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  • WHEN YOU REVISIT DR. GABER, IT IS VERY IMPORTANT THAT YOU BRING A LEGIBLE LIST OF ALL YOUR MEDICATIONS ON AN 8 BY 11 SHEET OF PAPER. PLEASE PRINT OR TYPE THIS LIST AND CAREFULLY NOTE THE NAME OF THE MEDICATION, THE STRENGTH OF THE PILL IN MILLIGRAMS, GRAMS OR MEQ'S, AND EXACTLY WHEN AND HOW OFTEN YOU TAKE EACH MEDICATION
  • ON A SEPARATE 8 BY 11 SHEET,PLEASE ALSO LIST ANY NEW FAMILY HISTORY AND ALSO NOTE YOUR DAILY INTAKE OF CAFFEINE, ALCOHOL, TOBACCO, AND MILK PRODUCTS EXACTLY
  • ON A THIRD 8 BY 11 SHEET, PLEASE NOTE IF YOU HAVE ANY OF THE FOLLOWING SYMPTOMS, HOW LONG YOU HAVE HAD THEM, HOW SEVERE THEY ARE, WHERE THEY ARE, AND WHAT BRINGS THEM ON OR RELIEVES THEM. PLEASE ALSO PRINT THIS NEATLY. READ THE SYMPTOM LIST CAREFULLY, SO AS NOT TO MISS ANY SYMPTOM. ALSO, PLEASE LIST THE SYMPTOMS IN THE EXACT ORDER PRESENTED BELOW OR PRINT OUT THIS PAGE AND HIGHLIGHT EACH SYMPTOM YOU HAVE WITH A MAGIC MARKER:


  • FATIGUE, FEVER, CHILLS, SWEATS, HEAT OR COLD INTOLERANCE, MUSCLE ACHING, MUSCLE WEAKNESS, SORE THROAT, HEADACHE, SINUS PRESSURE, RUNNY NOSE, EARACHE, ARTHRITIS, INJURY, JOINT SWELLING, BACK PAIN,
  • SHORTNESS OF BREATH, SHORTNESS OF BREATH ON EXERTION, SHORTNESS OF BREATH AS SOON AS LAY DOWN, SHORTNESS OF BREATH THAT WAKES ME UP AT NIGHT, CHEST PAIN, PALPITATIONS OR RACING OR SKIPPING OF THE HEART, CHEST CONGESTION, PLEURISY OR PAIN WHEN YOU TAKE A BREATH, SPUTUM OR MUCUS PRODUCTION FOR THE LUNGS, WHEEZING
  • TROUBLE SWALLOWING WITH FOOD GETTING STUCK IN THE ESOPHAGUS, ESOPHAGITIS OR BURNING ACID FEELING IN THE CHEST, REFLUX OF STOMACH ACID INTO THE MOUTH WHEN LAY DOWN OR OTHERWISE, LOSS OF APPETITE, ABDOMINAL OR STOMACH PAIN, BLOATING, NAUSEA, VOMITING, DIARRHEA, CONSTIPATION, BLACK BOWEL MOVEMENTS, YELLOW STOOLS, BRIGHT RED BLOOD ON STOOLS OR TOILET PAPER, MUCUS ON STOOLS
  • BURNING ON URINATION, SLOW URINARY STREAM, FREQUENCY OF URINATION
  • EDEMA OR SWELLING OF THE LEGS OR HANDS, WEIGHT LOSS OR WEIGHT GAIN,
  • BLACKOUTS, FAINTNESS, DIZZINESS, TINGLING, WEAKNESS OF AN ARM OR LEG, LEG CRAMPS, SKIN RASH, LUMP UNDER THE SKIN, SKIN LESION
  • BRUISING EASILY, TROUBLE WITH VISION, ANXIETY OR NERVOUSNESS, DEPRESSION, INSOMNIA, HEARING PROBLEMS