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Men's Hormone Imbalance Quiz

This questionnaire can help us understand which symptoms you are experiencing and also acts as starting point for us when determining the best approach for our patients. We will review results at your appointment and talk through what the best way to address your symptoms. Following a simple blood test, we then determine the best treatment plan. This is not a diagnostic tool nor a diagnosis.

Are you a current patient?

On a scale of 1-5 from never to severe how does each symptom affect you?

Depressed or Unmotivated
Memory Loss / Brain Fog
Unexplained weight gain
Decreased sex drive/libido
Sleep problems/ insomnia
Moodiness or irritability
Hot flashes or night sweats

Thanks for submitting!

What's Next?

After we receive your quiz results, we will contact you to schedule your appointment.

Doctor's Desk
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