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1670 ROUTE 34 N. 3R FLOOR SUITE 3C WALL • NJ 07727

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1670 ROUTE 34 N. 3R FLOOR SUITE 3C WALL • NJ 07727

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Hormone Quiz

Hormone Quiz

Answer These Simple Questions to See if Functional Metabolic Testing May be Right for You

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Your Sex*

Male

Female

Questions For Women

Do you suffer from irregular or painful cycles or excessive vaginal bleeding?*

Yes

No

Do you suffer from symptoms related to your menstrual cycle (headaches, fatigue, breast tenderness, mood issues, acne)?*

Yes

No

Are you taking birth control pills to regulate your cycle?*

Yes

No

Have you been diagnosed with PCOS (polycystic ovary syndrome)?*

Yes

No

Do you suffer from fertility issues?*

Yes

No

Are you experiencing early menopause or suffer from hot flashes?*

Yes

No

Do you suffer from a lack of libido?*

Yes

No

Have you ever been on hormone replacement therapy, or are currently on hormone replacement therapy?*

Yes

No

Are you losing your scalp hair or suffer from excess facial and body hair?*

Yes

No

Questions For Men

Do you suffer from low testosterone?*

Yes

No

Do you suffer from loss of libido?*

Yes

No

Do you have erectile dysfunction?*

Yes

No

Are you losing muscle mass and gaining weight?*

Yes

No

Have you ever used anabolic steroids?*

Yes

No

Have you ever been on testosterone replacement therapy?*

Yes

No

Do you suffer from a lack of motivation or depression?*

Yes

No

Is your beard growing slower and thinner?*

Yes

No

Are you having trouble focusing and remembering words?*

Yes

No

The results of this quiz are informational only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. They do not constitute medical or other professional advice. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on michaelrothmanmd.com

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The results of this quiz are informational only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. They do not constitute medical or other professional advice. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on michaelrothmanmd.com

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Dr. Michael Rothman
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CONTACT US

(732) 268-7663
[email protected]
1670 Route 34 N. 3R Floor
Suite 3C Wall, NJ 07727

Hours :

Monday- 9:30 AM to 4 PM
Tuesday - 9:30 AM to 6 PM
Wednesday - 9:30 AM to 4 PM
Thursday - 9:30 AM to 5 PM
Friday - 9:30 AM to 4 PM
Sat-Sun: Closed

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Disclaimer: The information provided on this site is for educational purposes only and does not substitute for professional medical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment. If you are experiencing a medical emergency, dial 911.

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