Male Hormone Assessment

Instructions: This assessment is designed to help determine if Bioidentical Hormone Replacement Therapy (BHRT) may benefit you. Please answer each question honestly based on your experiences over the past 6 months. Your responses will help Dr. Ibrahim and our team develop a personalized treatment plan tailored to your specific needs.

Once finished, you can choose to have a copy of the assessment emailed to you in pdf format.

Confidentiality: All information provided is strictly confidential and will only be shared with your healthcare team at Biltmore Restorative Medicine.

Name(You may use your first name only or a pseudonym)

Age

Phone(Optional – provide if you would like to be contacted to discuss a consultation)

Email Address(Optional – provide if you would like to receive a copy of this assessment by email)

Preferred Method of ContactNonePhoneEmailText

How did you hear about us?Internet SearchAI RecommendedSocial MediaReferralAdvertisementOther

Current Symptoms Assessment

Rate each symptom on a scale of 0-5 (0 = Never, 1 = Rarely, 2 = Sometimes, 3 = Often, 4 = Very Often, 5 = Always)

Energy & Vitality

Decreased energy levels or chronic fatigue *012345

Lack of motivation or drive *012345

Difficulty getting up in the morning *012345

Afternoon energy crashes *012345

Feeling less competitive or aggressive *012345

Physical Changes

Weight gain, especially around the midsection (belly fat) *012345

Loss of muscle mass or strength *012345

Increased recovery time after exercise *012345

Joint aches and stiffness *012345

Hot flashes or night sweats *012345

Thinning hair or hair loss *012345

Sexual Health

Decreased interest in sex (low libido) *012345

Erectile dysfunction or difficulty achieving/maintaining erections *012345

Reduced intensity of orgasms *012345

Decreased frequency of morning erections *012345

Overall dissatisfaction with sexual performance *012345

Mental & Emotional

Mood swings or irritability *012345

Depression or feeling "blue" *012345

Anxiety or nervousness *012345

Difficulty concentrating or "brain fog" *012345

Memory issues or forgetfulness *012345

Sleep & Recovery

Difficulty falling asleep *012345

Frequent nighttime awakening *012345

Feeling unrefreshed upon waking *012345

Snoring (increased or new) *012345

Medical History

Current Health Status

Have you been diagnosed with any of the following? (Check all that apply)

CheckboxDiabetesHigh Blood PressureHeart DiseaseProstate IssuesSleep ApneaThyroid ProblemsDepression/AnxietyHigh CholesterolMetabolic Syndrome

Other0 / 200

Current Medications/Supplements

Drug allergies

Previous Hormone Experience

Have you ever had hormone testing?YesNo

When and what were the results?0 / 200

Have you ever used testosterone therapy?YesNo

What type and when?0 / 200

Have you ever used any performance-enhancing supplements?YesNo

Please specify0 / 200

Lifestyle Factors

Exercise FrequencyDaily3 to 4 times per week1 to 2 times per weekRarelyNever

Exercise TypeCardioWeight trainingBothOther

Stress Level from 1 to 10 (10 being extremely stressed)

Alcohol consumption per weekNeverRarely1 drink1 to 3 drinks4 drinks or more

SmokingCurrent smokerFormer smokerNever smoked

Average packs per day: (1 pack = 20 cigarettes)

Total years smoked:

If former smoker, year quit:

Average hours of sleep per night

Sleep quality from 1 to 10 (10 being great)

Specific Goals and Expectations

What are your primary goals with hormone therapy? (Check all that apply)Increase energy levelsImprove sexual function and libidoBuild muscle mass/reduce body fatEnhance mood and mental clarityImprove sleep qualityIncrease athletic performanceGeneral anti-aging benefitsOther

How significantly are your symptoms impacting your quality of life?MinimallyModeratelySignificantlySeverely

Have you tried other treatments for these symptoms?YesNo

What treatments and results?0 / 200

Are you currently working with other healthcare providers for these issues?YesNo

Please specify0 / 200

Any additional symptoms or concerns not mentioned above

What would success look like for you?0 / 300

Family History

Father's health history0 / 300

Brothers' health history0 / 300

Any family history ofProstate CancerHeart DiseaseDiabetesOther hormonal issues

Are you interested in learning about: (Dr. Ibrahim's specialties)O-Shot for sexual wellness and urinary healthAesthetic treatmentsWeight loss programsOther regenerative therapies

Additional Information

Any questions for Dr. Ibrahim

Are you ready to calculate your score?YesNo

Calculation 1

Mild Symptoms Detected

Mild Symptoms Detected

Thank you for completing the Biltmore Restorative Medicine Male Hormone Assessment.

