<input name="__vtrftk" type="hidden" value="sid:399085194cf0eb20bfbc210c340c5d37568d477f,1494694938" /><br /> <input name="publicid" type="hidden" value="ce258382391ac8c38fa6bdd8289b8920" /><br /> <input name="name" type="hidden" value="lo 1" /><br /> <input name="VTIGER_RECAPTCHA_PUBLIC_KEY" type="hidden" value="RECAPTCHA PUBLIC KEY FOR THIS DOMAIN" /><br /> <input name="label:Tags" type="hidden" value="ADD" />Field is required!Field is required!Field is required!Field is required!Rapid Hormonal AssessmentCheck the symptoms/issues that you experienceFeeling anxiety, nervousness and/or "wired" yet tired?Craving foods high in sugar content?Increased abdominal circumference?Fatigue or burnout, or using caffeine to keep you going?Loss of stamina, especially in the afternoon from two to five?Difficulty recovering from illness, surgery, or healing wounds?Field is required!Field is required![{"field":"part_1_cortisol","logic":"contains","value":"1","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"HIGH"},{"field":"part_1_cortisol","logic":"contains","value":"2","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"LOW"},{"field":"part_1_cortisol","logic":"contains","value":"1","and_method":"and","field_and":"part_1_cortisol","logic_and":"contains","value_and":"2","new_value":"MIXED"}]PAGEURL|label:Tags HICORT|cortisol LOWTHYROID|thyroid TESTOSTERO|testosterone PROGEST|progesterone ESTROGEN|estrogenRapid Hormonal AssessmentCheck the symptoms/issues that you experienceCyclical (menstrual) headaches?Irregular menstrual cycles or cycles that are becoming more frequent as you age?Easily disrupted sleep?Infertility or subfertility?Ovarian cysts, breast cysts, or endometrial cysts or polyps?Itchy or restless legs, especially at night?Field is required!Field is required![{"field":"part_2_progesterone","logic":"not_equal","value":"","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"LOW"},{"field":"part_2_progesterone","logic":"equal","value":"","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"NO"}]Rapid Hormonal AssessmentCheck the symptoms/issues that you experienceBloating, puffiness, or water retention?Rapid weight gain, particularly in the hips, thighs, and butt?Breast swelling & tendernessMood swings, PMS, depression, or irritability?Depression, memory loss, anxiety, or lethargy?Wrinkles and/or sun damage on your face, chest, and shoulders? Vaginal dryness, irritation, or loss of feeling?Field is required!Field is required![{"field":"part_3_estrogen","logic":"contains","value":"1","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"HIGH"},{"field":"part_3_estrogen","logic":"contains","value":"2","and_method":"","field_and":"part_3_estrogen","logic_and":"","value_and":"","new_value":"LOW"},{"field":"part_3_estrogen","logic":"contains","value":"1","and_method":"and","field_and":"part_3_estrogen","logic_and":"contains","value_and":"2","new_value":"MIXED"}]Rapid Hormonal AssessmentCheck the symptoms/issues that you experience Excess hair on your face, chest, or arms? Acne & Greasy/oily skin and/or hair? Polycystic ovarian syndrome?Heightened reactivity, aggressiveness and/or irritabilityDecreased libido and/or driveDecreased self-confidence or assertiveness?Difficulty making decisions or setting goals?Field is required!Field is required![{"field":"part_4_testosterone","logic":"contains","value":"1","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"HIGH"},{"field":"part_4_testosterone","logic":"contains","value":"2","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"LOW"},{"field":"part_4_testosterone","logic":"contains","value":"1","and_method":"and","field_and":"part_4_testosterone","logic_and":"contains","value_and":"2","new_value":"MIXED"}]Rapid Hormonal AssessmentCheck the symptoms/issues that you experience Hair loss, including the outer third of your eyebrows and/or eyelashes? Thin, brittle fingernails? Fluid retention or difficulty losing weight? Bowel movements that are less frequent than once per day? Muscle or joint aches or poor muscle tone? Fatigue, especially in the morning? A prescription for an antidepressant but you still do not feel like yourself?Field is required!Field is required![{"field":"label:Tags","logic":"not_equal","value":"","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"YES"},{"field":"label:Tags","logic":"equal","value":"","and_method":"","field_and":"label:Tags","logic_and":"","value_and":"","new_value":"NO"}]Almost Done!Now enter your email below to receive your results.Email AddressField is required!Field is required!Please allow up to 30-60 minutes for your results to arrive. GET MY RESULTS
