September 17, 1999 - Centra Health
WEIGHT LOST (lbs) WEIGHT RE-GAINED (lbs) Example: Low calorie diet 10 months 2002 30 lbs. 15 lbs. Low calorie diet Low fat diet Atkins diet Optifast® / Medifast® Phen-Fen Other prescription meds (Name:_____) Diet shots (B12, etc.) (Name:_____) Non-prescription diet pills ................
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