Based on your responses, your total symptom score is {calculation-1}/125, which falls into the Mild Symptoms range.

What This Means:

Your current symptoms suggest that you may be experiencing early hormonal changes, but they are not yet significantly impacting your daily quality of life or performance. Many men in this range can achieve meaningful improvements through lifestyle optimization and preventive measures before hormone replacement becomes necessary.

Understanding Your Results:

Testosterone levels naturally begin declining around age 30 at approximately 1-2% per year. You may be in the early stages of this decline, experiencing subtle symptoms that haven’t yet reached the threshold where hormone therapy is essential.

The good news: Catching hormonal changes early gives you the advantage of preventive intervention.

Recommended Next Steps:

Lifestyle Optimization – Your First Line of Defense:

Exercise & Strength Training:

Resistance training 3-4x per week naturally boosts testosterone
Compound movements (squats, deadlifts, bench press) are most effective
High-intensity interval training (HIIT) can help maintain hormonal health
Avoid overtraining, which can suppress testosterone

Nutrition for Hormone Health:

Adequate protein intake (0.8-1g per pound of body weight)
Healthy fats support hormone production (avocados, nuts, olive oil, fatty fish)
Zinc and magnesium are critical for testosterone production
Limit alcohol consumption (significantly suppresses testosterone)
Reduce processed foods and sugar (linked to hormonal disruption)

Sleep Optimization:

7-9 hours per night is essential for testosterone production
Most testosterone is produced during deep sleep
Consistent sleep schedule supports circadian rhythm
Address any sleep apnea issues (major testosterone suppressor)

Stress Management:

Chronic stress elevates cortisol, which suppresses testosterone
Practice stress-reduction techniques (meditation, yoga, hobbies)
Work-life balance is crucial for hormonal health
Consider adaptogens like ashwagandha for stress resilience

Weight Management:

Excess body fat converts testosterone to estrogen
Even modest weight loss can improve testosterone levels
Target: Body fat under 20% for optimal hormonal health

Limit Endocrine Disruptors:

Avoid BPA in plastics (use glass or stainless steel)
Choose organic when possible to reduce pesticide exposure
Be mindful of chemicals in personal care products
Limit exposure to environmental toxins

Baseline Testing – Establish Your Numbers:

Even with mild symptoms, baseline hormone testing provides valuable information:

Total Testosterone – Overall testosterone level
Free Testosterone – Bioavailable testosterone (most important)
Estradiol (E2) – Estrogen level (balance is key)
SHBG – Sex hormone binding globulin (affects free testosterone)
LH and FSH – Pituitary hormones that signal testosterone production
Thyroid Panel – Thyroid issues often mimic low testosterone
Vitamin D – Crucial for testosterone production

Why test now?

Establish your baseline for future comparison
Identify any subclinical issues early
Understand your hormonal trajectory
Catch problems before symptoms become severe

Monitor Your Symptoms:

Track your symptoms over the next 3-6 months:

Note any worsening or new symptoms
Pay attention to energy patterns, sexual function, mood
Keep a simple log to identify trends
Reassess using this tool periodically

Educational Consultation (Optional):

While you may not need immediate hormone therapy, an educational consultation with Dr. Ibrahim can:

Review your symptoms and health history
Discuss your testosterone levels and what they mean
Provide personalized lifestyle recommendations
Establish a prevention strategy
Create a plan for if/when symptoms progress

When to Take Action:

Consider scheduling a consultation if:

Your symptoms worsen over the next 3-6 months
You notice new symptoms appearing
Lifestyle modifications don’t provide relief
You want baseline testing for future comparison
You’re curious about your hormone levels
You want a prevention strategy from an expert

Understanding Low Testosterone:

Common Causes Beyond Aging:

Obesity (fat cells convert testosterone to estrogen)
Sleep apnea (major testosterone suppressor)
Chronic stress (elevates cortisol, suppresses testosterone)
Poor sleep quality
Medications (opioids, steroids, certain antidepressants)
Testicular injury or conditions
Pituitary problems
Excessive alcohol consumption
Lack of exercise or overtraining

Why Dr. Ibrahim is Different:

Most primary care physicians have limited training in hormone optimization. Dr. George K. Ibrahim brings:

30+ years as board-certified urologist – Deep expertise in male physiology
Fellowship in Anti-Aging Medicine – Specialized hormone optimization training
Only A4M Fellow in Western NC – Highest level of certification
Comprehensive approach – Treats the whole person, not just numbers
Conservative when appropriate – Won’t push treatment if not needed

What Your Mild Score Suggests:

Potential Scenarios:

Early decline: Beginning stages of natural testosterone decline
Lifestyle factors: Stress, poor sleep, or diet affecting hormones
Normal variation: Some fluctuation in symptoms is normal
Subclinical issues: Borderline hormone levels not yet causing major symptoms

Good News:

You’re addressing this early, before major quality of life impact
Lifestyle changes can be very effective at this stage
You have time to make informed decisions
Prevention is easier than treatment

Educational Resources:

Learn more about maintaining hormonal health:

Understanding testosterone and male hormones
Natural ways to support testosterone production
When hormone replacement becomes necessary
The difference between TRT and other approaches
Myths vs. facts about testosterone therapy

Questions or Want Baseline Testing?

Call: (864) 202-6583 Email: info@HormoneTherapyGreenvilleSC.com

Consultation Options:

Educational consultation to discuss your results
Baseline hormone testing and interpretation
Personalized prevention strategies
No obligation to proceed with treatment

This assessment is for educational purposes only and does not constitute medical advice. For personalized recommendations, schedule a consultation with Dr. Ibrahim or a qualified healthcare provider at Biltmore Restorative Medicine.

HIPAA Disclaimer

Moderate Symptoms Detected

Moderate Symptoms Detected

Thank you for completing the Biltmore Restorative Medicine Male Hormone Assessment.

Based on your responses, your total symptom score is {calculation-1}/125, which falls into the Moderate Symptoms range.

What This Means:

Your symptoms indicate a meaningful hormonal imbalance that is affecting your quality of life, performance, and wellbeing. You’re likely experiencing the effects of testosterone deficiency (Low T) that could significantly benefit from professional evaluation and treatment.

You are a good candidate for Bioidentical Hormone Replacement Therapy (BHRT).

Men in your symptom range typically see substantial improvements with properly balanced testosterone therapy, often reporting they “feel like themselves again” or “have their edge back” within weeks to months of starting treatment.

The Impact on Your Life:

Moderate symptoms don’t just affect how you feel—they impact:

Work Performance: Reduced energy, focus, and competitive drive affect career success
Physical Health: Muscle loss, fat gain, decreased strength and endurance
Sexual Function: Reduced libido and performance affecting intimacy and confidence
Mental Sharpness: Brain fog, memory issues, and decreased concentration
Emotional Wellbeing: Mood swings, irritability, or depression affecting relationships
Overall Vitality: Feeling older than your years, lacking enthusiasm for life

You don’t have to accept this as “just getting older.”

Why Your Symptoms Matter:

Beyond quality of life, untreated testosterone deficiency increases risks for:

Cardiovascular disease – Low testosterone is linked to heart problems
Type 2 diabetes – Testosterone affects insulin sensitivity and glucose metabolism
Osteoporosis – Testosterone is crucial for bone density
Muscle loss (sarcopenia) – Accelerated aging and weakness
Cognitive decline – Memory and mental function deterioration
Depression and anxiety – Mental health significantly affected by hormones

Early intervention protects your long-term health.

Recommended Next Steps:

Step 1: Schedule Your Comprehensive Consultation

Dr. George K. Ibrahim brings unique expertise to your evaluation:

Why Dr. Ibrahim?

30+ years as board-certified urologist treating men’s health issues
Fellowship in Anti-Aging Medicine with specialized hormone training
Only certified Fellow of A4M in Western NC – highest level of expertise
Comprehensive approach treating the whole person, not just testosterone levels
Proven track record helping men reclaim their vitality and performance

Your consultation will include:

Detailed review of your symptoms and health history
Discussion of your goals and concerns
Physical examination relevant to hormone health
Review of treatment options and approaches
Cost and timeline discussion
Questions answered by expert who truly understands male physiology

Step 2: Comprehensive Hormone Testing

To properly diagnose and treat your condition, we recommend:

Essential Tests:

Total Testosterone – Overall testosterone level
Free Testosterone – Bioavailable testosterone (most clinically important)
Estradiol (E2) – Estrogen level (balance is critical)
SHBG – Sex hormone binding globulin
LH and FSH – Pituitary function assessment
DHT – Dihydrotestosterone (potent testosterone metabolite)

Additional Important Tests:

Complete Thyroid Panel – TSH, Free T3, Free T4 (thyroid affects everything)
Complete Metabolic Panel – Overall health assessment
PSA – Prostate health (Dr. Ibrahim’s urological expertise is critical here)
Complete Blood Count – Red blood cells and hematocrit
Vitamin D, B12 – Often deficient and affect energy
Lipid Panel – Cardiovascular health
HbA1c – Glucose metabolism

Why comprehensive testing matters:

Identifies the root cause of your symptoms
Rules out other conditions mimicking low testosterone
Establishes safe baseline before treatment
Allows proper monitoring during treatment
Dr. Ibrahim’s urological expertise ensures prostate safety

Step 3: Personalized Treatment Plan

Based on your results, Dr. Ibrahim will design a treatment approach tailored to you:

Bioidentical Testosterone Options:

Testosterone Pellet Implants (Dr. Ibrahim’s preferred method for most men)

Small pellets inserted under the skin (quick, office procedure)
Steady, consistent testosterone levels for 3-4 months
No daily administration or hassle
Most closely mimics natural testosterone production
Proven most effective for moderate to significant symptoms

Testosterone Injections

Self-administered weekly or bi-weekly
Flexible dosing adjustments
Cost-effective option
Requires consistent self-administration

Topical Testosterone Gel/Cream

Daily application
Easy to use
Good for men who prefer not to inject
Transfer precautions with family (especially women/children)

Additional Considerations:

Aromatase inhibitors – If you convert too much testosterone to estrogen
HCG – To maintain testicular function if desired (fertility preservation)
Thyroid optimization – If thyroid is contributing to symptoms
Nutritional support – Vitamins and supplements to optimize results

Step 4: Monitoring and Optimization

Proper hormone therapy requires ongoing monitoring:

Follow-up at 6 weeks to assess initial response
Lab recheck at 8-12 weeks to optimize dosing
Quarterly check-ins for first year
Semi-annual monitoring thereafter
Adjustments made based on symptoms and lab values

What to Expect from Treatment:

Timeline for Improvement:

Weeks 1-2:

Initial energy improvements
Better sleep quality
Mood stabilization beginning
Subtle mental clarity improvements

Weeks 3-6:

Noticeable energy increase
Libido returning
Beginning of body composition changes
Improved motivation and drive
Better workouts and recovery

Weeks 8-12:

Significant sexual function improvement
Muscle mass increasing, fat decreasing
Mental clarity and focus much improved
Mood significantly better
Feeling “like yourself again”

Months 3-6:

Continued body composition improvements
Sustained high energy and performance
Sexual function optimized
Mental sharpness at peak
Overall vitality restored

Most men report: “I wish I had done this years ago.”

Real Patient Success Stories:

“At 47, I thought feeling tired and unmotivated was just part of getting older. Three months after starting treatment with Dr. Ibrahim, I have more energy than my 30s, I’m back in the gym setting PRs, and my wife is very happy. This changed my life.” – Mark, 47

“Low T was killing my career and marriage. Dr. Ibrahim’s expertise as a urologist gave me confidence he knew what he was doing. Six months later: lost 25 pounds, gained muscle, my libido is back, and I’m crushing it at work. Best decision I ever made.” – Jason, 52

“I was skeptical about testosterone therapy, but Dr. Ibrahim explained everything thoroughly. The improvement in my energy, mood, and sexual function has been remarkable. I feel 10 years younger.” – David, 55

Investment in Your Health:

Consultation & Testing:

Initial consultation: from $200-400 (comprehensive evaluation)
Hormone lab panel: from $300-500 (complete testing)
Total initial investment: from $500-900

Treatment Costs:

Pellet therapy: from $500-800 every 3-4 months ($165-265/month)
Injection therapy: from $150-300/month
Topical therapy: from $200-400/month
Follow-up labs: from $200-300 every 3-6 months

Daily cost: $5-10/day to reclaim your vitality, performance, and quality of life

Most men find: The return in energy, productivity, confidence, and quality of life far exceeds the investment.

