Integrative Medicine Dallas5330 Alpha Road, Suite 100 Dallas TX 75420
214-205-0012

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Thyroid Questionnaire for Men & Women

Check the symptoms you are experiencing to find out if your thyroid hormone levels are out of balance.

Thyroid Deficiency

"Crash" every day around 3:00 PMBone, Muscle, strength lossCold Body TemperatureCold hands and feetDecreased sex driveDecreased sweatingDry, Breaking, Brittle nailsEdema with puffy face and eyesFamily history of thyroid problemsFatigue - Feeling "Burned Out"Hair Loss, Dry, Breaking brittle hairHeart PalpitationsInability to focus or concentrateLow blood pressureMalaise or fatigueMemory Lapses – forgetfullOuter third of eyebrows thinningPoor ConcentrationRetaining fluidSad or Depressed without causeThinning papery skinVertical ridges on fingernailsWeight Gain - Can't lose weight

Thyroid Excess

AnxietyBulging or protruding eyesDecreased concentrationErratic behaviorInsomniaIrritabilityNeck massPanic AttacksRapid Heart RateRapid weight lossTremorUnusual sweating
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Integrative Medicine Dallas
5330 Alpha Road, Suite 100
Dallas, TX 75420
Phone: 214-205-0012
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