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Health Check - Men's Symptom Review

Please review the symptom check list below and indicate any symptoms you are experiencing

Symptom

none

mild

moderate

severe

Decreased Urine Flow

Estrogen Dominance

Increased Urinary Urge

Prostate Problems

Weight Gain – Chest / Hips

Weight Gain – Waist

Decreased Libido

Metabolic Syndrome/

Low Androgens

Decreased Erections

Ringing in Ears

High Cholesterol

Elevated Triglycerides

Hot Flashes

Night Sweats

Decreased Mental Sharpness

Increased Forgetfulness

Decreased Muscle Size

Decreased Flexibility

Sore Muscles

Increased Joint Pain

Bone Loss

Rapid Aging

Thinning Skin

Decreased Stamina

Burned Out Feeling

Adrenals

Stress

Morning Fatigue

Evening Fatigue

Difficulty Sleeping

Apathy

Depressed

Mental Fatigue

Anxious

Irritable

Nervous

Headaches

Sugar Cravings

Dizzy Spells

Cold Body Temperature

Thyroid/ Other

Goiter

Hoarseness

Hair Dry or Brittle

Constipation

Slow Pulse Rate

Rapid Heartbeat

Heart Palpitations

Infertility problems

Allergies

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