Xenical and Propecia available online from Pharmcom.

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Xenical Consultation
	Click here to select from metric measurements for height and weight
Height (ft):
Weight (lbs):

Do you suffer or have you ever suffered from Anorexia Nervosa or Bulimia ?:	No Yes

Do you suffer from any Malabsorption Syndrome (eg Idiopathic Steatorrhoea or Tropical Sprue) ?:	No Yes

You should not breastfeed your infant during treatment with Xenical as it is not known whether Xenical is secreted in human milk. Are you currently breastfeeding, or do you intend to be doing so in the near future ?:	No Yes

Do you take the medicine Cyclosporine (Neoral, Sandimmune, SangCya)?:	No Yes

Do you suffer from the medical condition Cholestasis or any disorder of the gallbladder? Answer "No" if you have had your gallbladder removed:	No Yes

Do you suffer from Hypothyroidism? Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone.	No Yes
Known Allergies:

Please list all prescription and non-prescription ("over the counter") medications you are currently taking, even if only occasionally.
Do you have any medical conditions, particularly diabetes, or high cholesterol levels. If so please give details. If you are unsure, you should ask your regular doctor:

Do you consider anything else in your medical history to be relevant. Please give details:

Repeat number:

Please select quantity:	1 x 84 capsules (4 weeks) 2 x 84 capsules (8 weeks) 3 x 84 capsules (12 weeks)

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