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Nicoletti Kidney Transplant Center Form
Intestinal issues Acid reflux/ ulcers Kidney Stone Gallbladder stone/ disease Pancreatitis Liver disease Hepatitis Bleeding or clotting problems Urinary infection/cancer Bladder infection/cancer Bladder or kidney stones Prostate Problems Sexually transmitted diseases No Yes Kidney disease Protein in urine Blood in urine Neurological disease Seizure Lupus Paralysis/ Stroke Arthritis Neuropathy Headaches/ Migraines Obstetrics or gynecological problems cancer/ fibroid/ endometriosis/ polycystic...Show details
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