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Start TRT
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Start TRT
• • •
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Pricing
• • •
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Additional Notes
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TRT Dose
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TRT DOSE
• • •
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Dosing TRT
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Gonadorelin Dose
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Gonadorelin Dose
• • •
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Gonadorelin Dose
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Anastrozole Dose
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Anastrozole dose
• • •
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Anastrozole Dose
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Letrozole dose
• • •
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Clomid/Gonadorelin Plan
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Start/Refill/Dose change Clomid
• • •
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Clomid dose/Pricing
• • •
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Gonadorelin Dose
• • •
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Pellet Placement
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Pellet Placement
• • •
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Total Number of Pellets with Lot Number and Expiration
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Gonadorelin Dose
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Anastrozole dose
• • •
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Letrozole dose
• • •
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Lido with Epi injection
• • •
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Toradol bolus SQ
• • •
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Testosterone bolus SQ
• • •
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Vitamins Bolus SQ
• • •
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Rocephin Bolus SQ given
• • •
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Incision check
• • •
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Trocar number used for Procedure
• • •
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Testicle Atrophy
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Testicle Atrophy
• • •
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Follow up labs for TRT
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Lab Follow up
• • •
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Additional Notes
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Current TRT Dose
• • •
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Gonadorelin Dose
• • •
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Change TRT Dose
• • •
|
Gonadorelin Dose Change
• • •
|
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Last dose of Testosterone
• • •
|
Elevated H/H
• • •
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Anastrozole dose
• • •
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DIM dose
• • •
|
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Anastrozole dose change
• • •
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Clomid dosing
• • •
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Letrozole dose
• • •
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Abnormal labs
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|
ASCVD RISK Percentage
|
ASCVD RISK
• • •
|
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Skin Infection
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Plan Skin Infection
• • •
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Hair loss
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Hair loss
• • •
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Elevated PSA marker
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Elevated PSA Marker
• • •
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Pt referred to Urology
|
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PSA Result Prior and Current
|
Additional Notes
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Semaglutide/Tirzepatide/Phentermine Plan
|
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Semaglutide/Tirzepatide
• • •
|
Semaglutide/Tirzepatide Additional Notes
|
|
Phentermine Plan
• • •
|
Pricing
• • •
|
|
Semaglutide/Tirzepatide Follow up
• • •
|
Semaglutide/Tirzepatide Follow up Dosing
|
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Dosing
• • •
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Pricing
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GW/Viagra/Cialis/Trimix
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GW with P-shot with Viagra/Cialis/Trimix
• • •
|
Oral dosing with Price for Viagra/Cialis
• • •
|
|
Additional Notes GW Consult
|
SL dosing with Price for Viagra/Cialis
• • •
|
|
Pricing GW only
|
Trimix medication with pricing
• • •
|
|
Pricing GW and PRP
|
Tri-mix dosing
• • •
|
|
Pricing GW/PRP
• • •
|
Trial Tri-mix injection
• • •
|
|
Pricing PRP
• • •
|
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GW Session with MA or Provider
|
|
|
GW Session with MA or Provider Focused Machine
• • •
|
|
|
GW Session with MA or Provider Radial Machine
• • •
|
|
|
Vitamin Plan
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Vitamin Plan
• • •
|
Vitamin Pricing
• • •
|
|
Additional Notes
|
Vitamin Vial/Injection given
• • •
|
|
|
|
|
Peptides
|
|
|
Sermorelin
• • •
|
Additional Notes
|
|
FAT BURNER BLEND AOD9604 | MOTS-c | TESMORELIN
• • •
|
BPC157/TB500
• • •
|
|
BPC157
• • •
|
LL37/Thymosin Alpha 1
• • •
|
|
|
|
|
PERFORMACE BLEND CJC- 1295 |IPAMORELIN
• • •
|
PT141
• • •
|
|
Kisspeptin
• • •
|
Thymosin Alpha 1
• • •
|
|
Peptide Issues
• • •
|
Pricing
• • •
|
|
|
|
|
PRP
|
|
|
PRP Initial Consult
• • •
|
Additional Notes
|
|
PRP
• • •
|
Pricing
• • •
|
|
|
|
|
Plan Refill Viagra/Cialis oral tab or Troche
|
|
|
Plan Refill Viagra/Cialis Oral Troche
• • •
|
Additional Notes
|
|
Oral dosing with Price for Viagra/Cialis
• • •
|
SL dosing with Price for Viagra/Cialis
• • •
|
|
Trimix medication with pricing
• • •
|
|
|
Tri-mix dosing
• • •
|
|
|
|
|
|
Plan Pain
|
|
|
Pain
• • •
|
|
|
|
|
|
Botox
|
|
|
New Multiple Select
• • •
|
|
|
|
|
|
Microneedling plan
|
|
|
Microneedling Plan
• • •
|
|
|
|
|
|
Care Terminated for TRT Plan
|
|
|
Care Terminated
• • •
|
|
|
Additional Notes
|
|
|
NeoGraft Consult or Procedure
|
|
|
Plan Consult/Procedure
• • •
|
NeoGraft Pricing/Total Grafts being Placed
|
|
NeoGraft Follow up
• • •
|
|
