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1-888-307-2199
Facebook-f
Instagram
Home
About
Services
Medication Management
Supportive Therapy
Diagnostic Evaluation
Hormone Replacement Therapy
Integrated IV Infusion
Integrated Weight Loss
Ketamine Infusion
Book Consultation
Blog
FAQ
Contact
Patient Portal
Therapy Links
FullScript
Shop
Form
Menu
Home
About
Services
Medication Management
Supportive Therapy
Diagnostic Evaluation
Hormone Replacement Therapy
Integrated IV Infusion
Integrated Weight Loss
Ketamine Infusion
Book Consultation
Blog
FAQ
Contact
Patient Portal
Therapy Links
FullScript
Shop
Form
By answering the simple questionnaire below we can easily tell you if you qualify for men hormone replacement therapy
Do you have a decrease in libido (sex drive)?
Select
Yes
No
Do you have a lack of energy?
Select
Yes
No
Do you have a decrease in strength and/or endurance?
Select
Yes
No
Have you lost height?
Select
Yes
No
Have you noticed a decreased "enjoyment of life"?
Select
Yes
No
Are you sad and/or grumpy?
Select
Yes
No
Are your erections less strong?
Select
Yes
No
Have you noticed a recent deterioration in your ability to play sports?
Select
Yes
No
Are you falling asleep after dinner?
Select
Yes
No
Has there been a recent deterioration in your work performance?
Select
Yes
No
Write Down Name and Email Below for Result
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