Why Men Choose Biltmore:

Urological Expertise:

Dr. Ibrahim’s 30+ years as urologist provides unmatched understanding of male physiology
Expert prostate monitoring (critical with testosterone therapy)
Comprehensive approach to men’s sexual health
Deep knowledge of male hormone systems

Proven Results:

Over a decade optimizing male hormones
Hundreds of successful treatments
Track record of safety and effectiveness
High patient satisfaction and retention

Comprehensive Care:

On-site laboratory (convenient, fast results)
All treatment options available
Integration with other therapies (peptides, sexual health treatments)
Complete men’s health optimization

Safety First:

Proper medical screening
Comprehensive monitoring protocols
Prostate health vigilance
Side effect management expertise

Common Questions:

“Is testosterone therapy safe?” When properly monitored by an expert like Dr. Ibrahim, testosterone therapy is very safe. Risks are minimized through proper screening, dosing, and monitoring—especially prostate health monitoring, which is Dr. Ibrahim’s specialty.

“Will I have to take this forever?” Most men choose to continue because they feel dramatically better. However, you’re not “locked in.” Testosterone can be discontinued if desired, though symptoms would gradually return.

“What about my prostate?” This is where Dr. Ibrahim’s urological expertise is invaluable. Proper monitoring and management keep your prostate healthy. Current evidence shows testosterone doesn’t cause prostate cancer, but monitoring is still essential.

“Will my insurance cover this?” Some insurance plans cover testosterone therapy if you have documented low testosterone. We can provide documentation for insurance submission. Many men choose to self-pay for more comprehensive optimization.

“How quickly will I feel better?” Most men notice improvements within 2-4 weeks, with progressive benefits over 3-6 months. Timeline varies based on severity of deficiency and individual response.

Take Action Now:

Don’t spend another month suffering from symptoms that are treatable.

You’ve taken the first step by completing this assessment. Now take the next step toward feeling like yourself again.

Schedule your consultation within the next 2 weeks for optimal results.

Ready to Reclaim Your Vitality?

Call: (864) 202-6583 Email: info@HormoneTherapyGreenvilleSC.com

What to bring to your consultation:

List of current medications and supplements
Recent lab work (if available)
Your top 3 goals for treatment
Questions and concerns

Most men start treatment within 2-3 weeks of consultation.

This assessment is for educational purposes only and does not constitute medical advice. Your consultation with Dr. Ibrahim will provide personalized medical recommendations based on your complete health picture.

HIPAA Disclaimer

Significant Symptoms Detected

Significant Symptoms Detected

Thank you for completing the Biltmore Restorative Medicine Male Hormone Assessment.

Based on your responses, your total symptom score is {calculation-1}/125, which falls into the Significant Symptoms range.

What This Means:

Your symptoms indicate substantial testosterone deficiency that is significantly impacting multiple areas of your life. You’re experiencing what many men describe as “running on empty,” “lost my edge,” or “not feeling like a man anymore.”

You are a strong candidate for immediate comprehensive hormone optimization.

The good news: Your symptoms are very treatable, and men with your symptom level typically experience dramatic, life-changing improvements with proper testosterone replacement therapy.

The Reality of Your Current Situation:

With significant symptoms at this level, you’re likely experiencing serious impacts on:

Physical Impact:

Major fatigue affecting daily function and productivity
Significant weight gain, especially belly fat (despite diet/exercise efforts)
Muscle loss and weakness (can’t maintain gains in gym)
Joint pain and stiffness affecting mobility
Poor recovery from exercise or physical activity
Looking and feeling older than your years

Sexual Impact:

Dramatically reduced or absent sex drive
Erectile dysfunction affecting intimacy and confidence
Reduced orgasm intensity and satisfaction
Loss of morning erections (key sign of hormonal health)
Strain on relationship due to sexual issues
Loss of masculine confidence

Mental & Emotional Impact:

Significant “brain fog” affecting work and daily tasks
Memory problems causing concern and frustration
Mood swings, irritability, or depression
Anxiety about performance (work, sex, physical)
Loss of competitive drive and motivation
Feeling depressed or hopeless about the future

Professional Impact:

Reduced productivity and performance at work
Difficulty concentrating on complex tasks
Lack of drive and motivation affecting career
Increased sick days or presenteeism
Lost opportunities due to reduced performance

Relationship Impact:

Withdrawal from partner due to sexual dysfunction
Irritability affecting family relationships
Loss of engagement in activities you used to enjoy
Partner noticing significant changes in you
Feeling disconnected from life

Health Risks of Untreated Significant Testosterone Deficiency:

Beyond quality of life, significant untreated low testosterone increases serious health risks:

Cardiovascular Disease: 2x higher risk of heart attack and cardiovascular death
Type 2 Diabetes: Dramatically increased risk due to insulin resistance
Metabolic Syndrome: Cluster of conditions increasing disease risk
Osteoporosis: Severe bone loss leading to fractures
Sarcopenia: Accelerated muscle wasting and frailty
Cognitive Decline: Increased dementia and Alzheimer’s risk
Depression: Clinical depression becomes more likely
All-Cause Mortality: Overall increased risk of premature death

Your health—now and in the future—requires addressing this immediately.

