HORMONE QUIZ Time to get clear about your symptoms

Similar documents
HORMONE QUIZ Time to get clear about your symptoms

Hormone Evaluation Quiz

Free Report: How Your Hormones Can Make You Overweight and Miserable

Hormone. for Women. Dr. Melanie MacIver, ND

My energy is lower than I would like it to. I feel exhausted after exercising or physical activity.

Stress and Dehydration and The Effect on Health

Symptom Review (page 1) Name Date

Beat. Adrenal Fatigue Naturally!

METABOLIC ASSESSMENT FORM

Metabolic Assessment Form

All nutrition appointments NOT given 24 hours notice of cancellation will incur a $50 charge.

Physician Visit Checklist

Messer Chiropractic Amanda L. Messer, D.C E. Interstate Ave #21

THE HORMONE HEALTH PROFILE

Name: Date of Birth: Age: Address: City State Zip

Who Needs to Cleanse & Alkalize?

Integrative Consult Patient Background Form

Fertility Talk. Exploring The Root Causes Of Infertility. Kolawole Bisiriyu.

Dr Cara Flamer GSH Medical 801 Eglinton Ave West, Suite 100 Toronto, ON

5 Simple Hormone Hacks

When you lose sleep in a regular basis, it is very difficult to catch up. Sleep is a very important mechanism that your body uses to recuperate.

Balancing Female Hormones

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Patient General Information

UNDERSTANDING PMS AND DIY ACTIVITIES FOR ITS MANAGEMENT

MenoChat. City State Zip Code. Employer Job Title. Primary Care Provider Phone: History. Desired Outcome:

SESSION #3 COMMUNICATING RESULTS & SEQUENCING PROTOCOLS. Dr. Daniel Kalish

Treat hormone imbalance

Health History Questionnaire. Age Date of Birth Gender. Married Single Separated Divorced Widowed Partnership

New Client Health & Wellness Paper Work

stoneburner acupuncture

Accession #: Patient: Jane Doe Convert to pdf, Save or PRINT >> ADRENAL CHECK

Ayurvedic Intake Form

Date of Birth: Age: Gender: M F. Race/Ethnicity: American India Asian African American White Hispanic Other

GET OFF YOUR ACID 7-DAY SUMMER CLEANSE Client Workbook

COMPREHENSIVE HEALING PROGRAM

New Patient Medical History Intake Form

Name: Date of birth: Address: City: State: Zip: Phone: (day) (evening): (cell): address: Occupation: Who referred you/how did you hear about us?

You re NOT Losing Your Mind You ARE Losing Your Hormones!

IS YOUR GUT LEAKY? ASSESSMENT JJ VIRGIN

GETTING STARTED INTRODUCTORY FORM

ADDITIONAL GEMS OF WISDOM TO HELP YOU OVERCOME CFIDS, CANDIDIASIS AND FIBROMYALGIA

HORMONAL LEVELS SELF TEST. Date Full Name No.

SEVEN DAY TOTAL NUTRITIONAL CLEANSING PROGRAM

SLIM & CLEANSE 10 DAY PROGRAM

Copyright The Food Intolerance Testing Group. All rights reserved. No part of this publication may be

ACKNOWLEDGEMENT OF RECEIPT OF PRIVACY NOTICE AND FINANCIAL POLICY

Meet Micki Contini, MS CNC

Medications/Supplements/Vitamins/Herbs currently taking regularly

Alivia Acupuncture Clinic, LLC. Address. City State Zip. . Occupation Employer. Emergency contact Relationship. Primary Care provider Phone

Symptoms of low blood sugar:

THE MANY SYMPTOMS ROOTED IN HORMONE IMBALANCES

Bodily Conditions Rooted in Hormone Imbalance

TRANSITION 28-DAY GO AHEAD AND EAT GO AHEAD AND EAT.

New Life Allergy Treatment Centre Your Natural Solution to Health New Patient Health History

Candida Questionnaire: Are your health problems yeast connected?

Week 3 Cleanse Checklist

Patient Health History

Candida Questionnaire

Wellness on the Mountain ~UR Healing Connection Today's Date Name

3. Male? 4. Hydrocortisone (or derivates)? 5. Other? Vitamins/minerals/trace elements: How are you doing? very well well average not well very bad

Primary Presenting Symptoms Endometriosis Digestive complaints: bloating, mild acid indigestion, alternating constipation & diarrhea Headaches

The Spooky, Scary Truth About What Acid Does to Your Body

Ohio Northern University HealthWise. Authors: Alexis Dolin, Andrew Duska, Hannah Lamb, Eric Miller, Pharm D Candidates 2018 May 2018

I-ACT. Quarterly. International Association for Colon Hydrotherapy. Fall 2018 WHAT IS CANDIDIASIS? 2019 CONVENTION ANNOUNCEMENT

What causes adrenal fatigue?

