Fatty Liver Disease Trial Application - Panthera Clinical Trials

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Best time to call:

Nearest Panthera Clinic

Do you consent to the collection and processing of your personal data in accordance with the GDPR for the purposes stated in our privacy policy?

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* To proceed with your pre-screening, we need your consent to collect and process your personal data in accordance with the GDPR. Without this consent, we cannot save your initial data or determine your eligibility, which would result in an incomplete application. Please select 'Yes' to consent. For more information or assistance, contact our team.

Have you ever been told you have a fatty liver?

Yes
No

Do 2 or more of the below apply?

Yes
No

Have you ever been diagnosed with Type 2 Diabetes Mellitus?
Have you been diagnosed with high blood pressure or are on tablets for high blood pressure?
Have you been diagnosed with high cholesterol or take any medications for high cholesterol such as atorvastatin, simvastatin, rosuvastatin, fenofibrate, ezetimibe?
MALES Only Is your waist circumference over 40 inches
FEMALES Only Is your waist circumference over 34 inches

Have you ever had pancreatitis?

Yes
No

Have you ever been diagnosed with type 1 diabetes?

Yes
No

Have you ever had any bariatric surgery (surgery for weight loss such as a gastric band)

Yes
No

Have you ever been told you have Cushing's syndrome?

Yes
No

Have you ever been told that you have any of the following issues with your liver; hepatitis b or c, alcoholic liver disease, or Wilson's disease?

Yes
No

Have you been diagnosed with cancer in the last 5 years, except cervical and skin cancers?

Yes
No

Are you using any GLP1 weight loss or diabetes medications such as Ozempic, Saxenda, Wegozy, Trulicity, or Mounjaro?

Yes
No

Are you using any blood thinning medication?

Yes
No

Are you breastfeeding or pregnant?

Yes
No

Are you currently taking part in any other clinical trials involving receiving medication?

Yes
No

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