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1. Digestive Symptoms

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2. How often do you experience bloating, gas, or stomach cramps? (Daily, a few times a week, a few times a month, rarely)

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3. Describe your typical bowel movements. Are they frequent, infrequent, loose, or difficult to pass?

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4. Do you notice any specific foods that trigger digestive discomfort? If so, what are they?

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5. Have you been diagnosed with any digestive conditions like IBS, Crohn's disease, or GERD?

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6. Do you take any medications or supplements to aid digestion?

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7. Physical & Other Symptoms

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8. Mood and Mental Symptoms

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9. Do you have any sleep issues?

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10. Do you have uncontrollable cravings for processed foods?

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