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