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Creador de planes nutricionalesalimenticios

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[mwai-form-field id="mwai-evy8i17f5" label="Nombre: " type="input" name="NOMBRE" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ingresa tu nombre" required="true"]
[mwai-form-field id="mwai-13npk9uzp" label="Sexo: " type="select" name="SEXO" options="%5B%7B%22label%22%3A%22Masculino%22%2C%22value%22%3A%22Masculino%22%7D%2C%7B%22label%22%3A%22Femenino%22%2C%22value%22%3A%22Femenino%22%7D%5D" required="true"]
[mwai-form-field id="mwai-sohk31ezl" label="Peso:" type="input" name="PESO" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ingresa el peso en Kg" required="true"]
[mwai-form-field id="mwai-q7ni7624g" label="Edad: " type="input" name="EDAD" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ingresa tu edad" required="true"]
[mwai-form-field id="mwai-v9wfybynp" label="Estatura:" type="input" name="ESTATURA" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ingresa estatura en cm" required="true"]
[mwai-form-field id="mwai-pld03qtna" label="Condiciones de salud: " type="input" name="CONDICIONES_DE_SALUD" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ejemplo: Diabetes, hipertensión, alergias, intolerancias..." required="true"]
[mwai-form-field id="mwai-0wyszqirc" label="Preferencias alimentarias: " type="input" name="PREFERENCIAS_ALIMENTARIAS" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Ejemplo: vegetariano, vegano, sin gluten, etc." required="true"]
[mwai-form-field id="mwai-m562nfqf0" label="Necesidades especificas: " type="input" name="NECESIDADES_ESPECIFICAS" options="%5B%7B%22label%22%3A%22Sin%20procedimiento%22%2C%22value%22%3A%22Sin%20procedimiento%22%7D%2C%7B%22label%22%3A%22Manga%20g%C3%A1strica%22%2C%22value%22%3A%22Manga%20g%C3%A1strica%22%7D%2C%7B%22label%22%3A%22Bypass%20g%C3%A1strico%22%2C%22value%22%3A%22Bypass%20g%C3%A1strico%22%7D%2C%7B%22label%22%3A%22Bipartici%C3%B3n%20intestinal%22%2C%22value%22%3A%22Bipartici%C3%B3n%20intestinal%22%7D%2C%7B%22label%22%3A%22Balon%20g%C3%A1strico%22%2C%22value%22%3A%22Balon%20g%C3%A1strico%22%7D%5D" placeholder="Alta en fibra, baja en sodio, rica en hierro, etc." required="true"]
[mwai-form-field id="mwai-iod2fgtje" label="Numero de comidas al día: " type="select" name="NUMERO_DE_COMIDAS_AL_DIA" options="%5B%7B%22label%22%3A%221%22%2C%22value%22%3A%221%22%7D%2C%7B%22label%22%3A%222%22%2C%22value%22%3A%222%22%7D%2C%7B%22label%22%3A%223%22%2C%22value%22%3A%223%22%7D%2C%7B%22label%22%3A%224%22%2C%22value%22%3A%224%22%7D%2C%7B%22label%22%3A%225%22%2C%22value%22%3A%225%22%7D%2C%7B%22label%22%3A%226%22%2C%22value%22%3A%226%22%7D%5D" required="true"]
[mwai-form-field id="mwai-jbfgkl9pw" label="Objetivo del plan:" type="select" name="OBJETIVO_DEL_PLAN" options="%5B%7B%22label%22%3A%22Perder%20peso%22%2C%22value%22%3A%22Perder%20peso%22%7D%2C%7B%22label%22%3A%22Mantenimiento%22%2C%22value%22%3A%22Mantenimiento%22%7D%2C%7B%22label%22%3A%22Aumento%20de%20masa%20muscular%22%2C%22value%22%3A%22Aumento%20de%20masa%20muscular%22%7D%5D" required="true"]
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[mwai-form-field id="mwai-odurosl5g" label="Cantidad en días del plan: " type="select" name="CANTIDAD_EN_DAS_DEL_PLAN" options="%5B%7B%22label%22%3A%221%22%2C%22value%22%3A%221%22%7D%2C%7B%22label%22%3A%222%22%2C%22value%22%3A%222%22%7D%2C%7B%22label%22%3A%223%22%2C%22value%22%3A%223%22%7D%2C%7B%22label%22%3A%224%22%2C%22value%22%3A%224%22%7D%2C%7B%22label%22%3A%225%22%2C%22value%22%3A%225%22%7D%5D" required="true"]
[mwai-form-field id="mwai-godzo5s3g" label="Nivel de actividad física:" type="select" name="NIVEL_DE_ACTIVIDAD_FISICA" options="%5B%7B%22label%22%3A%22Sedentario%22%2C%22value%22%3A%22Sedentario%22%7D%2C%7B%22label%22%3A%22Ligero%22%2C%22value%22%3A%22Ligero%22%7D%2C%7B%22label%22%3A%22Moderado%22%2C%22value%22%3A%22Moderado%22%7D%2C%7B%22label%22%3A%22Activo%22%2C%22value%22%3A%22Activo%22%7D%2C%7B%22label%22%3A%22Muy%20activo%22%2C%22value%22%3A%22Muy%20activo%22%7D%5D" required="true"]
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