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SHARE Arkansas
About Us
Services
Office Procedures
Surgical Procedures
Gynecological Health
Mona Lisa Touch
Birth Control
Bladder Health
Hormone Therapy
bioTE Pellet Therapy
Nutraceuticals
Pregnancy Health
OB Services
Ultrasound Packages
Pregnancy Education
Classes
Gallery
Patient Info
Forms & Instructions
Medical Links
Blog
SHARE Arkansas
Contact
Hormone OPTIMIZATION Test for Men
Fatigue
*
Never
Mild
Moderate
Severe
Mood Change
*
Never
Mild
Moderate
Severe
Decreased Mental Ability
*
Never
Mild
Moderate
Severe
Excessive Sweating
*
Never
Mild
Moderate
Severe
Weight Gain
*
Never
Mild
Moderate
Severe
Decreased Sex Drive
*
Never
Mild
Moderate
Severe
Sleep Problems
*
Never
Mild
Moderate
Severe
Decreased Muscle Strength
*
Never
Mild
Moderate
Severe
Hair Loss/Breakage
*
Never
Mild
Moderate
Severe
Joint Pain/Muscle Aches
*
Never
Mild
Moderate
Severe
Family History
*
Check All That Apply
Heart Disease
Diabetes
Osteoporosis
Alzheimer’s Disease
Name
*
First Name
Last Name
Email
*
Phone
*
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