Symptom Checklist for Men

How to use this checklist

Tick any symptoms you experience regularly. At the end, match your checked categories to the recommended test profiles below.

Category 1: Sex Hormone Imbalance — Recommended: Male Saliva Profile I

Mark which of the following factors/symptoms are present and/or persist over time.

Burned out feeling

Hot flashes

Weight gain (waist)

Decreased libido

Decreased erections

Night sweats

Irritable

Erectile dysfunction

Prostate problems

Decreased mental sharpness

Insomnia

Increased urinary urge

Infertility problems

Oily skin

Apathy

Decreased urine flow

Decreased stamina

Sleep disturbances

Decreased muscle mass

Category 2: Adrenal Hormone Imbalance — Recommended: Adrenal Stress Profile or Cortisol Awakening Response Profile

Mark which of the following factors/symptoms are present and/or persist over time.

Aches and pains

Sleep disturbances

Chronic health problems

Stress

Depression

Fibromyalgia

Lack of motivation

Prostate problems

Evening fatigue

Morning fatigue

Anxiety

Allergies

Weight gain (waist)

Decreased erections

Bone loss

Low blood sugar

Autoimmune disease

Susceptibility to infections

Category 3: Thyroid Hormone Imbalance — Recommended: Comprehensive Thyroid Profile

Mark which of the following factors/symptoms are present and/or persist over time.

Low libido

Foggy thinking

Constipation

Elevated cholesterol

Infertility

Fatigue

Dry skin

Feeling cold

Headaches

Lack of motivation

Heart palpitations

Decreased erections

Sleep disturbances

Inability to lose weight

Brittle nails

Category 4: Metabolic Imbalance — Recommended: Male Weight Management Profile Test

Mark which of the following factors/symptoms are present and/or persist over time.

History of smoking

High blood sugar

High blood pressure

Low physical activity

Weight gain

Sugar cravings

Fatigue

Elevated triglycerides

Heart disease or family history

Diabetes or family history

Waist size greater than 40 inches

Category 5: Neurotransmitter Imbalance — Recommended: NeuroAdvance Profile

Mark which of the following factors/symptoms are present and/or persist over time.

ADD/ADHD

Addictive behaviors

Anxious/nervous

Autism spectrum disorder

Depressed

Developmental delays

Eating disorder

Irritable

Methylation deficits

Mood swings

OCD

Panic attacks

PMDD

Sleep disturbed

Tearful

Recommended Test Profiles Based on Your Results

If you checked symptoms in all five categories:
MINIMUM	Male Saliva Hormone Profile II
PREFERRED	Comprehensive Male Profile I (Blood Spot & Saliva)

If you checked symptoms ONLY in Categories 1 & 2:
MINIMUM	Male Saliva Profile III
PREFERRED	Full Male Saliva Profile

If you checked symptoms ONLY in Categories 1, 2 & 3:
MINIMUM	Comprehensive Male Profile I
PREFERRED	Comprehensive Male Profile II

If you checked symptoms ONLY in Categories 2 & 5:
MINIMUM	Advanced Neurotransmitter & Hormone Test II
PREFERRED	Advanced Neurotransmitter & Hormone Test II

Additional Considerations:

Personal or family history of cancer: Basic Metabolites Profile

Disturbed sleep/energy cycles: Advanced Sleep Hormone Test (UDH II)