THE MANY SYMPTOMS ROOTED IN HORMONE IMBALANCES
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- Jewel O’Connor’
- 5 years ago
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1 abdominal pain acne aging process accelerated allergies, including asthma, hives, rashes, sinus congestion anemia (blood hemoglobin low) anorexia anovulatory (no ovulation) anxiety anxious depression appetite loss asthma-like breathing autoimmune disorders such as lupus erythematosis, thyroiditis, & possibly Sjoegren's disease bags under the eyes bladder infections bleeding changes bloating of abdomen blood cholesterol and/or triglyceride levels abnormal blood clotting increased, thus increasing risk of strokes blood pressure increased or high blood pressure low, which may fall further when standing, causing dizziness or fainting blood sugar high blood sugar low blood sugar, unable to balance blood thyroid hormone levels high body temperature low, feeling cold Excerpted from Page 1
2 bone fragility bone loss breast cancer breast tenderness breasts fibrocystic breasts gradually shrinking breasts painful and/or lumpy breasts sore, swollen calcium stones in the urinary tract, and sometimes in the kidney cataracts cervical dysplasia chest pain or shortness of breath due to decreased coronary blood flow cholesterol increased chronic aches and pains including backache and arthritis chronic bruising chronic fatigue cold hands and feet concentration poor constipation craving salty foods due to salt loss dark circles under the eyes decreased libido (sex drive) deepening voice depression depression with anxiety depression with lethargy diarrhea difficulty recuperating from stresses like colds or jet lag dizziness dry eyes dry skin emotional intensity endometrial polyps endometriosis Excerpted from Page 2
3 eyes bulging fatigue feeling crazy feeling impatient or bossy fine facial wrinkles due to low skin collagen and weakening of fine face muscles foggy thinking food and salt cravings gallbladder disease gallbladder problems glucose intolerance hair brittle hair coarse hair growth on female face or body hair loss headaches cyclical headaches on arising but wear off headaches, migraine hearing impaired heart palpitations heat intolerant heavy bleeding hot flashes and/or night sweats hunger with anxiety, trembling and sweating hypoglycemia (low blood sugar) immune function lowered inability to focus incontinence infertility initiative reduced insomnia irritability irritable depression irritable, quick to anger joint pain lack of libido loss of confidence loss of drive Excerpted from Page 3
4 loss of stamina loss of strength loss of vim and vigor low serum calcium menarche delayed mental sluggishness memory lapses memory failing menstrual cycle irregular menstrual cycle long menstrual cycle short menstrual pain menstrual periods stopped menstruation, early onset menstruation, excess metabolic rate increased metabolism sluggish migraine headaches mind and body placid, feeling lazy miscarriage miscarriage early in pregnancy mood swings muscle building difficult muscle mass and strength loss muscle pain muscular strength diminished muscular weakness nails brittle nails have dark lines nails ridged nausea nervousness night sweats numbness and tingling especially around the mouth osteoporosis ovaries cystic over activity panic attacks Excerpted from Page 4
5 passing clots during periods periods irregular periods stopped PMS poor muscular tone poor sleep premature aging pre-menopausal bone loss puffiness and bloating pulse fast at rest or over 120 pulse slow, esp. below 60 beats per minute recurrent infections red flush on face or sides of neck restless round face salt craving sensitivity to cold serum phosphorus high severe muscle cramps, especially at night sex drive increased shortness of breath (due to decreased coronary artery flow) skin becoming darker, especially on scars, skin folds and pressure points such as elbows, knees, etc. skin forming brown spots skin dry and cold skin folds beneath the eyes and jaw skin losing elasticity, becoming saggy sleepy during the day sleep patterns disturbed sluggishness spontaneous muscle contractions, especially in the hands and feet, face, eyes, tongue & larynx stiffness and numbness sugar tolerance decreased sugar tolerance increased sugar in urine sweating increased Excerpted from Page 5
6 swollen fingers and ankles symptoms worsen when under stress tearful teeth defects tendency to startle easily thinning skin thirst tongue thick, voice guttural tremors or trembling inwardly twitching of eyelids and face ulcers unable to focus upper body obesity urinary output increased urination frequent, especially at night uterine cancer uterine fibroids vaginal dryness vaginal irritation vaginal lubrication decreased vomiting vulvar disorders, increased risk of those such as lichen sclerosis water retention weakness weight gain, especially in hips weight gain, especially around abdomen, hips, and thighs weight gain, unexplained or rapid weight loss difficult weight loss, usually with increased appetite Enter the total number of symptoms checked. Excerpted from Page 6
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Test Results SB Samples Arrived: 01/15/2014 Samples Collected: Saliva: 01/11/14 07:14 Date Closed: 01/18/2014
Test Results 8605 SW Creekside Place Beaverton, OR 97008 Phone: 503-466-2445 Fax: 503-466-1636 info@zrtlab.com www.zrtlab.com 2014 01 15 001 SB Samples Arrived: 01/15/2014 Samples Collected: Saliva: 01/11/14
New Patient Specialty Intake Form Department of Surgery
This form contains questions specific to the Department of Surgery. If you are new to Baylor College of Medicine and have not been seen in any of our offices, please be sure to complete our New Patient
DOB: / / Please list the names and telephone numbers of the other physicians involved in your care: Name Specialty Phone Address Receive Report (Y/N)
Medical History: Patient: DOB: / / Please list the names and telephone numbers of the other physicians involved in your care: Name Specialty Phone Address Receive Report (Y/N) List the names of prescription
Joseph S. Weiner, MD, PC Patient History Form
Date: / / NAME: Last First M. I. Age: Sex: q F q M Birthdate: / / What specific questions or goals do you have for this appointment? Please list the names of other clinicians you have seen for this problem:
HORMONAL LEVELS SELF TEST. Date Full Name No.
HORMONAL LEVELS SELF TEST Date Full Name No. This self-test to help your doctor if your levels of hormones are below normal. Circle the score for each line then total the score at the bottom of each hormone.