Thyroid Questionnaire

Please take a moment to ask yourself whether you are experiencing the following symptoms.

I am gaining weight for no clear reason or am unable to lose weight with a diet and exercise program

My “normal” body temperature is low\

My hands and feet are cold to the touch and I frequently feelcold when others do not

I feel fatigued or exhausted more than norma

I have a slow pulse, and / or low blood pressure

I have been told I have high cholesterol

My hair is rough, coarse, dry, breaking, brittle or falling out

My skin is rough, coarse, dry, scaly, itchy and thick

My nails have been dry and brittle, and break more easily

My eyebrows appear to be thinning, particularly the outer portion

My voice has become hoarse and / or “gravelly”

I have pains, aches, stiffness, or tingling in joints, muscles, hand and / or feet

I have carpal tunnel syndrome, tendonitis, or plantar fascitis

I am constipated (less than 1 bowel movement daily)

I feel depressed, restless, moody, sad

I have difficulty concentrating or remembering things

I have a low sex drive

My eyes feel gritty, dry, light-sensitive

My neck or throat feels full, with pressure, or larger than usual, and / or I have difficulty swallowing

I have puffiness and swelling around the eyes, eyelids, face, feet, hands and feet

Women: I am having irregular menstrual cycles (longer, or heavier, or more frequent)

We'd love to hear from you!

If you have experienced 5 or more of these symptoms, you might be a candidate for thyroid hormone therapy. Call us today at 800.878.1322 and ask for your free information packet. Then contact your physician to see if thyroid hormone therapy is right for you.

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