| Hypothyroid Symptoms• • • | Thyrotoxicosis Symptoms• • • | 
| Gastrointestinal Symptoms (+):• • • | Gastrointestinal (-)• • • | 
| Cardiovascular Symptoms:• • • | Cardiovascular Symptoms (-):• • • | 
| Hypoglycemia Checklist• • • | Adrenal Checklist• • • | 
| LUTS (+)• • • | LUTS (-)• • • | 
| Progesterone Symptoms• • • | Progesterone Excess• • • | 
| Estrogen (Low) Symptoms• • • | Estrogen (Excess) Symptoms• • • | 
| Testosterone (M)• • • | Testosterone Excess / AE (M)• • • | 
| Testosterone (F)• • • | Testosterone Excess / AE (F)• • • | 
| Menstruation• • • | Menstruation Comment: | 
| Major Depression (5/9)• • • | Social/Occupational Impairment / | 
| Depression Distress/ |  | 
| Currently Pregnant• • • |  | 
| Zinc Deficiency• • • | Vitamin A Deficiency• • • | 
| Severity | VINDICATE+P• • • | 
| Status/Course |  | 

