SYMPTOM Tracker
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SYMPTOMS
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observed by Judy
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DIZZY/LIGHTHEADEDx
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Brief- number
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Long- length/number
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DIfficulty Swallowing
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DYSPHAGIA/Difficulty Swallowing
10
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MEMORY PROBLEMS
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CONFUSED/DISORIENTED
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PSYCHOLOGICAL
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ANXIOUS
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MOODY/IRRITABLE
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DEPRESSEDx
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INSOMNIA/SLEEP PROBS
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DIGESTIVE/EXCRETORY
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BOWEL-Constipation(C);Loose(L)
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ABD PAIN
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URINARY Frequecy(F)/Incontinence(I)x
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NAUSEA/VOMITING
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CARDIO/RESPIRATORY
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PALPITATIONS
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CHEST/RIB PAIN
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AIR HUNGER/SOB
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SWEATS/CHILLS
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OTHERS
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BACK PAIN
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FATIGUEX
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HEAD PAIN
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NECK PAIN
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RASHES
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SENSITIVTY LIGHT/SOUNDx
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SWOLLEN GLANDS
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TINNITUSx
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VISION PROBS
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WEIGHT LOSS/GAIN
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Hours Sleep
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Type/Minutes Exercising
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Bowel Movement
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Water Intake (oz)
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Medications Taken-Mycophenalate, Levothyroxine, Duloxetine, Gabapentin, Trazadonex
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Supplements Taken-MG, fish oil, D3 & K2, ProbioticsxX
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