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CREATING WEIGHT LOSS PLAN

How long after waking up do you have your first meal?

More than an hour after waking up
Within an hour of waking up

Have you used hormonal contraception during the past 3 months?

Yes
No

Do you experience bone pain more than once a month?

Yes
No

Do you often have trouble falling asleep?

Yes, at least once a week
No, less than once a week