What is your height? *

What is your current weight? *

Have you ever been diagnosed with any of the following? *

Insulin resistance

Prediabetes or elevated blood sugar

Type 2 Diabetes

Pancreatitis (current or past)

Medullary thyroid cancer (personal or family history)

MEN2 (Multiple Endocrine Neoplasia Type 2)

None of the above

Are you currently taking any of the following medications?

Insulin

Sulfonylureas (e.g., glipizide, glyburide, glimepiride)

Oral diabetes meds (e.g., metformin, Januvia, Jardiance)

Thyroid hormone replacement (e.g., levothyroxine)

Corticosteroids (e.g., prednisone)

Blood pressure or heart medications

Antidepressants or mood stabilizers

Other hormone-related meds (e.g., testosterone, estrogen, birth control)

None of the above

Are you currently pregnant or trying to become pregnant?

No

Not applicable

Yes – I am currently pregnant

Yes – I’m trying to become pregnant