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Are you a good candidate for hormone therapy? Click to fill out our PRIORITY RESPONSE form and find out!

Hormone Quiz

HGH and Testosterone Deficiency Questionnaire

Doctor Thierry Hertoghe, the internationally known expert on Hormone Replacement and Anti-Aging medicine, developed this self-test to help you determine if your levels of Growth Hormone (HGH) and Testosterone are below normal. This hormone test is designed to help you select the correct hormone replacement  treatments. Check the box where applicable, then total the numbers next to each checked box. Need help, contact us at 1-800-325-1325

 

Growth Hormone (GH)

Signs and Symptoms

Never

Sometimes

Regularly

Often

Constantly

1.

My hair is thinning

0

1

2

3

4

2.

My cheeks sag

0

1

2

3

4

3.

My gums are receding

0

1

2

3

4

4.

My abdomen is flabby-I've got a 'spare tire"

0

1

2

3

4

5.

My muscles are slack

0

1

2

3

4

6.

My skin is thin and /or dry

0

1

2

3

4

7.

It's hard to recover after physical activity

0

1

2

3

4

8.

I feel exhausted

0

1

2

3

4

9.

I don't like the world. I tend to isolate myself

0

1

2

3

4

10.

I feel continuously anxious and worried

0

1

2

3

4


Add up your numerical score; A total of 10 or less is 'satisfactory levels'. A total of 11-20 indicates possible Growth Hormone deficiency. A score of 21 or more indicates probable Growth Hormone deficiency.

CALL 1-800-325-1325 AND TALK TO A PATIENT CARE SPECIALIST

Testosterone

Signs and Symptoms

Never

Sometimes

Regularly

Often

Constantly

1.

My face has gotten slack and more wrinkled.

0

1

2

3

4

2.

I have lost muscle tone

0

1

2

3

4

3.

My belly tends to get fat

0

1

2

3

4

4.

I'm constantly tired

0

1

2

3

4

5.

I feel like making love less often

0

1

2

3

4

-MEN ONLY-

 

 

 

 

 

6.

My breasts are getting fatty

0

1

2

3

4

7.

I feel less self-confident and more hesitant

0

1

2

3

4

8.

My sexual performance is poorer than it used to be

0

1

2

3

4

9.

I have hot flashes and sweats

0

1

2

3

4

10.

I tire easily with physical activity

0

1

2

3

4

Add up your numerical score; For Women:a total of 5 or less is 'satisfactory levels'. Between 6-11 indicates possible testosterone deficiency. A score of 11 or more indicates probable testosterone deficiency. For Men: 10 or less indicates a satisfactory level. Between 11-20 indicates a possible testosterone deficiency. 21 or more indicates probable testosterone deficiency.

 

CALL 1-800-325-1325 AND TALK TO A PATIENT CARE SPECIALIST

 

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NO PRESCRIPTION WILL BE PROVIDED UNLESS A CLINICAL NEED EXISTS BASED ON REQUIRED LAB WORK, PHYSICIAN CONSULTATION, PHYSICAL EXAMINATION AND CURRENT MEDICAL HISTORY. PLEASE NOTE, AGREEING TO LAB WORK AND A PHYSICAL EXAM DOES NOT GUARANTEE A FINDING OF CLINICAL NECESSITY AND A PRESCRIPTION.

NO claim or opinion on the AAG Health web-site is intended to be, or should be construed to be, medical advice.
Please consult with a healthcare professional before starting any therapeutic program.
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