Hormonal Health Profile - Vital Health Life

Personal Information

Name
Email
Contact
Address
Trainer

Inflammation

1. Sagging, thinning skin or wrinkling
2. Spider veins or varicose veins
3. Cellulite
4. Eczema, skin rashes, hives or acne
5. Menopause (women); andropause (men)
6. Heart disease
7. Prostate enlargement (Prostatitis)
8. High cholesterol or blood pressure
9. Loss of muscle tone in arms and legs; difficulty building or maintaining muscle
10. Aches and pains
11. Arthritis, bursitis, tendonitis or joint stiffness
12. Water retention in hands or feet
13. Gout
14. Alzheimer's disease
15. Parkinson's disease
16. Depression
17. Night eating syndrome (waking at night to binge eat)
18. Fibromyalgia
19. Increased pain or poor pain tolerance
20. Headaches or migraines
21. High alcohol consumption
22. Bronchitis; allergies (food or environmental); hives or asthma have worsened or developed
23. Autoimmune disease
24. Fat gain around 'love handles' or abdomen
25. Loss of bone density or osteoporosis
26. Generalized overweight/weight gain/obesity
27. Fatty liver (diagnosed by your doctor)
28. Diabetes (type 2)
29. Sleep disruptions or deprivation
30. Irritable bowel or inflammatory bowel disease
31. Frequent gas and bloating
32. Constipation, diarrhea or nausea
TOTAL : 0 (Warning score: >11)

HORMONAL IMBALANCE 1: EXCESS INSULIN

1. Age spots and wrinkling
2. Sagging skin
3. Cellulite
4. Skin tags
5. Acanthosis nigricans (a skin condition characterized by light brown to black patches or markings on the nech or underarm)
6. Abnormal hair growth on face, chin (women)
7. Vision changes or cataracts
8. Infertility or irregular menses
9. Shrinking or sagging breasts
10. Menopause (women); andropause or erectile dysfunction (men)
11. Heart disease
12. High cholesterol, high triglycerides or high blood pressure
13. Burning feet at night (especially while in bed)
14. Water retention in the face/puffiness
15. Gout
16. Poor memory, concentration, or Alzheimer's disease
17. Fat gain around 'love handles' and/or abdomen
18. Fat over the triceps
19. Generalized overweight/weight gain/obesity
20. Hypoglycemia; cravings for sweets, carbohydrates or constant hunger or increased appetite
21. Fatigue after eating (especially carbohydrates)
22. Fatty liver (diagnosed by your doctor)
23. Diabetes (type2)
24. Sleep disruption or deprivation
TOTAL : 0 (Warning score: >9)

HORMONAL IMBALANCE 2: LOW DOPAMINE

1. Fatigue, especially in the morning
2. Poor tolerance for exercise
3. Restless leg syndrome
4. Poor memory
5. Parkinson's disease
6. Depression
7. Loss of libido
8. Feeling a strong need for stimulation or excitement (foods, gambling, partying, sex, etc.)
9. Addictive eating or binge eating
10. Cravings for sweets, carbohydrates, junk food or fast food
TOTAL : 0 (Warning score: >4)

HORMONAL IMBALANCE 3: LOW SEROTONIN

1. PMS characterized by hypoglycemia, sugar cravings, sweet cravings and/or depression
2. Feeling tired at night
3. Lack of sweating
4. Poor memory
5. Loss of libido
6. Depression, anxiety, irritability or seasonal affective disorders
7. Loss of motivation or competitive edge
8. Low self-esteem
9. Inability to make decisions
10. Obsessive-compulsive disorder
11. Bulimia or binge eating
12. Fibromyalgia
13. Increased pain or poor pain tolerance
14. Headaches or migraines
15. Cravings for sweets or carbohydrates
16. Constant hunger or increased appetite
17. Inability to sleep in no matter how late going to bed
18. Less than 7.5 hours of sleep per night
19. Irritable bowel
20. Constipation
21. Nausea
22. Use of corticosteroids
TOTAL : 0 (Warning score: >7)

HORMONAL IMBALANCE 4: LOW GABA (Gamma-AminoButyric Acid)

1. PMS characterized by breast tenderness, water retention, bloating, anxiety, sleep disruptions or headaches
2. Feeling tired at night
3. Aches and pains or increased muscle tension
4. Irritability, tension or anxiety
5. Difficulty falling asleep or staying asleep
6. Less than 7.5 hours of sleep per night
7. Irritable bowel
8. Frequent gas and bloating
TOTAL : 0 (Warning score: >3)