Immediate Action Required:

PRIORITY: Schedule Your Consultation Within the Next 7-10 Days

Men with symptom scores in your range need comprehensive medical evaluation and treatment as soon as possible. Every month you wait represents continued suffering and increased health risks.

Why Dr. George K. Ibrahim is Your Best Choice:

When symptoms are this significant, you need the highest level of expertise:

Dr. Ibrahim’s Unique Qualifications:

30+ years as board-certified urologist – Deep expertise in male physiology and men’s health
Fellowship in Anti-Aging Medicine – Advanced training in hormone optimization
Only A4M certified Fellow in Western NC – Highest level of hormone therapy certification
Comprehensive approach – Treats the whole person, not just a number on a lab report
Proven track record – Hundreds of men successfully treated with significant symptoms
Prostate expertise – Critical for safe testosterone therapy monitoring

What Sets Biltmore Apart:

On-site laboratory services (fast, convenient)
Comprehensive treatment options (pellets, injections, topical)
Integration with other men’s health services
Decade+ experience with bioidentical hormones
Personalized protocols, never one-size-fits-all

Your Comprehensive Evaluation Will Include:

Urgent Medical Assessment (60 minutes):

Thorough review of all symptoms and severity
Complete medical, surgical, and family history
Discussion of how symptoms are affecting your life
Physical examination
Evaluation of any urgent health concerns

Complete Hormone & Health Panel:

Essential Hormone Tests:

Total Testosterone (likely very low)
Free Testosterone (bioavailable testosterone)
Estradiol (E2) – estrogen balance critical
SHBG – affects testosterone availability
LH and FSH – pituitary function
DHT – potent testosterone metabolite
Prolactin – can suppress testosterone

Critical Health Markers:

Complete Thyroid Panel (TSH, Free T3, Free T4, Reverse T3)
Complete Metabolic Panel
Lipid Panel (cardiovascular risk)
HbA1c and Fasting Glucose (diabetes risk)
PSA (prostate health – Dr. Ibrahim’s expertise critical)
Complete Blood Count (CBC)
Vitamin D, B12 (often severely deficient)
CRP (inflammation marker)

Why comprehensive testing matters at your symptom level:

Identifies severity of deficiency
Rules out other serious conditions
Establishes safe baseline
Guides aggressive but safe treatment approach
Monitors for complications

Comprehensive Treatment Protocol:

At your symptom severity, we typically recommend aggressive treatment:

Testosterone Pellet Implants (Most Recommended for Significant Symptoms):

Fastest, most consistent symptom relief
Steady testosterone levels 24/7 for 3-4 months
No pills, no daily administration
Proven most effective for significant symptoms
Most men prefer this method

Your Protocol Will Likely Include:

Testosterone replacement (pellets, injections, or combination)
Estrogen management if needed (aromatase inhibitor)
Thyroid support if indicated
Vitamin D and other deficiency corrections
Nutritional recommendations
Lifestyle optimization strategies

Aggressive Symptom Management:

We won’t make you wait months to feel better
Treatment can begin within 1-2 weeks of testing
Follow-up at 4-6 weeks to assess response
Rapid adjustments if needed
Goal: Noticeable improvement within 3-4 weeks

Timeline for Recovery:

Because your symptoms are significant, here’s what you can realistically expect:

Week 1-2:

Initial energy improvements
Sleep quality beginning to improve
Mood starting to stabilize
Hope restored (this alone is powerful)

Week 3-6:

Significant energy increase
Libido returning noticeably
Erections improving
Mental fog lifting
Motivation returning
Beginning to feel “normal” again

Week 6-12:

Major improvements across all symptom areas
Sexual function dramatically improved
Body composition visibly changing
Mental sharpness restored
Mood stable and positive
“Feeling like myself again”

Month 3-6:

