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Atrial Fibrillation
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1) Are you in atrial fibrillation most of the time?
*
Yes
No
2) Are you on anticoagulation with Coumadin, aspirin, Pradaxa, or Plavix?
*
Yes
No
3) Have you had a stroke?
*
Yes
No
4) Do you take drugs to manage your atrial fibrillation?
*
Yes
No
5) Do you have a pacemaker?
*
Yes
No
6) Do you have fainting spells?
*
Yes
No
7) Do you take supplements for atrial fibrillation?
*
Yes
No
8) Are the valves in your heart damaged?
*
Yes
No
9) Have you ever had congestive heart failure or angina?
*
Yes
No
10) Do you take bisphosphonates such as Fosamax, Boniva, or Actonel?
*
Yes
No
11) Are you interested in lifestyle, dietary, and supplement recommendations to help your symptoms?
*
Yes
No
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