TYPE II DIABETES

                        

* Required fields
Name *
E-mail Address *
Phone Number: *
Have you been treated for type II diabetes for at least one year? *
Could you do a 12 day/ 12 night stay? *
Do you take Metformin ONLY for the diabetes? *
Are you between the ages of 40 and 65? *
What is your height? *
What is your weight? *


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