Hormonal Health PART I: Questionnaire

Hormonal Health Test

Below you will find eight groups of symptoms and conditions. Each group pertains to a specific hormonal imbalance or condition that can in one way or another impede your weight loss and negatively affect your health.

As you read through each group, check off all symptoms and signs that you are currently experiencing within each group. Add up your total for each group and note it on a separate  sheet of paper.

Since more than one hormone can cause similar symptoms, you will find a lot of repetition among the different groups. Just read through each list and do your best to be consistent with your answers within each group.

Tomorrow I will reveal the hormone that corresponds to each group and provide some natural treatment recommendations to help you overcome the major fat-packing factors that are preventing your weight loss.

Hormone Group A:

• Sagging, thinning skin or wrinkling
• Spider veins or varicose veins
• Eczema, skin rashes, hives or acne
• Menopause (women); andropause (men)
• Prostate enlargement (Prostatitis)
• High colesterol or blood pressure
• Loss of muscle tone in arms and legs; difficulty building muscle
• Aches and pains
• Arthritis, tendonitis or joint stiffness
• Water retention in hands or feet
• Gout
• Depression
• Night eating syndrome (waking at night to binge eat)
• Fibromyalgia
• Increased pain or poor pain tolerance
• Headaches or migraines
• High alcohol consumption (more than 4 drinks per week)
• Bronchitis; allergies (food or environment); hives or asthma
• Autoimmune disease
• Fat gain around “love handles” or abdomen
• Loss of bone density or osteoporosis
• Generalized overweight / weight gain / obesity
• Diabetes (type 2)
• Sleep disruptions or deprivation
• Irritable bowel or inflammatory bowel disease
• Frequent gas and bloating
• Constipation, diarrhea or nausea

TOTAL (Warning score: greater than 11)

Hormone Group B:

• Age spots and wrinkling
• Sagging skin
• Cellulite
• Skin tags
• Abnormal hair growth on face, chin
• Vision changes or cataracts
• Infertility or irregular menses
• Shrinking or sagging breasts
• Menopause (women); andropause or erectile dysfunction (men)
• High cholesterol or high blood pressure
• Burning feet at night (especially while in bed)
• Gout
• Water retention in the face/puffiness
• Poor memory, concentration
• Fat gain around “love handles” or abdomen
• Fat over the triceps
• Generalized overweight / weight gain / obesity
• Hypoglycemia: cravings for sweet, carbohydrates or constant hunger or increased appetite
• Fatigue after eating (especially carbohydrates)
• Diabetes (type 2)
• Sleep disruptions  or deprivation

TOTAL (Warning score: greater than 9)

Hormone Group C:

• Fatigue, especially in the morning
• Poor tolerance for exercise
• Restless leg syndrome
• Poor Memory
• Depression
• Loss of libido
• Feeling a strong need for stimulation or excitement (foods, gambling, partying, sex etc.)
• Addictive eating or binge eating
• Cravings for sweets, carbohydrates, junk food or fast food

TOTAL (Warning score: greater than 4)

Hormone Group D:

• PMS characterized by hypoglycaemic, sugar cravings, sweet cravings and/or depression
• Feeling wired at night
• Lack of sweating
• Poor memory
• Loss of libido
• Depression, anxiety, irritability or seasonal affective disorder
• Loss of motivation or competitive edge
• Low self-esteem
• Inability to make decisions
• Obsessive-compulsive disorder
• Bulimia or binge eating
• Fibromyalgia
• Increased pain or poor pain tolerance
• Headaches or migraines
• Cravings for sweets or carbohydrates
• Constant hunger or increased appetite
• Inability to sleep in no matter how late you go to bed
• Less than 7.5 hours of sleep per night
• Irritable bowel
• Constipation
• Use of corticosteroids
• Nausea

TOTAL (warning score:  greater than 7)

Hormone Group E: 

• Wrinkling, thinning skin or skin has lost its fullness
• Hair Loss
• Infertility or absent menses (unrelated to menopause)
• Feeling wired at night
• Heart palpitations
• Loss of muscle tone in arms and legs
• Cold hands or feet
• Water retention in face/ puffiness
• Poor memory or concentration
• Loss of libido
• Depression, anxiety, irritability or seasonal affective disorder
• High alcohol consumption (greater than 4 drinks per week)
• Frequent colds and flues
• Hives, bronchitis, allergies (food or environmental), asthma or autoimmune disease
• Fat gain round `love handles ‘or abdomen
• A `buffalo lump ‘of fat on back of neck / upper back
• Difficulty building or maintaining muscle
• Loss of bone density or osteoporosis
• Cravings for sweets or carbs, hypoglycaemia or constant hunger
• Difficulty falling asleep
• Difficulty staying asleep (especially waking between 2 and 4am)
• Less than 7.5 hours of sleep per night
• Use of corticosteroids
• Irritable bowel or frequent gas and bloating

TOTAL: Warning score greater than 8

Hormone Group F:

• Spider or varicose veins
• Cellulite
• Heavy menstrual bleeding
• PMS characterized by breast tenderness, water retention, bloating, swelling andéor weight gain
• Fibrocystic breast disease
• Prostate enlargement
• Erectile dysfunction
• Breast growth (men)
• Loss of morning erection
• Irritability, mood swings or anxiety
• Headaches or migraines
• High alcohol consumption (greater than 4 drinks per week)
• Autoimmune disease or allergies
• Fat gain around “love handles” or abdomen (men)
• Fat gain at the hips (women)
• Current use of hormone replacement therapy or birth control pills

TOTAL (Warning: greater than 6)

Hormone Group G:

• Dry or sagging skin
• Thinning skin or skin has lost its fullness
• Hair loss
• Dry eyes or cataracts (women)
• PMS characterized by depression, hypoglycaemia,sugar cravings and / or sweet cravings
• Infertility or absent menses (not related to menopause)
• Painful intercourse and / or vaginal dryness
• Shrinking or sagging breasts
• Urinary incontinence (stress or otherwise)
• Menopause
• Fatigue
• Hot flashes
• Poor memory or concentration
• Irritability
• Loss of libido
• Depression or mood swings
• Fat gain around the `love handles ‘or abdomen (menopausal women)
• Loss of bone density or osteoporosis
• Difficulty falling or staying asleep

TOTAL: (Warning score: greater than 8)

Hormone Group H:

• Dry skin and or hair
• Acne
• Hair loss
• Brittle hair and or nails
• PMS, infertility, long menstrual cycle or irregular periods
• Abnormal lactation
• Fatigue
• Lack of sweating, feeling cold or cold hands & feet
• High cholesterol
• Poor tolerance for exercise
• Heart palpitations
• Outer edge of eyebrows thinning
• Aches and pains
• Water retention, puffiness in hands and feet
• Poor memory
• Loss of Libido
• Depression
• Loss of motivation or competitive edge
• Iron deficiency anemia
• Generalized overweight, weight gain, obesity
• Hives
• Constipation
• Use of corticosteroids
• Current use of birth control

TOTAL (Warning score: greater than 8)

Make sure to note your total scores and check back tomorrow for PART II of Hormonal Health , I’ll be revealing the hormone that corresponds to each group and provide some natural treatment recommendations to help you overcome the hormonal imbalance you currently have so that you can finally beat those stubborn pounds and enjoy improved health.

If you’d like more information on how I can help you custom design a diet plan and exercise program to balance your hormones, fix your broken metabolism and finally loss the unwanted pounds visit www.yourperfectdiet.ca

 

 

 

 

 

 

Program starts on Monday, September 28th. Deadline to apply is Friday, September 18th.