Tobacco Withdrawal Symptoms Checklist

Tobacco Cessation Toolkit

Answers to 5 Common Thyroid Questions

Extreme Deficiency. Never. 1. I look older than I am I have trouble falling asleep at night

The Stress Response & The Relaxation Response. Living (Well!) with Gastroparesis Program Class 4

Pure Health Natural Medicine

Premenstrual Syndrome

Dr. William Crook s. Candida Questionnaire

WORKBOOK IT S NOT YOU, IT S YOUR NICKI WILLIAMS. IT S NOT YOU, IT S YOUR NICKI WILLIAMS

Diana Quinn, ND Integrative Healthcare Providers 3053 Miller Rd Ann Arbor, MI P (734) F (734) New Patient Intake Form

Chapter 5. The Ovary Type Taken from Dr. Berg s book, The 7 Principles of Fat Burning. The Ovaries

Dr. Ann Haiden,DO. What Health Challenge Type are You? Take the Quizzes. You can tell that something is not right. But what?

The RBE Toxicity Quiz: How Full Is Your Rain Barrel?

Kimberley A. Schroeder, D.O. 115 Baker Drive Tomball, TX

Addiction Food Revolution

HOW DID YOU HEAR ABOUT US?

Neuroendocrine Evaluation

I based the Nutrition Challenge program on a few main aspects. Once your glycogen storage sites are full, your body will convert the rest to fat.

Section A: History. 1. Have you taken tetracyline (Sumycin, Panmycin, Vibramycin, Minocin, etc.) or other antibiotic for acne for 1 month or longer?

Digestion: Small and Large Intestines Pathology

WOMEN S FITNESS TIPS HEALTH ASSESSMENT QUESTIONNAIRE

WHY DO A 30 DAY DETOX CHALLENGE

Metabolic Hormones Assessment

Top 10 symptoms of PCOS and 5 ways you can change your world :: Dr. Felice Gersh

Starting KAZANO gave me MORE POWER than metformin alone, with 2 medicines in 1 tablet

Medical History Form

Test Results SB Samples Arrived: 04/06/2016 Samples Collected: Saliva: 04/04/16 06:45. Saliva: 04/04/16 11:30

Irritable Bowel Syndrome Causes and Treatments

Ten Tips To Reverse Type 2 Diabetes

Healing a Leaky Gut All disease begins in the gut Hippocrates

! 30 E Padonia Rd, #305, Timonium, MD Phone: (410) Fax: (443)

Dexamethasone is used to treat cancer. This drug can be given in the vein (IV), by mouth, or as an eye drop.

Align Health & Wellness 186 Princeton Hightstown Rd. Building 3B, Suite 104 West Windsor, NJ P: F:

Other Courses to Consider

Transcription:

HORMONE QUIZ Time to get clear about your symptoms

WHAT SYMPTOMS ARE YOU EXPERIENCING? Follow the instructions in each of the 4 categories, count your scores, discover how to interpret your symptoms and learn your next steps to change your confusion & frustration into understanding and empowerment. CATEGORY 1 - Hunger within 2 hours of eating - Sugar cravings - Tendency to overeat - Uncontrollable cravings for sugar, carbs, salt, or fat - Mood-swings - Weight gain - Candida (yeast overgrowth) - Yeast Infections - Light-headedness - Skipping meals - Caffeine addiction - Grazing or snacks in excess CATEGORY 2 - Anxiety, Feeling on edge - Sleep issues: difficulty falling asleep, staying asleep, and/or waking up - Feeling lethargic, tired, fatigued, and lacking energy - Panic attacks - Low libido - Unwanted hair growth - Decreased energy for exercise - Abdominal fat gain - Hair loss - Premature graying - Decreased immunity - Hypothyroid or Hyperthyroid

CATEGORY 3 - Diarrhea - Constipation - Bloating - Gas - Food allergies or sensitivities, Celiac - Acne on face, chest, back, arms, legs - Indigestion - Heartburn - Skin inflammation: Eczema, Rosacia, Rashes, Hives - Pungent odor to sweat - Bad breath - Bowel movements that are: dark/pale/hard/broken/loose CATEGORY 4 - Heavy menses - Pain during menses - Menstrual irregularity - Mid-cycle spotting - Mid-cycle pain - PMS: Breast tenderness, Headaches, Cravings, Bloating - Mood swings: Nervousness, Tearfulness, Irritability, Depression - Night sweats - Brain fog, Memory lapses - Unexplained Infertility - Difficulty conceiving - Miscarriage

