Please rate your symptoms on a scale from 0-10 with 0 indicating no symptoms and 10 indicating severe symptoms.

Progesterone Symptoms

  • Depression
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  • Sleep Disturbances
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  • Anxiety
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  • Restless Legs Syndrome
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  • Mood Swings
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  • Migraine Headaches
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Estrogen Symptoms

  • Palpitations
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  • Night Sweats/Hot Flashes
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  • Irritability
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  • Breast Tenderness
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  • Painful Intercourse
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  • Hair Loss
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  • Vaginal Dryness
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Testosterone Symptoms

  • Fatigue
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  • Dry Skin
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  • Poor Focus
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  • Body & Joint Pain
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  • Memory Lapses
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  • Low Exercise Tolerance
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  • Loss of Muscle Tone
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  • Acne
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  • Facial/Body Hair
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  • Low Sex Drive
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  • How did you hear about us?
  • TV
  • Online Search
  • Friend
  • Dr. Referred
  • Social Media
  • Online Ad
  • Other
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  • List is empty.

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