Hot flashes
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Hot Flashes Day time_________# per week
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Hot Flashes Night time_________# per week
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Night sweats
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Night Sweats _________# per week
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Night sweats - areas
• • •
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Vaginal dryness
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Intercourse symptoms
• • •
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Incontinence
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Irregular periods
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Menstrual Frequency
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Menstrual Flow
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Menstrual Pain/cramps
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Uterine fibroids
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Water retention
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Tender breasts
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Fibrocystic breasts
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Increased forgetfulness
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Foggy thinking
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Tearful
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Depressed
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Mood swings
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Stress
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General Fatigue
• • •
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Morning fatigue
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Afternoon Fatigue
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Evening fatigue
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Difficulty sleeping
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Decreased stamina
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Anxious
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Irritable
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Nervous
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Ringing in ears
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Fibromyalgia
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Allergies
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Headaches
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Sugar cravings
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Dizzy spells
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Cold body temperature
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Goiter
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Hoarseness
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Hair dry or brittle
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Nails breaking or brittle
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Constipation
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Slow pulse rate
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Rapid Heartbeat/Heart palpations
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Infertility problems
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Acne
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Increased facial hair/body hair
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Scalp hair loss
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Weight gain-hips
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Weight gain-waist
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High cholesterol
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Elevated triglycerides
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Decreased libido
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Decreased muscle size
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Thinning skin
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Rapid aging
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Aches and pains
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Bone loss
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Comments
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