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Hormone Health Check
A symptom inventory to bring to your consultation
Symptoms point toward a hormone conversation; they never confirm one. Fatigue, low mood, weight change and poor sleep are caused by thyroid disease, anemia, sleep apnea, depression and blood sugar problems at least as often as by hormones — which is why the answer to this questionnaire is always bloodwork, not a prescription. Nothing you enter is stored or sent anywhere.
About you
This decides which symptoms are relevant.
Asked for hormone physiology, not identity. If your situation is more complex than these two options, skip ahead and we'll take the history properly in person.
Symptoms
Over the last three months, how much has each bothered you?
Health history
These change whether hormone therapy is an option at all. Check any that are true.
Your summary
Start by choosing an option above.