5 June 2014 Official Air Force Aerospace Medicine Approved ...

3. Do you take a proton pump inhibitor such as: omeprazole (Prilosec), lansoprazole (Prevacid), dexlansoprazole (Dexilent), rabeprazole (Aciphex) or pantoprazole (Protonix) 4. Do you have a history of foreign travel?_____ Part III Hormone Assessment. Do you currently have any of the following symptoms? Check if “yes:” ................
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