Symptom Checklist for Women

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: Female Saliva Profile I

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

Acne

Bone loss

Cystic ovaries (PCOS)

Depressed mood

Fibrocystic breast

Foggy thinking

Headaches

Heart palpitations

Heavy menses

Hot flashes

Increased body/facial hair

Irritability

Low libido / decreased sexual function

Mood swings (PMS)

Night sweats

Urinary incontinence

Uterine fibroids

Vaginal dryness

Weight gain

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

Anxiety

Afternoon/evening fatigue

Allergies

Autoimmune diseases

Bone loss

Chronic health problems

Diabetes / prediabetes

Depression

History of steroid usage

Low blood sugar

Morning fatigue

Salt/sugar cravings

Sleep disturbances

Susceptibility to infections

Weight gain

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

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

Aches and pains

Anxiety

Brittle nails

Cold hands and feet

Constipation

Depression

Dry skin

Elevated cholesterol

Fatigue

Foggy thinking

Feeling cold all the time

Heart palpitations

Headaches

Infertility

Inability to lose weight

Low libido

Menstrual irregularities

Sleep disturbances

Thinning hair

Weight gain

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

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

Diabetes (or family history)

Elevated cholesterol

Fatigue

Gestational diabetes (or family history)

Heart disease/stroke (or family history)

High blood pressure

High blood sugar

Insulin resistance

Low physical activity

Low thyroid / decreased sexual function

PCOS

Salt/sugar cravings

Smoking (or history of)

Thyroid disorders

Weight gain

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 (Premenstrual Dysphoric Disorder)

Sleep disturbed

Tearful

Recommended Test Profiles Based on Your Results

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

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

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

Infertility/conception challenges: Fertility Profile or Menstrual Cycle Mapping

Menstrual cycle dysfunction: Menstrual Cycle Mapping

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