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Disease Select, if you have any		Duration (in Days/Months/Years)	Current Medication
Diabetes Mellitus	Diabetes Mellitus
Hypertension	Hypertension
Heart disease	Heart disease
Elevated Cholesterol Level	Elevated Cholesterol Level
Bronchial Asthma	Bronchial Asthma
Skin infection	Skin infection
Thyroid Problem	Thyroid Problem
Hair falling	Hair falling
Diabetes Mellitus	Diabetes Mellitus
Enlarged Prostate	Enlarged Prostate
Cancer	Cancer
Disk problems	Disk problems
Arthritis	Arthritis
Stroke	Stroke
Sleep disorder	Sleep disorder
Stress	Stress
Mood change	Mood change
Addiction to tobacco/alcohol	Addiction to tobacco/alcohol
Osteopenia/Osteoporosis	Osteopenia/Osteoporosis
Others	Others

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