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Gastrointestinal Diagnostics
GI Breath Test Preparation Questionnaire
Name
Email
Phone
Test of interest
Urea Breath Test
Hydrogen Breath Test
Lactose Intolerance Test
Other
Have you taken antibiotics in the last 4 weeks?
No
Yes
Have you taken PPIs/reflux medication recently?
No
Yes
Relevant symptoms or notes
Submit GI Questionnaire
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CORE Diagnostics