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 MALE QUESTIONNAIRE - PAGE 7(e) 

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This section deals with hormone use.
807.  Have you used testosterone?
No / don't know
For under 1 year, but not any more
For 1 or more years, but not any more
Current use for under 1 year
Current use for 1 or more years
808.  Have you used cortisol (hydrocortisone)? Only include tablets of cortisol taken orally, not cortisone shots or creams.
Don't know
No
In the past only
Current use for less than 6 months
Current use for 6 months or longer
809.  If you are currently using cortisol, what is your total daily dose?
Not applicable / don't know
Less than 10mg
10 to 20mg
21 to 30mg
Over 30mg
810.  Have you used DHEA?
No / don't know
For under 1 year, but not any more
For 1 or more years, but not any more
Current use for under 1 year
Current use for 1 or more years
811.  Are you using glucophage or glucophageXR (Metformin - a biguanide agent)? This is a blood sugar and insulin-lowering medication?
Don't know
No
Less than 1000mg per day
1000mg to 1500mg per day
Over 1500mg per day
812.  Have you used melatonin? Please specify if you have tried it but found that it does not help.
Never used it / not within past year / don't know
I tried it, but it makes me agitated
I tried it, but it does not help
Current/recent occasional use
Current/recent regular use
813.  Thyroid hormone replacement therapy: Are you currently being treated? If unsure of which type you are using, click the following links for examples: T4 only, T3 only, synthetic T3-T4 combination, desiccated pig glandular.
No / don't know
Yes, with T4 only
Yes, with T3 only
Yes, with a synthetic T3-T4 combination
Yes, with a desiccated pig glandular
814.  Have you used natural progesterone? This does not include wild yam products which normally have no progesterone in them.
Don't know
No
In the past, but not currently
Current use for under 1 year
More questions later...
Current use for over 1 year
More questions later...

Add any additional information here for the questions above:

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GLOSSARY

Cortisol
A hormone. Its most important function is to help the body respond to stress. It also helps regulate your body's use of protein, carbohydrates and fat; it helps maintain blood pressure and cardiovascular function; it stems inflammation.

Desiccated Pig Glandular
Examples of desiccated pig glandular thyroid hormone replacements include: Armour, Westhroid, Thyroid, or Nature-throid

DHEA (DHEA-S)
Dehydroepiandrosterone (DHEA) is a steroid produced by the adrenal glands and is the most abundant one found in humans. DHEA may be transformed into testosterone, estrogen or other steroids. It is found in the body as DHEA or in the sulfated form known as DHEA-S. One form is converted into the other as needed.

Hormones (Hormone)
Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.

Melatonin
The only hormone secreted into the bloodstream by the pineal gland. The hormone appears to inhibit numerous endocrine functions, including the gonadotropic hormones. Research exists on the efficacy of melatonin in treating jet lag and certain sleep disorders. Dosages greater than l milligram have been associated with drowsiness, headaches, disturbances in sleep/wake cycles and is contraindicated in those who are on antidepressive medication. It also negatively influences insulin utilization.

Progesterone
This is the hormone secreted after ovulation by the corpus luteum. It is a steroid (similar to a cholesterol), enters receptive cells to stimulate their growth, and acts as an anabolic agent. Estrogen should be viewed as the primary coat underneath all the cycles during a woman's reproductive years, with progesterone, its antagonist, surging for ten or twelve days in ovulatory months. Most of the actions of progesterone cannot occur without estrogen having previously induced the growth of progesterone-receptive binding sites.

Synthetic T3-T4 Combination
Examples of T3-T4 combination thyroid hormone replacements include: Thyrolar or Liotrix.

T3 only
Examples of T3-only thyroid hormone replacements include: Cytomel or Tertroxin.

T4 only
Examples of T4-only thyroid hormone replacements include: Synthroid, Thyroxine, Eltroxin , Levoxyl, Unithroid or Levothyroxine.

Testosterone
The principal male sex hormone that induces and maintains the changes that take place in males at puberty. In men, the testicles continue to produce testosterone throughout life, though there is some decline with age. A naturally occurring androgenic hormone.

Thyroid (Thyroid Gland)
The thyroid gland is an organ with many veins, anchored around the front of the throat near the voice box. It is essential to normal body growth in infancy and childhood. It absorbs iodine from the diet and releases thyroid hormones - iodine-containing compounds that help govern the rate of the body's metabolism (its total life processes), affecting body temperature, and regulating protein, fat and carbohydrate catabolism in all cells. They keep up growth hormone release, skeletal maturation, and heart rate, force, and output. They promote central nervous system growth, stimulate the making of many enzymes, and are necessary for muscle tone and vigor. To a high degree, metabolism is regulated by the hormone thyroxine, which can be made by the thyroid if enough organic iodine is available. An enlarged thyroid gland that is not cancer is sometimes called goitre.





























 

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