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Do you have a history of early miscarriages usually between 6 to 8 weeks?
In the past 6 months have you gained weight and you’re not sure why?
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Do you have anxiety but you’re not sure why?
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Would you say you have insomnia more than 4 times a week?
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Do you have lumpy breast tissue?
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Would you say you have headaches or migraines around the same time as your menstruation?
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Are you having issues around infertility, such as not being able to get pregnant or trying to get pregnant for more than 12 months?
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Would you say you experience any vaginal dryness?
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Do you find intercourse painful, especially upon insertion?
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Would you say you experience hot flashes more than 5 times a day?
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Do you have night sweats?
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Do you have issues with your recent memory like losing your car keys?
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Would you say that you are mildly tired?
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Do you find that you have less interest in sex and intimacy?
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Do you catch yourself falling asleep in the middle of the afternoon at 2pm or 3pm?
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Are you experiencing weepiness for no explainable reason?
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Are your breasts tender?
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Would you say that you regularly have heavy vaginal bleeding?
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Do you have abnormal or irregular vaginal bleeding (bleeding at irregular times)?
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Are you older than 50?
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Do you have mood swings that are interfering with the way you want to live your life?
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Would you say that your job or home life is stressful?
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Do you have a history of ovarian cysts?
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Do you have blood sugar levels that fluctuate from low to high?
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Is your skin getting thinner or consistently dry?
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Do you have debilitating fatigue where you sometimes miss time at work or with your family?
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Is your blood pressure lower than usual?
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Are you being treated for high blood pressure?
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Do you have excessive hair growth on your face, stomach or chest?
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Are you currently having issues with your gallbladder?
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Is your resting heart rate close to or over 100 beats per minute?
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Are you feeling jittery throughout the day?
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Do you have recent brown spots or darkening spots on your face?
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Are you losing weight and you don’t know why?
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Is your hair or eyebrows getting thinner?
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