HORMONAL IMBALANCE 5: EXCESS CORTISOL

1. Wrinkling, thinning skin or skin has lost its fullness
2. Hair loss
3. Infertility or absent menses (unrelated to menopause)
4. Feeling tired at night
5. Heart palpitations
6. Loss of muscle tone in arms and legs
7. Cold hands or feet
8. Water retention in face/puffiness
9. Poor memory or concentration
10. Loss of libido
11. Depression, anxiety, irritability or seasonal affective disorder
12. High alcohol consumption
13. Frequent colds and flus
14. Hives, bronchitis, allergies (food or environmental), asthma or autoimmune disease
15. Fat gain around 'love handles' or abdomen
16. A 'buffalo hump' of fat on back of neck/upper back
17. Difficulty building or maintaining muscle
18. Loss of bone density or osteoporosis
19. Cravings for sweets or carbs, hypoglycemia or constant hunger
20. Difficulty falling asleep
21. Difficulty staying asleep (especially waking between 2 and 4 am)
22. Less than 7.5 hours of sleep per night
23. Irritable bowel or frequent gas and bloating
24. Use of corticosteroids
TOTAL : 0 (Warning score: >8)

HORMONAL IMBALANCE 6: LOW DHEA (Dehydroepiandrosterone)

1. Dry skin
2. Heart disease
3. Erectile dysfunction
4. Andropause
5. Feeling tired at night
6. Poor tolerance for exercise
7. Loss of muscle tone in arms and legs
8. Poor memory or concentration
9. Irritability or easily agitated
10. Loss of libido
11. Depression
12. Loss of motivation or competitive edge
13. Autoimmune disease
14. Fat gain around 'love handles'
15. Fat gain over the triceps
16. Fat gain around the abdomen
17. Difficulty building or maintaining muscle
TOTAL : 0 (Warning score: >6)

HORMONAL IMBALANCE 7: EXCESS ESTROGEN

1. Spider or varicose veins
2. Cellulite
3. Heavy menstrual bleeding
4. PMS characterized by breast tenderness, water retention, bloating, swelling and/or weight gain
5. Fibrocystic breast disease
6. Prostate enlargement
7. Erectile dysfunction
8. Breast growth (men)
9. Loss of morning erection
10. Irritability, mood swings or anxiety
11. Headaches or migraines (especially in women before their menses)
12. High alcohol consumption (>4 drinks per week for women and >7 drinks per week for men)
13. Autoimmune disease or allergies
14. Fat gain around 'love handles' or abdomen (men)
15. Fat gain at the hips (women)
16. Current use of hormone replacement therapy or birth control pills
TOTAL : 0 (Warning score: >6)

HORMONAL IMBALANCE 8: LOW ESTROGEN

1. Dry or sagging skin
2. Thinning skin or skin has lost its fullness
3. Hair loss
4. Dry eyes or cataracts (women)
5. PMS characterized by depression, hypoglycemia, sugar cravings and/or sweet cravings
6. Infertility or absent menses (not related to menopause)
7. Painful intercourse and/or vaginal dryness
8. Shrinking or sagging breasts
9. Urinary incontinence (stress or otherwise)
10. Menopause
11. Fatigue
12. Hot flashes
13. Poor memory or concentration
14. Irritability
15. Loss of libido
16. Depression or mood swings
17. Fat gain around 'love handles' or abdomen (menopausal women)
18. Loss of bone density or osteoporosis
19. Difficulty falling or staying asleep
TOTAL : 0 (Warning score: >8)

HORMONAL IMBALANCE 9: LOW PROGESTERONE

1. Dry skin or skin that has lost its fullness
2. Spider or varicose veins
3. Hair loss
4. Short menstrual cycle (<28 days) or excessively long bleeding times (>6 days)
5. PMS characterized by breast tenderness, anxiety, sleep disruptions, headaches, menstrual spotting, water retention, bloating and/or weight gain
6. Infertility or absent menses (not related to menopause)
7. Fibrocystic breast disease
8. Menopause (women); andropause (men)
9. Prostate enlargement
10. Hot flashes
11. Lack of sweating
12. Feeling cold and/or cold hands/feet
13. Heart palpitations
14. Water retention
15. Irritability and/or anxiety
16. Loss of libido
17. Headaches or migraines
18. Autoimmune disease, hives, asthma or allergies
19. Loss of bone density or osteoporosis
20. Difficulty falling or staying asleep
TOTAL : 0 (Warning score: >6)

