Amy Brenner MD - Weight Loss Medications Quiz

Select your gender*

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Select your age range*

18-3030-4545-6060-75

Enter Your Height
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Enter Your Weight
Pounds*

How much weight do you want to lose?
Less than 10 poundsBetween 10 and 20 poundsBetween 21 and 30 poundsBetween 31 and 40 poundsMore than 41 pounds

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One last step! Please fill out the following information to help us determine if your a candidate for semaglutide.
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Last Name**
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