

			Zyprexa is 50% more likely to cause diabetes. Government warns of "adverse side effects." Zyprexa linked to coma and death.


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ZYPREXA EVALUATION FORM

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Started taking Zyprexa: / / Most recent use of Zyprexa: / / Ever Diagnosed with Diabetes? Yes \| No If Yes, Is Diabetes Medically Controlled? Yes \| No Ever Diagnosed with Hyperglycemia? Yes \| No If Yes, Is Hyperglycemia Medically Controlled? Yes \| No Ever Diagnosed with Pancreatitis? Yes \| No If Yes, Did Pancreatitis Require Hospitalization? Yes \| No Other Conditions Attributed to Zyprexa Use:


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