Hormone Therapy Assessment for Men

Biote Health Assessment for Men

Which of the following symptoms apply to you currently (in the last 2 weeks)? Please mark the appropriate box for each symptom. For symptoms that do not currently apply or no longer apply, mark "never."
Name(Required)
Sweating (night sweats or excessive sweating)
Sleep problems (difficulty falling asleep, sleeping through the night or waking up too early)
Increased need for sleep or falls asleep easily after a meal
Depressive mood (feeling down, sad, lack of sex drive)
Irritability (mood swings, feeling aggressive, angers easily)
Anxiety (inner restlessness, feeling panicky, feeling nervous, inner tension)
Physical exhaustion (general decrease in muscle strength or endurance, decrease in work performance, fatigue, lack of energy, stamina or motivation)
Sexual problems (change in sexual desire or in sexual performance)
Bladder problems (difficulty in urinating, increased need to urinate)
Erectile changes (less strong erections, loss of morning erections)
Joint and muscular symptoms (joint pain or swelling, muscle weakness, poor recovery after exercise)
Difficulties with memory
Problems with thinking, concentrating or reasoning
Difficulty learning new things
Trouble thinking of the right word to describe persons, places or things when speaking
Increase in frequency or intensity of headaches/migraines
Rapid hair loss or thinning
Feel cold all the time or have cold hands or feet
Weight gain, increased belly fat, or difficulty losing weight despite diet and exercise
Infrequent or absent ejaculations