Symptom Tracker

Experiencing symptoms? Remember, help is only a message away!

Type3health@openloophealthpartners.zohodesk.com

The following form will help us understand your symptoms and how to better manage your weight loss. All answers are private and will only be shared with your clinical team at Type 3 Health.

Name

Email

Please select all syptoms you are experiencing.

Abdominal Distension Abdominal Pain Allergic Reactions Appetite Changes Belching Bloating Bowel Obstruction Constipation Decreased Appetite Diarrhea Dizziness Fatigue Flatulence Fullness Gallbladder Disease Gastroesophageal Reflux Disease Gastroparesis Hair Loss/ Thinning Headache Heartburn Hypoglycemia Hypotension Increased Heart Rate Indigestion (Dyspepsia) Injection Site Reactions Kidney Impairment Nasopharyngitis Nausea Pancreatitis Retinopathy Complications Stomach Pain Thyroid C-cell Tumors Vomiting Weight Gain Weight Loss (excessive/ unexpected)