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Take a Quiz
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What is your weight loss goal?*

Lose 5-20 lbs for good
Lose 21-50 lbs for good
Lose over 50 lbs for good
Maintain my weight
Undecided
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What is your gender?*

Your gender and hormones impact how our bodies metabolize food.
Male Male
Female Female
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What is your height & current weight?*

Height

ft.
in.
lbs.
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What is your date of birth?*

Your age plays a large role in your ideal treatment plan
(Must be between 18 and 76 to qualify)
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What is your state and city ?*

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What is the #1 reason you want to lose weight?*

We can assist with all of these. For the time being, pick the most important to you.
Improve my health
Look & Feel more confident
Address other health issues
Improve my quality of life
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Are you currently pregnant?*

Yes
No
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Are you currently taking another GLP - 1 Medication through another program?*

Yes
No
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Are you affected by the following?*

Diabetes Type - I
Diabetes Type - II
Not Affected
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What would be your perfect goal weight?*

lbs.
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Do you prefer taking your GLP - 1 medication as an injection or an oral tablet?*

Oral Tablet
Injection

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Contact Us

6201 Greenbelt Rd, Unit 18, College Park, MD 20740
Phone: (301)-635-0335 | Call: (301)-635-1008
mndangoh@mydefinitiveweightloss.com
www.mydefinitiveweightloss.com
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If you are looking for medical help with weight loss, please contact us for appointments:Dr. Modest Ndangoh, DNP

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