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Erythritol Intake Form

Did you or a loved one suffer a cardiovascular event (e.g., heart attack, blood clot, or stroke) after regularly eating or drinking products that contain erythritol?

Personal Information (for you or your loved one)

What cardiovascular event did you or your love one suffer?
Please provide details and how much was consumed.
If yes, what diet?

Family History

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Thank you very much for providing this information.
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