Are you feeling more fatigued and tired lately?
*
Yes
No
Are you experiencing a reduction in muscle and an increase in body fat?
*
Yes
No
Do you have a decrease in sex drive or libido?
*
Yes
No
Are you having trouble sleeping?
*
Yes
No
Do you feel more depressed, irritable, or sad lately?
*
Yes
No
Are you noticing any erectile dysfunction?
*
Yes
No
Is your body and facial hair beginning to thin or shed more rapidly?
*
Yes
No
Have you noticed a decrease in cognitive function or memory?
*
Yes
No
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