It is very important to assess your current weight associated health risks and review your weight loss expectations. Let us help with our clinically based FREE Weight Loss Profile.

Weight Loss Profile.

1. Body Mass Index (BMI)

2. Weight Status Category

3. Weight Classification if Obese

4. Current Weight Associated Health Risks

5. Severity of Weight Associated Health Risks

SPECIAL NOTE: 

If you previously requested a Weight Loss Profile,

email drmascaro@thecupsdiet.com to make it inactive

and get FREE website access with the "Book Access" 

tab at www.thecupsdiet.com.

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E-mail:

Password:

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First Name:

Middle Initial:

Last Name:

Current Weight: (lbs., ex. 200.2)

Desired Weight: (lbs., ex. 200.2)

Goals:

Date Of Birth: (mm/dd/yyyy)

Height: 345678 ft. 0½11½22½33½44½55½66½77½88½99½1010½1111½ in.

Gender: Female Male

Smoker? No Yes

Regular Exerciser? No Yes

Waist Circumference: (in.)

Verification Code:

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