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Refill Questionairre

Hi there! Looks like you are ready for a refill. To make sure we are treating you safely, please answer the following questions. Answering ALL of the questions will help us facilitate your refill faster than an incomplete check-in.
Consider the next dose if you have not lost weight, have been hungry before day 7 and tolerated your current dose without side effects. Again, decide based on your appetite suppression, and stay on the lowest effective dose as long as possible. More is not always necessarily better in this case. If requesting a retail medication please indicate the name and address of your pharmacy below
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