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Personal History / Medical
Step 1 of 3
Step 1/3
1
What is your birth gender?
Male
Female
2
Do you have regular periods?
Yes
No
3
If no, please give more details
Cycle varies from about 24-34 days
4
Have your parents or siblings any history of thyroid disease?
Yes
No
5
If yes, please give more details
Sister has been diagnosed with underactive thyroid.
6
Do you currently take any prescribed, over the counter, or alternative medicine, or any recreational drugs?
Yes
No
7
If yes, please give more details:
8
Is there any other medical information relevant to your condition that you think should be considered?
Yes
No
9
If yes, please give more details
I have had 3 spinal surgeries.
@LABEL