Most symptoms substantially resolved
Physical transformation visible
Sustained high energy and performance
Sexual confidence and function optimized
Quality of life dramatically improved
“I wish I’d done this years ago”

Real Transformations from Men with Significant Symptoms:

“My testosterone was 187 (normal is 300-1000). I was 52 but felt 72. No energy, no sex drive, depressed, fat, weak. Dr. Ibrahim’s treatment brought me back to life. Six months later: testosterone optimized, lost 35 pounds, built muscle, libido is back strong, energy is incredible. I’m a different man—the man I was supposed to be.” – Robert, 52

“I was so tired I could barely work. My marriage was suffering because I had zero interest in sex. I was irritable and depressed. Dr. Ibrahim explained that my symptoms were classic severe low T. Four months into treatment, everything changed. My wife says she has her husband back. I have my life back.” – Michael, 48

“As a physician myself, I knew something was seriously wrong but kept putting it off. When my testosterone came back at 220, it explained everything—the fatigue, weight gain, brain fog, lost libido. Dr. Ibrahim’s expertise and comprehensive approach got me optimized quickly. Dramatic improvement in every area of my life.” – Dr. Steven, 55

Financial Investment:

Initial Evaluation:

Comprehensive consultation: from $200-400
Complete hormone panel: from $400-600
Total initial: from $600-1,000

Treatment (First Year):

Pellet therapy: from $600-800 every 3-4 months = $2,000-3,200/year
Follow-up labs: from $200-300 every 3 months = $800-1,200/year
Follow-up visits: Usually included or minimal
Total first year: from $3,400-5,400 (including initial evaluation and testing)

Daily cost: $9-15/day to transform your health, performance, and quality of life

Return on Investment:

Career Impact:

Restored energy and focus = better job performance
Improved decision-making and productivity
Reduced sick days
Potential for advancement with improved performance
One promotion easily pays for years of treatment

Health Savings:

Prevention of diabetes, heart disease, osteoporosis
Reduced future medical costs
Fewer medications needed
Extended healthy years
Preventive investment saves tens of thousands long-term

Relationship Impact:

Restored intimacy and sexual function
Better mood and emotional stability
Improved family relationships
Saving your marriage: Priceless

Quality of Life:

Energy to enjoy life again
Confidence restored
Physical transformation
Mental clarity and focus
Feeling like yourself again: Immeasurable value

Most men say: “I can’t put a price on feeling like a man again.”

Why Immediate Action is Critical:

Every month you wait:

Your symptoms worsen
Muscle continues to waste away
Fat continues to accumulate
Health risks increase
Quality of life continues to suffer
Relationships continue to strain
Career performance continues to suffer

Versus starting now:

Relief begins within weeks
Health risks begin decreasing
Quality of life starts improving immediately
Relationships begin healing
Performance starts returning
Future you will thank present you

What You Need to Do Right Now:

Step 1: Call Our Office Today

Mention your assessment score ([SCORE]/125 – Significant Symptoms) and request priority scheduling.

Step 2: Prepare for Your Consultation

List your top 5 most troubling symptoms
Note how long you’ve been experiencing symptoms
Bring current medications list
Recent lab work if available
Write down your questions

Step 3: Commit to Yourself

Decide that you’re worth feeling better. You deserve to feel like yourself again.

Important Safety Note:

If you are experiencing:

Chest pain or severe shortness of breath
Suicidal thoughts or severe depression
Symptoms of heart attack or stroke
Any medical emergency

Please seek immediate medical attention at your nearest emergency room or call 911.

This assessment is for chronic hormone deficiency evaluation, not emergency medical conditions.

Take Action Today—Your Life is Waiting:

Call: (864) 202-6583 Email: info@HormoneTherapyGreenvilleSC.com

We prioritize appointments for men with significant symptoms. You will not have to wait weeks.

Most men with your symptom level start treatment within 10-14 days of consultation.

*This assessment is for educational purposes only and does not constitute medical advice.

HIPAA Disclaimer

Severe Symptoms

Immediate Evaluation Recommended

Thank you for completing the Biltmore Restorative Medicine Male Hormone Assessment.

Based on your responses, your total symptom score is {calculation-1}/125, which falls into the Significant Symptoms range.

What This Means:

You are a strong candidate for immediate comprehensive hormone optimization.

The good news: Your symptoms are very treatable, and men with your symptom level typically experience dramatic, life-changing improvements with proper testosterone replacement therapy.

