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staff@daileyaesthetics.com
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Hormone Replacement
Women's Sexual Health
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Morpheus 8
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Female Hormone Assessment Form
Progesterone- Select all that apply...
Sleep Disturbances
Anxiety
Poor Memory
Depression
Rapid Mood Swings
Irritability
Brain Fog
Forgetfulness
Testosterone- Select all that apply...
Fatigue - Lack of Energy
Lack of Motivation/Drive
Weight Gain Around Torso
Decreased Exercise Tolerance
Loss of Muscle Tone
Decreased Sexual Desire
Difficulty Achieving Orgasms
Back/Body/Joint Pains
Lack of Focus
Estrogen- Select all that apply...
Vaginal Dryness
Night Sweats
Hot Flashes
Dry Eyes
Dry Skin
Restless Leg Syndrome
Changes in Menstrual Cycle
Brittle Hair
Loss of Bone Density
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