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BioTE Hormone Replacement Questionnaires

Please click on a link below to be taken to the appropriate questionnaire.

  • For Men
    BioTE Health Assessment for Men
    Symptoms
    Fatigue
    Mood changes (irritability, anxiety/nervousness, depression)
    Decreased mental ability (memory loss, confusion, loss of focus)
    Excessive sweating
    Weight gain (bloating, excessive belly fat, inability to lose weight)
    Decreased sex drive (no morning erections)
    Sleep problems (can't stay asleep, can't fall asleep)
    Decreased muscle strength
    Hair loss/breakage
    Joint pain/muscle aches
    Family History
    Heart disease
    Diabetes
    Osteoporosis
    Alzheimer's disease
    Prostate cancer
  • For Women
    BioTE Health Assessment for Women
    Symptoms
    Fatigue
    Mood changes (irritability, anxiety/nervousness, depression)
    Decreased mental ability (memory loss, confusion, loss of focus)
    Hot flashes/night sweats
    Weight gain (bloating, excessive belly fat, inability to lose weight)
    Decreased sex drive (vaginal dryness)
    Sleep problems (can't stay asleep, can't fall asleep)
    Cold hands & feet/always cold
    Hair loss/breakage
    Dry wrinkled skin
    Family History
    Heart disease
    Diabetes
    Osteoporosis
    Alzheimer's disease
    Breast cancer
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