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Comorbidity Education Provided
[checkbox name="CoMorbidSnips" value="None|HTN|Hyperlipidemia|GERD|Diabetes|Depression|Tobacco Use|Alcohol Use"]
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[conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('HTN')"]
-Check your blood pressure regularly & keep a log to take with you to your appointment with your primary care provider.
-As weight is lost, you’ll need less medicine (a great thing!) and blood pressure may drop. If this happens, you may feel lightheaded, dizzy, or unusually fatigued.  If any of these symptoms occur, this may mean a medication adjustment is needed right away.  Call your clinical team for help in this case.
-Take blood pressure medications as directed & call your healthcare provider for any concerns regarding your medication including any unwanted side effects. 
-Consider Low sodium foods.[/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('Hyperlipidemia')"]
-Take your cholesterol medication as directed. = Avoid red meat, butter, fried foods, cheese, & foods high in saturated fat. 
-Follow up with your PCP per his/her discretion for routine fasting lipid panels (blood work).[/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('GERD')"]
-Elevate HOB 45 degrees, you may want to purchase a wedge pillow to help with GERD symptoms. = Do not eat within 2 hours of going to bed. We recommend no eating after 6-6:30pm.
-Avoid spicy/acidic foods.
-Please make an appointment to see a Gastroenterologist for GERD symptoms. Untreated acid reflux can cause damage to the tooth enamel & damage to the lining of the esophagus & may cause problems including but not limited to esophageal ulcers, esophagitis, esophageal stricture, Barretts Esophagus, & esophageal cancer which can lead to death.[/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('Diabetes')"]
-Check Blood Glucose regularly & keep a log & bring with you to your healthcare provider’s office who manages your diabetes 
-Call your healthcare provider for uncontrolled glucose levels (whether too high or too low) 
-As weight is lost, you’ll need less medicine (a great thing!) and blood sugar may drop.  Symptoms of low blood glucose include: dizziness, shakiness, sweating, hunger, fast heartbeat, inability to concentrate, confusion, irritability/moodiness, anxiety, headache, feeling faint, muscle weakness, double vision, difficulty speaking, inability to eat or drink, seizures, unconsciousness.  If severe and/or untreated,death can even result, so low sugar is something to take very seriously.  Call 911 if you experience these symptoms & do not have glucagon on hand. 
-Symptoms of high blood glucose include: Increased thirst, frequent urination, fatigue, nausea/vomiting, shortness of breath, stomach pain, fruity breath odor, dry mouth, rapid heartbeat, & sometimes coma & death 
-Take medications as directed & call your primary healthcare provider for any concerns regarding your medication including any unwanted side effects.[/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('Depression')"]
Please take prescribed medication as directed.  Follow up with your PCP &/or Psychiatrist as directed.  Avoid alcohol.  Call 911 immediately if you have any thoughts of hurting yourself or someone else. [/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('Tobacco Use')"]
Tobacco Use: 
-Quitting smoking will improve your health & help you live longer! It will lower your risk of heart disease, stroke, lung disease, cancer, osteoporosis, kidney failure, & infections.  While quitting smoking is sometimes a difficult task for many people, it is important to know that help & support are available. Here are some tips to take that next step toward stopping smoking. 
-Select a start date to stop smoking/tobacco use & let family & friends know of your plan to stop smoking. 
-Identify triggers-make a journal & jot down stressors that cause your nicotine craving 
-Remove cigarettes/tobacco products from the home, car, & workplace. -Please follow up with your PCP for additional help with smoking cessation.[/conditional][conditional field="CoMorbidSnips" condition="(CoMorbidSnips).is('Alcohol Use')"]
-Decrease alcohol intake as this can cause weight gain.  Alcohol can also impact your health & either cause new health problems or worsen pre-existing health problems including but not limited to liver disease, heart disease & high blood pressure, diabetes, gastrointestinal ulcers, depression, anxiety, & insomnia.
-Symptoms of alcohol withdrawal include but are not limited to sweating, racing heart, trembling, insomnia (difficulty falling asleep & staying asleep), nausea, vomiting, hallucinations, restlessness, anxiety, seizures, & even death.  Please call 911 if you are experiencing any of these symptoms. 
-Please follow up with your primary care provider for further assistance with decreasing &/or stopping alcohol consumption. 

Self Care, Lifestyle & Behavioral Modifications

[checkbox name="SelfCareSnips" value="None|Diet|Exercise|Sleep|Goals|Follow Up|Additional Goals"]
[conditional field="SelfCareSnips" condition="(SelfCareSnips).is('None')"][/conditional]
[conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Diet')"]
Eat well-balanced nutritious meals & engage in lifestyle modifications per Noom App recommendations. Drink at least 64 fluid ounces of water each day. Avoid eating after 5-6pm.[/conditional][conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Exercise')"]
Exercise: Engage in physical activity for at least 40-60 minutes 3-5 times per week.  This may include walking, running, swimming, biking, aerobic exercise, &/or high-intensity training if you are able to tolerate it.[/conditional][conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Sleep')"]
Sleep: Try to achieve 7-8 hours of sleep each night (try to adhere to a sleep diet, for example: go to bed at the same time each night & try to wake up at the same time each day).  Avoid computer/tablet/phone/television screens at least 30 minutes before bedtime.  Avoid caffeine.[/conditional][conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Goals')"]
Goals:  This is a journey, setting small attainable goals & taking small steps will make for big change in the long run!  Here are some examples if you’re just starting or restarting your journey.  Try to exercise for 15-20 minutes 3 times per week to start & then slowly increase as tolerated.  Try to increase water intake by 1 glass per week to achieve overall daily intake.  Incorporate light weight bands or light weight resistance at home when you’re too tired to go to the gym for weight training.  We are here with you every step of the way, you’ve got this!!![/conditional][conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Follow Up')"]
Follow Up: Schedule for your next visit with the Noom healthcare clinician in 1 month.  Continue to follow up with your Noom health coach. Please follow up with your primary care provider for any health concerns & for management of acute & chronic conditions. Take your medications as directed.  Notify your PCP & any specialists that you may have that you are working with Noom, & please consult your PCP & any specialists prior to starting any new exercise regimen.  Please bring copies of any blood work &/or blood pressure readings with you to your next Noom telehealth appointment. For any questions regarding insurance coverage for Noom services, please reach out to your insurance provider. For any technical support with the platform/app/connectivity/scale questions/& for billing questions or concerns, please contact Noom support at: https://web.noom.com/support/contact-support/ or (888) 266-5071."][/conditional]

Additional Goals
[conditional field="SelfCareSnips" condition="(SelfCareSnips).is('Additional Goals')"][textarea name="SelfCareSnips" default=""][/conditional]
Comorbidity Education Provided

Self Care, Lifestyle & Behavioral Modifications

Additional Goals

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