Severe Hypertriglyceridemia Study Survey

Please complete this short survey to see if you qualify to participate in this study.

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* 1. Please leave your name, phone number, and email for us to contact you should you qualify for this trial.

Name:

Phone #:

Email:

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* 2. Are you at least 22 years old?

Yes

No

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* 3. Do you have a history of fasting triglyceride (TG) levels at least 400 mg/dL in the last year?

Yes

No

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* 4. Are you willing to maintain stable medications, eating, and exercise habits if you participate in this trial?

Yes

No

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* 5. Have you been on a statin or other lipid-modifying therapy for at least 4 weeks?

Yes

No

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* 6. Do you have uncontrolled type 2 diabetes or type 1 diabetes?

Yes

No

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* 7. Do you have a history of gallstone disease?

Yes

No