Category 1: Basic Hormone Imbalance

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

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

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: Cardiometabolic Risk

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 of heart disease

Diabetes or family history of diabetes

Waist size greater than 40 inches

 If you checked symptoms in all four categories, the suggested test profiles are: 

 MINIMUM

Male 10 Hormone Imbalance Blood Spot Test Kit

 PREFERRED

Male 12 Hormone Imbalance Test Kit(Saliva/Blood Spot), OR Male 13 Hormone Imbalance Test Kit(Saliva/Blood Spot) PLUS CardioMetabolic Profile (Blood Spot)

 If you checked symptoms ONLY in Category 1, the suggested test profiles are: 

 MINIMUM

Male 6 Hormone Imbalance Blood Spot Test Kit OR  5 Hormone Imbalance Saliva Test Kit

 PREFERRED

Male 12 Hormone Imbalance Test Kit(Saliva/Blood Spot), OR Male 13 Hormone Imbalance Test Kit(Saliva/Blood Spot)

 If you checked symptoms ONLY in Category 2, the suggested test profiles are: 

 MINIMUM

Adrenal Stress Profile (Saliva) 

 PREFERRED

Male 12 Hormone Imbalance Test Kit(Saliva/Blood Spot), OR  Male 13 Hormone Imbalance Test Kit(Saliva/Blood Spot)

 If you checked symptoms ONLY in Category 3, the suggested test profiles are: 

 MINIMUM

Essential Thyroid Profile (Blood Spot) 

 PREFERRED

Male 12 Hormone Imbalance Hormone Test Kit(Saliva/Blood Spot), OR Male 13 Hormone Imbalance Test Kit(Saliva/Blood Spot); OR 8 Hormone Imbalance Saliva Test Kit Plus Comprehensive Thyroid Profile (Blood Spot/Dried Urine)

 If you checked symptoms ONLY in Category 4, the suggested test profiles are: 

 MINIMUM

CardioMetabolic Profile (Blood Spot) 

 PREFERRED

CardioMetabolic Profile (Blood Spot) Plus 8 Hormone Imbalance Saliva Test Kit