Watch Before You Start!Are you having trouble losing weight? Do you have night sweats? Are you interested in anti-aging? Having hormonal imbalances can affect all of these and more! Take the quiz to find out what kind of hormonal imbalances you may have that could be affecting your health.SELECT ALL THAT APPLYASelect all that apply Sagging, thinning skin or wrinkling Spider veins or varicose veins Cellulite Eczema, skin rashes, hives, or acne Menopause (women); andropause (men) Heart Disease Prostate Enlargement or Prostatitis High Cholesterol or Blood Presure Loss of muscle tone in arms and legs; difficulty building or maintaining muscle Aches and Pains Arthritis, bursitis, Tendonitis, or Joint Stiffness Water Retention in hands or feet Gout Alzheimer's Disease Parkinson's Disease Depression Night Eating Syndrome (waking at night to binge eat) Fibromyalgia Increased pain or poor pain tolerance Headaches or migraines High alcohol consumption Bronchitis, allergies (food or environmental), hives, or asthma have worsened or developed Autoimmune disease Fat gain around "love handles" or abdomen Loss of bone density or soteoporosis Generalized overweight/weight gain/obesity Fatty liver (diagnosed by your doctor) Diabetes (type 2) Sleep disruptions or deprivation Irritable bowel or inflammatory bowel disease Frequent gas and bloating Constipation, diarrhea, or nauseaB Age spots and wrinkling Sagging skin Cellulite Skin tags Acanthosis nigricans (a skin condition characterized by light brown to black patches or markings on the neck or underarm) Abnormal hair growth on face or chin (women) Vision changes or cataracts Infertility or irregular menses Shrinking or sagging breasts Menopause (women); andropause or erectile dysfunction (men) Heart disease High cholesterol, high triglycerides, or high blood pressure Burning feet at night (especially while in bed) Water retention in the face/puffiness Gout Poor memory, concentration, or Alzheimer's disease Fat gain around "love handles" and/or abdomen Fat over triceps Generalized overweight/weight gain/obesity Hypoglycemia; cravings for sweets, carbohydrates or constant hunger or increased appetite Fatigue after eating (especially carbohydrates) Fatty liver (diagnosed by your doctor) Diabetes (type 2) Sleep disruption or deprivationSelect all that applyC Fatigue, especially in the morning Poor tolerance for exercise Restless leg syndrome Poor memory Parkinson's disease Depression Loss of libido Feeling a strong need for stimulation or excitement (foods, gambling, partying, sex, etc.) Addictive eating or binge eating Cravings for sweets, carbohydrates, junk food, or fast foodSelect all that applyD PMS characterized by hypoglycemia, sugar cravings, sweet cravings, and/or depression Feeling wired at night Lack of sweating Poor memory Loss of libido Depression, anxiety, irritability, or seasonal affective disorder Loss of motivation or competitive edge Low self-esteem Inability to make decisions Obsessive-compulsive disorder Bulimia or binge eating Fibromyalgia Increased pain or poor pain tolerance Headaches or migraines Cravings for sweets or carbohydrates Constant hunger or increased appetite Inability to sleep in, no matter how late going to bed Less than 7.5 hours of sleep per night Irritable bowel Constipation Nausea Use of corticosteroidsSelect all that applyE PMS characterized by breast tenderness, water retention, bloating, anxiety, sleep disruptions, or headaches Feeling wired at night Aches and pains increased muscle tension Irritability, tension, or anxiety Difficulty falling asleep or staying asleep Less than 7.5 hours of sleep per night Irritable bowel Frequent gas and bloatingSelect all that applyF Wrinkling, thinning skin or skin that has lost its fullness Hair loss Infertility or absent menses (unrelated to menopause) Feeling wired at night Heart palpitations Loss of muscle tone in arms and legs Cold hands or feet Water retention in face/puffiness Poor memory or concentration Loss of libido Depression, anxiety, irritability, or seasonal affective disorder High alcohol consumption Frequent colds and flus Hives, bronchitis, allergies (food or environmental), asthma, or autoimmune disease Fat gain around "love handles" or abdomen A "buffalo