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Unravelling the risk factors and treatment patterns of dyslipidemia in India (UNICORN study)

BASIC DETAILS

Patient code (Do not write name here) *

Date *

Diagnosis (Newly Diagnosed dyslipidemia)*

Yes No

Patient's Age (years) *

Gender *

Male Female

Height (in cm) *

Weight (in Kg) *

Obesity (BMI) *

Underweight (<18.5 kg/m²) Normal BMI (18.5-22.9 kg/m²) Over weight (23.0 -24.9 kg/m²) Obese (>25 kg/m²)

Active Smoker *

Yes No

Alcohol *

Yes No

Tobacco use *

Yes No

Family history of dyslipidemia *

Yes No

Baseline *

Post treatment *

HTN *

Yes No

CAD *

Yes No

Heart Failure *

Yes No

Stroke *

Yes No

Peripheral arterial disease *

Yes No

Prescribed drug for dyslipidemia *

Dietary advice *

Regular diet Intermittent Fasting Low-carb diets Weight Watchers The DASH Diet Any Other

Information not available

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