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You're just a few questions away from getting the right treatment for your hair!
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What was your sex assigned at birth?
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Female
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How old are you?
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Where are you noticing the most issues with your hair?
1 - Hairline
2 - Crown
3 - A bit of both
4 - Patchy all over
5 - Nowhere yet, but I'd like to prevent future loss
Please select at least one option.
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How would you describe the shedding?
Mild
Moderate
Severe
Extremely Severe
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What was your latest blood pressure reading in the last 6 months?
If you have 'Very High' or 'Low' blood pressure, it might not be safe to take Sildenafil.
Low
Normal
High
Very High
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If you have tried and hair treatments before, please list them below.
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Please select any that apply to you:
Heart issues
Pericarditis
Arrythmia
Repeated chest pain or tightness, also called angina
Coronary artery disease, or narrowing of the heart vessels
Pheochromacytoma (adrenal gland tumor)
Pulmonary hypertension
Prostate cancer
Kidney issues
Liver issues
Erectile dysfunction
Low blood pressure
Anxiety or depression
You are using any medicine containing nitrates, nitroglycerin, iso-sorbide, or any other forms of nitrates
None of the above
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If you have any medical condition not listed previously, please list them below.
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If you have had any surgeries or hospitalizations please list them below.
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If you are taking any medications please add them below.
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If you have any allergies to medications, please list them below.
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