hump" of fat on back of neck/upper back Difficulty building or maintaining muscle Loss of bone density or osteoporosis Cravings for sweets or carbs, hypoglycemia, or constant hunger Difficulty falling asleep Difficulty staying asleep (especially waking between 2 and 4 a.m.) Less than 7.5 hours of sleep per night Irritable bowel or frequent gas and bloating Use of corticosteroidsSelect all that applyG Dry skin Heart disease Erectile dysfunction Andropause Feeling wired at night Poor tolerance for exercise Loss of muscle tone in arms and legs Poor memory or concentration Irritability or easily agitated Loss of libido Depression Loss of motivation or competitive edge Autoimmune disease Fat gain around "love handles" Fat gain over triceps Fat gain around abdomen Difficulty building or maintaining muscleSelect all that applyH Spider or varicose veins Cellulite Heavy menstrual bleeding PMS characterized by breast tenderness, water retention, bloating, swelling, and/or weight gain Fibrocystic breast disease Prostate enlargement Erectile dysfunction Breast growth (men) Loss of morning erection Irritability, mood swings, or anxiety Headaches or migraines (especially in women before their menses) High alcohol consumption (> 4 drinks per week for women and > 7 drinks per week for men) Autoimmune disease or allergies Fat gain around "love handles" or abdomen (men) fat gain at hips (women) Current use of hormone replacement therapy or birth control pillsSelect all that applyH Spider or varicose veins Cellulite Heavy menstrual bleeding PMS characterized by breast tenderness, water retention, bloating, swelling, and/or weight gain Fibrocystic breast disease Prostate enlargement Erectile dysfunction Breast growth (men) Loss of morning erection Irritability, mood swings, or anxiety Headaches or migraines (especially in women before their menses) High alcohol consumption (> 4 drinks per week for women and > 7 drinks per week for men) Autoimmune disease or allergies Fat gain around "love handles" or abdomen (men) fat gain at hips (women) Current use of hormone replacement therapy or birth control pillsSelect all that applyI Dry or sagging skin Thinning skin or skin has lost its fullness Hair loss Dry eyes or cataracts (women) PMS characterized by depression, hypoglycemia, sugar cravings, and/or sweet cravings Infertility or absent menses (not related to menopause) Painful intercourse and/or vaginal dryness Shrinking or sagging breasts Urinary incontinence (stress or otherwise) Menopause Fatigue Hot flashes Poor memory or concentration Irritability Loss of libido Depression or mood swings Headaches or migraines Fat gain around "love handles" or abdomen (menopausal women) Loss of bone density or osteoporosis Difficulty falling or staying asleep Acne PMG characterized by depression Infertility Water retention Depression Frequent colds and flus Weight gain or difficulty losing weight Current use of hormone replacement therapy or birth control pills Dry skin or skin that has lost its fullness Spider or varicose veins Hair loss Short menstrual cycle (<28 days) or excessively long bleeding times (<6 days) PMS characterized by breast tenderness, anxiety, sleep disruptions, headaches, menstrual spotting, water retention, bloating, and/or weight gain Infertility or absent menses (not related to menopause) Fibrocystic breast disease Menopause (women); andropause (men) Prostate enlargement Hot flashes Lack of sweating Feeling cold and/or cold hands or feet Heart palpitations Water retention Irritability and/or anxiety Loss of libido Headaches or migraines Autoimmune disease, hives, asthma, or allergies Loss of bone density or osteoporosis Difficulty falling or staying asleepSelect all that applyJ Acne PMG characterized by depression Infertility Water retention Depression Frequent colds and flus Weight gain or difficulty losing weight Current use of hormone replacement therapy or birth control pillsSelect all that applyK Dry skin or skin that has lost its fullness Spider or varicose veins Hair loss Short menstrual cycle (<28 days) or excessively long bleeding times (<6 days) PMS characterized by breast tenderness, anxiety, sleep disruptions, headaches, menstrual spotting, water retention, bloating, and/or weight gain