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Symptoms Profile
Date of last prostate exam (male):
Date of last PSA test (male):
Symptoms List( please check if applicable)
Mood Swings
Fatigue
Irritability
Depression
Memory Loss
Cloudy Mind
Decreased Sex Drive
Absent Sex Drive
Decreased Energy Level
Decreased Strength/Endurance
Loss of Height
Weight Gain Despite Exercise/Diet
Inability to Lose Weight Despite Exercise/Diet
Painful Joints
Headaches
Difficulty Maintaining Erection
Difficulty Achieving Orgasm
Others
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