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Dr. Sarah
Today's Patients
Sarah M. — Pre-Visit Review
1
Chronic fatigue & poor energy baseline
Intake narrative + PHQ-9 12
2
Disrupted sleep — 5–6h fragmented
PSQI 12 + intake
3
Weight gain (+12 lbs over 18 months)
Intake narrative
Quest_labs_2025.pdf
Prior lipid panel — LDL 138, no flags
Thyroid_labs_2024.pdf
TSH 2.8 — conventional range. Free T4 normal.
2014
2018
2020
2021
2023
2026
Hypothyroidism (subclinical) diagnosed
Levothyroxine 25mcg started
Job change + relocation stress
Sleep onset worsened — began melatonin
Weight gain begins (+12 lbs)
First visit — NOZOMI intake
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Ask about sleep schedule — actual vs. intended
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Explore stress triggers since 2020 job change
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Clarify levothyroxine compliance — Free T3 low-functional
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Discuss readiness for TRE and Zone 2 protocol
Top 3 Concerns
Patient-Uploaded Files
Questionnaire Scores
Suggested Talking Points
Clinical Timeline
PSQI
Sleep
12/21
PHQ-9
Depression
12/27
GAD-7
Anxiety
8/21
PSS-10
Stress
22/40