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YOUR MONTHLY JOURNAL

"Being on the tightrope is living; everything else is waiting."
- Karl Wallenda           

CHAPTER 9

The following Patient Self-Assessment is used by physicians to help them monitor patients' response, to Symbiotropin. Many symptomatic changes that occur with growth hormone therapy take place over weeks for one patient and months for another. By keeping track of each three-month cycle of Symbiotropin, you and your physician will have an easier time to track changes that are occurring over longer periods of time. Please feel free to talk with your physician about adding other areas of assessment to this list that may suit your particular concerns. Remember that this list is a guideline composed of the most commonly reported areas of improvement; it is not a list of expectations.

Patient Self-Assessment: Effects of Symbiotropin at One Month Intervals

Please complete the following assessment at one month intervals throughout this three month cycle of Symbiotropin in order to assist you and your physician in monitoring response. Please rate your level of improvement in the following areas on a scale of 1 to 3.

1 = No Change      2 = Somewhat Improved      3 = Greatly Improved      N/A = Not Applicable

  Area of Assessment Month One Month Two Month Three
  Endurance & Body Composition
  Muscle Strength
  Muscle Size
  Fat Reduction
  Overall Energy
  Exercise Tolerance
  Exercise Endurance
  Hair & Skin
  Skin Texture
  Skin Thickness
  Skin Elasticity
  Wrinkle Disappearance
  New Hair Growth
  Healing & Immunity
  Healing of old injuries
  Healing of other injuries
  Healing Capacity
  Back & Joint Flexibility
  Resistance to Common Illness
  Sexual Function
  Sexual Potency/Frequency
  Duration of Penile Erection
  Frequency of Nighttime Urination
  Hot Flashes & Related Symptoms
  Menstrual Cycle Regulation
  Mental Function
  Quality of Sleep
  Mental Energy & Clarity
  Emotional Stability
  Attitude Toward Life
  Memory
  TOTAL ALL AREAS      

Please comment on these or any other areas where you have noticed symptomatic changes.
 

 

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