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Key factor of this case: Erin Smith is a 25-year-old single woman here to discuss weight loss. History of Present Illness”I’m here to discuss the new weight loss pills. I read about this in Time Magazine and discussed this with my family. We think it could work for me. I’m 5 feet 5 and ½ inches tall and weigh 195 pounds. My weight has increased 15 pounds in the past six months. I have always been somewhat over-weight. Two-and-a-half years ago I tried Weight Watchers and lost 15 pounds. I’m using the diet now, but have not rejoined and gone to meetings. I work out on a treadmill a half hour most days of the week since the weather turned cold.; before that, I walked one mile each day with the dog.” Medical HistorySeen here previously for two visits-six months ago for a well-woman visit including contraception prescribing, then three months later for a review of her oral contraceptives. No history of major medical illnesses. Tonsillectomy and adenoidectomy at age eight. Social HistoryWorks as a secretary and lives at home with parents, sister, and uncle. No caffeine use, alcohol use only once a month.Nonsmoker. Denies drug use. Sleeps eight hours
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