Infertility or absent menses (not related to menopause) Fibrocystic breast disease Menopause (women); andropause (men) Prostate enlargement Hot flashes Lack of sweating Feeling cold and/or cold hands or feet Heart palpitations Water retention Irritability and/or anxiety Loss of libido Headaches or migraines Autoimmune disease, hives, asthma, or allergies Loss of bone density or osteoporosis Difficulty falling or staying asleepSelect all that applyL Dry skin Thinning skin or skin has lost its fullness Painful intercourse Heart disease (men) Loss of morning erection Fatigue Poor tolerance for exercise Loss of muscle tone in arms and legs Poor memory or concentration Loss of libido Depression or anxiety Loss of motivation or competitive edge Headaches or migraines (men) Fat gain around "love handles" or abdomen (men and women) Difficulty building or maintaining muscle Loss of bone density or osteoporosis (men and women) Sleep apnea (men) Use of corticosteroidsSelect all that applyM Acne Acanthosis nigricans (women) Hair loss (scalp) Abnormal hair growth on face (women) Infertility Shrinking or sagging breasts Prostate enlargement Irritability, aggression, or easily agitated Fat gain around abdomen (women) Cravings for sweets or carbohydrates (women) Constant hunger or increased appetite (women) Fatty liver (women)Select all that applyN Dry skin and/or hair Acne Hair loss Brittle hair and/or nails PMS, infertility, .ong menstrual cycle (>30 days), or irregular periods Abnormal lactation Fatigue Lack of sweating, feeling cold, or cold hands and feet High cholesterol Poor tolerance for exercise Heart palpitations Outer edge of eyebrows thinning Aches and pains Water retention/puffiness in hands or feet Poor memory Loss of libido Depression Loss of motivation or competitive edge Iron deficiency anemia Hives Generalized overweight/weight gain/obesity Constipation Use of corticosteroids Current use of synthetic hormone replacement therapy or birth control pillsSelect all that applyO Poor tolerance for exercise Loss of muscle tone in arms and legs or poor muscle function/strength Poor memory or concentration, decrease in memory or recall Alzheimer's disease Difficulty building or maintaining muscle Difficulty falling asleep or staying asleep, disrupted sleep patterns Irritable bowel ConstipationSelect all that applyP Andropause (men); menopause (women) Night eating syndrome (waking at night to binge eat) High alcohol consumption Cravings for sweets or carbohydrates; increased appetite Difficulty falling asleep Failing to sleep in total darkness Difficulty staying asleep (especially waking between 2 and 4 a.m.) Sleep apnea Less than 7.5 hours of sleep per night Use of corticosteroidsSelect all that applyQ Dry skin Thinning skin or skin has lots its fullness Sagging skin Menopause (women); andropause (men) Lack of exercise Loss of muscle tone in arms or legs High alcohol consumption Fat gain around "love handles" or abdomen Difficulty building or maintaining muscle Loss of bone density or osteoporosis Generalized overweight/weight gain/obesity Failing to sleep in total darkness Difficulty staying asleep (especially waking between 2 and 4 a.m.) Sleep apnea Use of corticosteroidsSelect all that applyThis field is hidden when viewing the formInflammationThis field is hidden when viewing the formExcess InsulinThis field is hidden when viewing the formLOW DOPAMINEThis field is hidden when viewing the formLOW SEROTONINThis field is hidden when viewing the formLOW GABAThis field is hidden when viewing the formEXCESS CORTISOLThis field is hidden when viewing the formLOW DHEAThis field is hidden when viewing the formEXCESS ESTROGENThis field is hidden when viewing the formLOW ESTROGENThis field is hidden when viewing the formEXCESS PROGESTERONEThis field is hidden when viewing the formLOW PROGESTERONEThis field is hidden when viewing the formLOW TESTOSTERONEThis field is hidden when viewing the formEXCESS TESTOSTERONEThis field is hidden when viewing the formLOW THYROIDThis field is hidden when viewing the formLOW ACETYLCHOLINEThis field is hidden when viewing the formLOW MELATONINThis field is hidden when viewing the formLOW GROWTH HORMONEName(Required) First Last Email(Required) You will be emailed the results!
