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During what period
of time was Meridia used?
Start
End
Please list name
and address of doctor who prescribed Meridia:
Was Meridia prescribed
for weight loss?
Yes
No
Weight before taking
Meridia:
Weight after taking
Meridia:
Was high blood
pressure taken before Merida use?
Yes
No
Was high blood
pressure monitored while taking Merida?
Yes
No
Were any of the
following problems experienced while taking Meridia:
Please describe
any other medical problems since taking Meridia:
Other Information:
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