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Is Biote Right for You?

Personal Symptom Assessment Checklist for Men

Fill Out the Following Information to Find Out if Biote Can Help.

Have You Experienced Moderate to Severe Symptoms of Any of the Following?

Sweating at Night

Yes No

Sexual Problems

Yes No

Anxiety, Depressive Mood, or Irritability

Yes No

Fatigue or Lack of Energy

Yes No

Joint Pain

Yes No

Difficulty Concentrating, Thinking, or Remembering

Yes No

Headaches/Migraines

Yes No

Rapid Hair Loss

Yes No

Additional Concerns

Full Name

Email

Phone

We do not share or distribute your information. We don’t like spam either. Submitting this form does not create a patient-provider relationship. We’ll contact you to schedule.

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