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HEAD
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Headaches
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Faintness
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Dizziness
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Insomnia
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SKIN
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Acne
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Hives,
rashes, dry skin
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Hair loss
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Flushing,
hot flashes
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Excessive
sweating
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WEIGHT
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Binge
eating/drinking
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Craving
certain foods
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Excessive
weight
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Compulsive
eating
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Water
retention
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Underweight
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EYES
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Watery or
itchy eyes
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Swollen,
reddened or sticky eyelids
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Bags or dark circles under
eyes
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Blurred or
tunnel vision*
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*Not including
near or farsightedness
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HEART
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Irregular or
skipped heartbeat
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Rapid or
pounding heartbeat
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Chest pain
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ENERGY/ACTIVITY
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Fatigue, sluggishness
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Apathy, lethargy
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Hyperactivity
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Restlessness
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EARS
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Itchy ears
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Earaches,
ear infections
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Drainage
from ear
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Ringing in
ears, hearing loss
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LUNGS
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Chest
congestion
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Asthma,
bronchitis
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Shortness of
breath
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Difficulty
breathing
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MIND
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Poor memory
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Confusion,
poor comprehension
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Difficulty
concentrating
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Indecisiveness
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Stuttering
or stammering
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Slurred
speech
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Learning
disabilities
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NOSE
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Stuffy nose
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Sinus
problems
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Hay fever
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Sneezing
fits
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Excessive mucus formation
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DIGESTIVE
TRACT
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Nausea,
vomiting
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Diarrhea
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Constipation
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Bloated feeling
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Belching,
passing gas
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Heartburn
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Intestinal/stomach pain
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EMOTIONS
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Mood swings, anxiety, fear,
nervousness
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Anger,
irritability, aggressiveness
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Depression
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MOUTH/THROAT
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Chronic
coughing
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Gagging, frequent need to
clear throat
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Sore throat,
hoarseness, loss of voice
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Swollen/discolored tongue,
gums, lips
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Canker sores
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JOINTS/MUSCLES
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Pain or aches in joint(s)
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Arthritis
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Stiffness/limitation of movement
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Pain or aches in muscles
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Feeling of weakness or tiredness
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OTHER
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Frequent illness
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Frequent or urgent urination
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General itch or discharge
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General Questionnaire