
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| 318. Pain on one side or front and rear of head
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| 319. Pain in the forehead only
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| 243. Headache preceded by a short period of depression, irritability, or restlessness
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| 244. Headache preceded by visual flashing zig-zag lines
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| 245. Headache preceded by other visual disturbances
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| 246. Visual disturbances disappear shortly after headache begins
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| 247. Nausea associated with headache
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| 248. Sensitive to light, especially during headache
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| 249. Sensitive to noise, especially during headache
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| 250. Extremities are cold before and during headache
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| 251. Family history of migraine
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| 252. Difficulty with speech before headache
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| 253. Intensity of headache increases when lying down
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| 254. Often prefer seclusion
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| 255. Frequent urinary infections
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| 256. Rarely need to urinate
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| 257. Urinate when you cough or sneeze
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| 258. Painful or burning urination
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| 259. Difficult urination's
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| 260. Dripping after urination
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| 261. Can not hold urine
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| 262. Rose colored (bloody) urine
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| 263. Cloudy urine
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| 264. Strong smelling urine
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| 265. Back or leg pains associated with dripping after urination
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| 266. History of kidney or bladder infections
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| 267. Back pain in the kidney area
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| 268. General water retention
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| 312. Drug / Medication addiction
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| 313. Must repeat actions constantly
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| 314. Making decisions is difficult
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| 315. Constant flow of speech
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| 316. Obsessed fear of danger
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| |
| (Previous Tests) |
| 317. Previously Diagnosed Diabetic Type 1
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| 323. Previously Diagnosed Diabetic Type 2
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| 321. Previously Diagnosed Migraine
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| 322. Previously Diagnosed Hypothyroidism
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| 320. Previously Diagnosed with high Cholesterol
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| 324. I'm an Athlete
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| |
| (For males only) |
| 269. A sense of bladder fullness
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| 270. Increased straining with smaller and smaller amounts of urine
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| 271. Wake up at night to urinate
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| 272. Pain or fatigue in the legs or back
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| 273. Ejaculation causes pain
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| 274. Difficulty attaining and/or maintaining an erection
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| 275. Premature ejaculation
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| 276. Pain/coldness in genital area
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| 277. Infertile
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| 278. Varicose veins on scrotum
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| 279. Low sperm count
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| 280. History of venereal disease
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| |
| (For females only) |
| 281. Vaginal yeast infections
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| 282. History of oral birth control
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| 283. Heavy menstrual flow
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| 284. Prolonged menstruation
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| 285. Short menstruation
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| 286. Menstrual irregularities
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| 287. Monthly weight gain
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| 288. Moodiness and irritability before menstruation
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| 289. Change in appetite before menstruation
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| 290. Suicidal feeling before menstruation
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| 291. Anxiety or anger before menstruation
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| 292. Breast fullness and pain before menstruation
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| 293. Leg cramps and tenderness before menstruation
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| 294. Asthma attacks before menstruation
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| 295. Bruise easily before menstruation
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| 296. Respiratory allergies worsen before menstruation
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| 297. Visual disturbances worsen before menstruation
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| 298. Dull ache radiating to low back or legs
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| 299. Abdominal pains subsides after several days
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| 300. Pelvic soreness
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| 301. Have to lie down on first or second days of period
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| 302. Clots are expelled during menstruation
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| 303. Hot flashes
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| 305. Menopause or Hysterectomy
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| 306. Heavy bleeding two weeks/month
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| 307. Sweating throughout the day
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| 308. Dryness of skin, hair, and vagina
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| 309. Painful intercourse
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| 310. Vaginal pain
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| 311. Vaginal itching
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