Number of Pregnancies

Have you had these tests performed?

Check all that apply

FEMALE HORMONAL SYMPTOMS


Check all that apply in each category


Symptoms of female hormone imbalance (estrogen, progesterone, testosterone)

Symptoms of cortisol and adrenal imbalance


HC
AD/CD
LC
AF

Symptoms of low thyroid function

Symptoms of high thyroid function

Symptoms of insulin imbalance

Symptoms of adult growth hormone deficiency

Pain, Energy, Stress