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Allergies (specify in comments)
Anxiety/Stress (describe)
Blood pressure (indicate high or low)
Depression
Diabetes
Digestive problems (specify)
Fatigue
Headache
Insomnia
Irregular periods (describe)
Menopause
Migraines
Muscle or joint pain (describe)
PMS
Pregnant (# months?)
Respiratory problems (specify)
Skin condition (describe)
Skin sensitivity
Thyroid condition (specify)
Varicose veins
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