HORMONAL IMBALANCE 10: EXCESS PROGESTERONE

1. Acne
2. PMS characterized by depression
3. Infertility
4. Water retention
5. Depression
6. Frequent colds and flus
7. Weight gain or difficulty losing weight
8. Current use of hormone replacement therapy or birth control pills
TOTAL : 0 (Warning score: >4)

HORMONAL IMBALANCE 11: LOW TESTOTERONE

1. Dry skin
2. Thinning skin or skin has lost its fullness
3. Painful intercourse
4. Heart disease (men)
5. Erectile dysfunction
6. Andropause (men)
7. Loss of morning erection
8. Fatigue
9. Poor tolerance for exercise
10. Loss of muscle tone in arms and legs
11. Poor memory or concentration
12. Loss of libido
13. Loss of motivation or competitive edge
14. Headaches or migraines (men)
15. Gaining fat around abdomen or 'love handles' (men and women)
16. Difficulty building or maintaining muscle
17. Loss of bone density or osteoporosis (men or women)
18. Sleep apnea (men)
19. Use of corticosteroids
TOTAL : 0 (Warning score: >7)

HORMONAL IMBALANCE 12: EXCESS TESTOSTERONE

1. Dry skin
2. Acne
3. Acanthosis nigricans (women)
4. Hair loss (scalp)
5. Abnormal hair growth on face (women)
6. Infertility
7. Shrinking or sagging breasts
8. Prostate enlargement
9. Irritability, aggression or easily agitated
10. Fat gain at abdomen (women)
11. Cravings for sweets or carbohydrates (women)
12. Constant hunger or increased appetite (women)
12. Fatty liver (women)
TOTAL : 0 (Warning score: >4)

HORMONAL IMBALANCE 13: LOW THYROID

1. Dry skin and/or hair
2. Acne
3. Hair loss
4. Brittle hair and /or nails
5. PMS, infertility, long menstrual cycle (>30 days) or irregular periods
6. Abnormal lactation
7. Fatigue
8. Lack of sweating, feeling cold or cold hands and feet
9. Poor tolerance for exercise
10. Heart palpitations
11. Outer edge of eyebrows thinning
12. Aches and pains
13. Water retention/puffiness in hands or feet
14. Poor memory
15. Loss of libido
16. Depression
17. Loss of motivation or competitive edge
18. Iron deficiency anemia
19. Hives
20. Generalized overweight/weight gain/obesity
21. Constipation
22. Use of corticosteroids
23. Current use of synthetic hormone replacement therapy or birth control pills
TOTAL : 0 (Warning score: >8)

HORMONAL IMBALANCE 14: LOW ACETYLCHOLINE

1. Poor tolerance for exercise
2. Loss of muscle tone in arms and legs or poor muscle function/strength
3. Poor memory or concentration, decrease in memory or recall
4. Alzheimer's disease
5. Difficulty building or maintaining muscle
6. Difficulty falling asleep or staying asleep, disrupted sleep patterns
7. Irritable bowel
8. Constipation
TOTAL : 0 (Warning score: >3)

HORMONAL IMBALANCE 15: LOW MELATONIN

1. Andropause (men); menopause (women)
2. Night eating syndrome
3. High alcohol consumption
4. Cravings for sweets or carbohydrates; increased appetite
5. Difficulty falling asleep
6. Failing to sleep in total darkness
7. Difficulty staying asleep (especially waking between 2 and 4 am)
8. Sleep apnea
9. Less than 7.5 hours of sleep per night
10. Use of corticosteroids
TOTAL : 0 (Warning score: >3)

HORMONAL IMBALANCE 16: LOW GROWTH HORMONE

1. Dry skin
2. Thinning skin or skin has lost its fullness
3. Sagging skin
4. Menopause (women); andropause (men)
5. Lack of exercise
6. Loss of muscle tone in arms or legs
7. High alcohol consumption
8. Fat gain around 'love handles' or abdomen
9. Difficulty building or maintaining muscle
10. Loss of bone density or osteoporosis
11. Generalized overweight/weight gain/obesity
12. Failing to sleep in total darkness
13. Difficulty staying asleep (especially waking between 2 and 4 am)
14. Sleep apnea
15. Use of corticosteroids
TOTAL : 0 (Warning score: >5)