MEN’S INITIAL HORMONE ASSESSMENT TEST

On the form below, please list any of the following symptoms that you may be experiencing:

Specific Signs/Symptoms of Low Testosterone

• Reduced sex drive
• Reduced erectile function
• Loss of body hair
• Loss of lean muscle mass
• Feeling very tired all the time (fatigue) or depressed

Non-Specific Signs/Symptoms of Low Testosterone

• • Lower energy level, endurance and physical strength
  • Poor memory
  • Difficulty with finding words to say
  • Poor focus
  • Not doing well at work

Having any one of the specific or non-specific symptoms may not mean that you have LT. But if you have a mix of symptoms, for instance, if you start to feel very tired and sad over a period of time and this is a change for you, you may want to check for LT.

Phone: (909) 435-7019

Email: Nick@yucaipapeakperformance.com

Office Hours:

Monday – Friday: 9am-5pm

Saturday: 10am-2pm