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Severe Hypertriglyceridemia Study Survey
Please complete this short survey to see if you qualify to participate in this study.
1.
Please leave your name, phone number, and email for us to contact you should you qualify for this trial.
Name:
Phone #:
Email:
2.
Are you at least 22 years old?
Yes
No
3.
Do you have a history of fasting triglyceride (TG) levels at least 400 mg/dL in the last year?
Yes
No
4.
Are you willing to maintain stable medications, eating, and exercise habits if you participate in this trial?
Yes
No
5.
Have you been on a statin or other lipid-modifying therapy for at least 4 weeks?
Yes
No
6.
Do you have uncontrolled type 2 diabetes or type 1 diabetes?
Yes
No
7.
Do you have a history of gallstone disease?
Yes
No