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  • HRT
    • Hormone Replacement Program
    • Bioidentical Testosterone Replacement Therapy
    • Bioidentical Thyroid Medication
    • Hormones Test
    • Pricing
    • Already Taking Testosterone Treatment?
    • Why Should Men Over 40 Start HRT
  • Symptoms of Hormone Imbalance
    • Symptoms of Low Testosterone
    • Low Energy & Fatigue in Men
    • libido
    • Low Testosterone and Weight Gain
    • Sleep and Low Testosterone Levels
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Men's Online Health Clinic

Your health journey doesn’t end after you receive your medication, and neither does our support.

Find us
Clearwater, FLorida (USA)
Email us
appointment@epicaesthetix.com
Phone support
Phone: +1 (833) 773-0414

Hormone Therapy Assessment

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Please fill out the following medical assessment . The information you provide will assist the medical provider in determining the most appropriate course of treatment for you.

Name(Required)
MM slash DD slash YYYY
Gender(Required)
Are you an epic Fitness member ?(Required)

You're about to take the first step to restoring your life and health. By taking the test, you're heading in the right direction to becoming a better you! Get started by letting us know if you've been experiencing any of the following symptoms and the severity of your suffering. Please score your symptoms as follows: 0 = none, 1 = mild, 2 = moderate, 3 = severe

Andropause Symptoms

Andropause, sometimes called “male menopause,” happens when testosterone and other hormones decline with age. Common symptoms include:
How often do you experience low energy or fatigue during the day?(Required)
Have you noticed reduced muscle strength compared to before?(Required)
Have you experienced weight gain, especially around the waist?(Required)
Do you have low libido or erectile changes?(Required)
How often do you experience mood swings, irritability, or depression?(Required)
Do you have trouble falling or staying asleep?(Required)
Have you noticed memory or concentration problems?(Required)
Do you feel a loss of motivation or drive?(Required)

General Questions

Low Libido(Required)
Muscle Mass(Required)
Fatigue(Required)
Bone Loss(Required)
Thinning Skin(Required)
Memory Lapses(Required)
Incontinence(Required)
Fibromyalgia(Required)
Heart Palpitations(Required)
Oily Skin(Required)
Excessive Body Hair(Required)
Hair Loss On Scalp(Required)
Increased Acne(Required)
Breast Cancer (Yourself Or Family)(Required)
Chemical Sensitivity(Required)
Infertility Problems(Required)
Depression(Required)
Sleep Disturbances(Required)
Irritability(Required)
Elevated Triglycerides(Required)
Cold Body Temperature(Required)
Sugar Cravings(Required)
Moody(Required)
Stress(Required)
Aches and Pains(Required)
Headaches(Required)
Perspiration(Required)
Anxiety(Required)
Tired Or Exhausted(Required)
Weight Loss Difficulty(Required)
Swelling Puffy Eyes Or Face(Required)
Rapid Heart Rate(Required)
Sweaty(Required)
Agitated(Required)
Hot Feelings(Required)
Weight Loss(Required)
Difficulty Concentrating(Required)
Nervousness(Required)
Allergies(Required)
Excessive Facial Hair(Required)
Dry And Brittle Hair(Required)
Dry Skin And Hair(Required)
Hoarseness(Required)
Slowed Reflexes(Required)
Constipation(Required)
Decreased Sweating(Required)
Mood Changes(Required)
Low Blood Pressure(Required)
Slow Pulse Rate(Required)
Cold Hands And Feet(Required)
Nails Brittle Or Breaking(Required)
Forgetful(Required)
Arthritis(Required)
Weight Gain(Required)
Elevated Cholesterol(Required)
Slow Ankle Reflex(Required)
Thinning Public Hair(Required)
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Address(Required)

logo Your health journey doesn't end after you receive your medication, and neither does our support.

Get In Touch

    • Phone: (833) 773-0414
    • Email: appointment@epicaesthetix.com

HORMONE REPLACEMENT

  • Hormone Replacement Program
  • Bioidentical Testosterone Replacement Therapy
  • Bioidentical Thyroid Medication
  • Hormones Test
  • Pricing
  • Already Taking Testosterone Treatment?
  • Why Should Men Over 40 Start HRT

E.D. MEDICATIONS

  • When the Moment Comes, Thrive!
  • When its time to perform, Thrive

OUR LOCATIONS

  • Office Address: Spring Hill, 7351 Spring Hill Drive Unit 7, Spring Hill, Florida
  • Office Address: Weeki Wache, 6254 Commercial Way, Spring Hill, Florida
  • Office Address: Port Richey,6652 Ridge Rd, Port Richey, Florida
  • Office Address: St. Petersburg, 10410 Roosevelt Blvd N, St. Petersburg, Florida
  • Office Address: Brooksville, 20126 Cortez Boulevard, Brooksville, Florida

©2025 Epic Aesthetix, All Rights Reserved.

HRT consultant (Clearwater, FL)


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TRT Weight Loss consultant (Clearwater, FL)


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Weight-Loss (Weeki Wachee)


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Weight-Loss (Spring Hill)


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Weight Loss (Brooksville)


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HRT (St. Petersburg)


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Select Location for Hormone Replacement Therapy


  • Clearwater, FL
  • Weeki Wachee, FL
  • Spring Hill, FL
  • Port Richey, FL
  • Brooksville, FL
  • St. Petersburg, FL

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