UNDERSTANDING EACH CATEGORY Each category represents a different area of focus that could be majorly impacting your hormonal balance. Use your scores from the previous pages to discover which areas are most dominant for you and what that means for your health. Remember that even though one or more category might be the dominant issue for you, the solution is not about treating those issues individually. On the next page you ll learn what your cumulative score means and the best ways of addressing these issues holistically, from the root cause. CATEGORY 1: Blood Sugar Balance You re experiencing an imbalance with your body s blood sugar regulation, a very critical area that affects your overall hormonal balance. Blood sugar irregularities can: disrupt ovulation patterns, stress the adrenals, make your period irregular, decrease DHEA production and lower overall testosterone, making your sex drive worse. Your food choices are also likely affecting your digestion and exposing you to higher levels of estrogen, so it s important for you to address this issue now if you want to heal or prevent this range of symptoms from popping up. If you re skipping meals, stop! If you tend to reach for candy or snacks throughout the day, begin by replacing the processed options with sweet whole foods like fruit or sweet vegetables such as beetroot, carrot, sweet potatoes and pumpkin. It s important that you understand your metabolic type and how to construct your meals in order to heal the imbalance and get your blood sugar in check. You ll find out more about how to do so on the following pages. CATEGORY 2: Adrenal Fatigue Your adrenal glands (the tiny gland on top of your kidneys) are majorly stressed. This causes not only an excess of stress hormones to be released by your adrenals, but over time it can also affect the abilities of your thyroid gland. (More extreme cases will have put a point next to the Hypothyroid question.) Your energy levels and sex drive is most likely less than par, and your fertility could be compromised. Slow down, sister! The pace you ve been operating at is putting a lot of stress on your delicate adrenals and if you don t start making some lifestyle changes soon, these symptoms will escalate. There are also certain foods and supplements that can help repair the damage already done, which we ll help you access on the next pages.

CATEGORY 3: Digestive Issues You are experiencing problems with your organs of elimination, your intestines, liver, lymphatic system, and skin, which are designed to eliminate toxins and excess hormones from your body. If they are not working properly, unneeded hormones will continue to circulate throughout your system, causes other kinds of hormonal systems listed in other categories. Both internal digestive issues (indigestion, gas, etc.) and external digestive issues (acne, skin conditions, odor, etc.) are signs that the food you re eating does not seem to be working with your body. Start the change from within. Begin by tracking foods you re eating and note what symptoms seems to be triggered by specific foods. If you can t make a connection that way, you might want to experiment with eliminating some of the more common food allergens to see if any of them are wreaking havoc on your body: soy, wheat/gluten, dairy. If you need more guidance in this area, I can help. CATEGORY 4: Estrogen Dominance Your main symptoms seem to be caused by high estrogen levels and/or low progesterone. This means that the food and beverage choices you are making are contributing to the imbalance. It is also likely that you are experiencing some symptoms from Category 3, and your liver and other organs of elimination are not able to keep up with breaking down and removing the excess estrogen in your system. Estrogen Dominance can cause difficulties getting pregnant, miscarriage, and extreme mood swings and period problems. The best way to begin addressing this area is by starting with Category 1 or 3. Your blood sugar and digestion both have a huge impact on your estrogen levels and both need to be managed properly. Overall, your diet is the culprit here, and it s time to learn how to eat to support your hormones and work with your changing cycle each week.

WHAT ARE YOUR HORMONES TELLING YOU? Now it s time to count the scores from all 4 categories and understand what your hormonal picture as a whole can tell you! Total Score: (adding up all the points from each category) 1-12 Points - Stage 1 You have something significant going on but it s early enough that you can catch it now before it gets more serious. Your symptoms probably feel tolerable, and while it may not feel like you need to take immediate action, there are red flags popping up showing you that your endocrine system is on it s way to more problems. Since it s not super severe, your body will respond really well to food based changes, and you will be able to resolve these symptoms naturally, within a very quick time frame. 13-24 Points - Stage 2 You have what feels like a lot of disjointed symptoms. You might be trying topical solutions, pain medications, mood medications, and other remedies to spot-treat all the seemingly separate conditions. You re definitely in a state of endocrine overload, and your symptoms are interconnected. You need to begin addressing the underlying causes through food and lifestyle. 25-36 Points - Stage 3 You re in a pretty severe stage of hormonal havoc, and you might feel like your body is betraying you. You probably feel scared, out of control, and don t know why this is happening. Don t be scared there s a reason and there s a way to heal. If you ve already recognized that the pill and other medications are not helping you, it s time to take an approach that gets to the root of the problem. 37-48 Points - Stage 4 You re in full hormonal crisis! Your endocrine system is desperate for the right conditions to allow it to do its job properly. Because of the state of your hormones, you re at greatly increased risk for diseases of inflammation. You have long since given up hope that any traditional medicine will fix what you have to deal with, so it s time to take action with a real solution. You re in the right place! Turn the page for additional resources and support!

TIME FOR ACTION At the root of all of these symptoms is your diet and lifestyle, which is great news because it means you have the power to change them.to give you a better picture of how it is all linked take a look at the modules below, which explains the stepby-step method of the proven system of the Happy Healthy Hormones program: MODULE 1: MODULE 2: MODULE 3: MODULE 4: MODULE 5: How food affects your body and cycle The effect of sugar and protein on your hormones Your endocrine system Your cycle, your flow, your life Implementation phase Remember that the answer is not about a quick-fix, but rather about creating a foundation of sustainable practices that will help your body find healing and balance. I am thrilled to guide you on this journey and to help you start taking action TODAY! HAPPY HEALTHY HORMONES The proven system to get rid of any hormonal imbalance. It is time for a healthy flow! Join us in this 5-week online program. This holistic online course will provide you with the right information, worksheets, exercises and action steps needed to transform your health and transform your life! Click here to see all the in s and out s of what this program can offer you. I am looking forward to hearing from you. Please email me if you have any questions: nalaya@femfulness.com Love, Nalaya