Trt Medical Intake - Precision Telemed

TRT Medical Intake

Have you ever had an adverse or allergic reaction to Testosterone or Testosterone replacement support medications?

Testosterone injectable, topical (androgel, testim, bioidentical), Clomiphene (clomid), Enclomiphene, HCG (human chorionic gonadotropin), Gonadorelin, Anastrazole (Arimadex), or to any of its ingredients?

Yes

Are you currently taking or have you taken any of the following in the past – Testosterone replacement support medications?

Testosterone injectable, topical (androgel, testim, bioidentical), Clomiphene (clomid), Enclomiphene, HCG (human chorionic gonadotropin), Gonadorelin, Anastrazole (Arimadex)

Yes

Which ones and what dose?

Have you been advised to avoid hormone replacement due to a medical condition?

Yes

Provide the reason:

Have you ever been diagnosed with prostate or breast cancer?

Yes

Have you ever been diagnosed with Polycythemia?

Yes

Do you have a personal medical history involving any of the following medical conditions?