First Name
Sweating (night sweats or increases episodes of sweating)
Sleep problems (difficulty falling asleep, sleeping through the night or waking up too early)
Increase need for sleep or falls asleep easily after meals
Depressive mood (feeling down, sad, lack of drive)
Irritability (mood swings, feeling aggressive, angers easily)
Anxiety (inner restlessness, feeling panicky, feeling nervous, inner tension)
Physical exhaustion (general decreased in muscle strength or endurance, decrease in work performance, fatigue, lack of energy, stamina, or motivation)
Sexual Problems (change in sexual desire, sexual performance)
Bladder problems (difficulty in urinating, increased need to urinate)
Erectile changes (less strong erections, loss morning erections)
Joint and muscular symptoms (joint pain or swelling, muscle weakness, poor recovery after exercise)
Difficulties with memory
Problems with thinking, concentrating or reasoning
Difficulty learning new things
Trouble thinking of the right word to describe persons, places or things when speaking
Increase in frequency or intensity of headaches/migraines
Rapid hair loss or thinning
Feel cold all the time or have cold hands or feet
Weight gain or difficulty losing weight despite diet and exercise
Infrequent or absent ejaculations

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