HRT Male Checklist

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(general state of health, subjective feeling)
(lower back pain, joint pain, pain in a limb, general back ache)
(unexpected/sudden episodes of sweating, hot flushes independent of strain)
(difficulty in falling asleep difficulty in sleeping through, waking up early and feeling tired, poor sleep, sleeplessness)
(feeling aggressive, easily upset about little things, moody)
(inner tension, restlessness, feeling fidgety)
(feeling panicky)
(general decrease in performance,reduced activity, lacking interest in leisure activities, feeling of getting less done, of achieving less, of having to force oneself to undertake activities)
(feeling of weakness)
(feeling down, sad, on the verge of tears, lack of drive, mood swings, feeling nothing is of any use)
(lacking pleasure in sex, lacking desire for sexual intercourse)
Physical activity that accelerates heart rate / Breathlessness
Although more insurance companies are reimbursing patients for Bio-Identical Hormone Replacement Therapy, there is no guarantee. You will be responsible for payment in full at the time of your BHRT procedure (see fee schedule below). New Patient Consultation Fee (free for members) $150. Male Hormone Pellet Insertion Fee: $650. Male Hormone Pellet Insertion Fee (> 2000mg) $750
Office Use Only
Office Use Only
Office Use Only

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Centennial, CO 80112


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