Click on the appropriate answer:
Do you notice a reduction in muscle mass?	Yes No
Do you have more wrinkles than you feel you should?	Yes No
Do you suffer from memory or concentration problems?	Yes No
Do you need or want more energy?	Yes No
Do you feel a sense of low self-esteem?	Yes No
Do you become easily dehydrated or thirsty?	Yes No
Do you experience a reduced sex drive?	Yes No
Do you believe that you're more susceptable to illness?	Yes No
Do you notice a reduction in flexibility?	Yes No
Do you need more healing time than ever?	Yes No
Do you have elevated "bad cholesterol and decreased good"?	Yes No
Do you feel reduced muscle strenght?	Yes No
Do you frequently suffer from emotional distress?	Yes No
Do you notice a reduced quality of sleep?	Yes No
Do you have trouble with blood sugar problems? (ie...hypo/hyper)?	Yes No
Do you see increased body fat on your body?	Yes No
Do you feel you're not as sexually potent as you used to be?	Yes No
Do you suffer from decreased hair and nail growth?	Yes No
Do you notice thinning of the skin?	Yes No
Do you experience reduced exercise performance?	Yes No

 

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