The Reality of Your Current Situation:

With significant symptoms at this level, you’re likely experiencing serious impacts on:

Physical Impact:

Major fatigue affecting daily function and productivity
Significant weight gain, especially belly fat (despite diet/exercise efforts)
Muscle loss and weakness (can’t maintain gains in gym)
Joint pain and stiffness affecting mobility
Poor recovery from exercise or physical activity
Looking and feeling older than your years

Sexual Impact:

Dramatically reduced or absent sex drive
Erectile dysfunction affecting intimacy and confidence
Reduced orgasm intensity and satisfaction
Loss of morning erections (key sign of hormonal health)
Strain on relationship due to sexual issues
Loss of masculine confidence

Mental & Emotional Impact:

Significant “brain fog” affecting work and daily tasks
Memory problems causing concern and frustration
Mood swings, irritability, or depression
Anxiety about performance (work, sex, physical)
Loss of competitive drive and motivation
Feeling depressed or hopeless about the future

Professional Impact:

Reduced productivity and performance at work
Difficulty concentrating on complex tasks
Lack of drive and motivation affecting career
Increased sick days or presenteeism
Lost opportunities due to reduced performance

Relationship Impact:

Withdrawal from partner due to sexual dysfunction
Irritability affecting family relationships
Loss of engagement in activities you used to enjoy
Partner noticing significant changes in you
Feeling disconnected from life

Health Risks of Untreated Significant Testosterone Deficiency:

Beyond quality of life, significant untreated low testosterone increases serious health risks:

Cardiovascular Disease: 2x higher risk of heart attack and cardiovascular death
Type 2 Diabetes: Dramatically increased risk due to insulin resistance
Metabolic Syndrome: Cluster of conditions increasing disease risk
Osteoporosis: Severe bone loss leading to fractures
Sarcopenia: Accelerated muscle wasting and frailty
Cognitive Decline: Increased dementia and Alzheimer’s risk
Depression: Clinical depression becomes more likely
All-Cause Mortality: Overall increased risk of premature death

Your health… now and in the future… requires addressing this immediately.

Immediate Action Required:

PRIORITY: Schedule Your Consultation Within the Next 7-10 Days

Men with symptom scores in your range need comprehensive medical evaluation and treatment as soon as possible. Every month you wait represents continued suffering and increased health risks.

Why Dr. George K. Ibrahim is Your Best Choice:

When symptoms are this significant, you need the highest level of expertise:

Dr. Ibrahim’s Unique Qualifications:

30+ years as board-certified urologist – Deep expertise in male physiology and men’s health
Fellowship in Anti-Aging Medicine – Advanced training in hormone optimization
Only A4M certified Fellow in Western NC – Highest level of hormone therapy certification
Comprehensive approach – Treats the whole person, not just a number on a lab report
Proven track record – Hundreds of men successfully treated with significant symptoms
Prostate expertise – Critical for safe testosterone therapy monitoring

What Sets Biltmore Apart:

On-site laboratory services (fast, convenient)
Comprehensive treatment options (pellets, injections, topical)
Integration with other men’s health services
Decade+ experience with bioidentical hormones
Personalized protocols, never one-size-fits-all

Your Comprehensive Evaluation Will Include:

Urgent Medical Assessment (60 minutes):

Thorough review of all symptoms and severity
Complete medical, surgical, and family history
Discussion of how symptoms are affecting your life
Physical examination
Evaluation of any urgent health concerns

Complete Hormone & Health Panel:

Essential Hormone Tests:

Total Testosterone (likely very low)
Free Testosterone (bioavailable testosterone)
Estradiol (E2) – estrogen balance critical
SHBG – affects testosterone availability
LH and FSH – pituitary function
DHT – potent testosterone metabolite
Prolactin – can suppress testosterone

Critical Health Markers:

Complete Thyroid Panel (TSH, Free T3, Free T4, Reverse T3)
Complete Metabolic Panel
Lipid Panel (cardiovascular risk)
HbA1c and Fasting Glucose (diabetes risk)
PSA (prostate health – Dr. Ibrahim’s expertise critical)
Complete Blood Count (CBC)
Vitamin D, B12 (often severely deficient)
CRP (inflammation marker)

Why comprehensive testing matters at your symptom level:

Identifies severity of deficiency
Rules out other serious conditions
Establishes safe baseline
Guides aggressive but safe treatment approach
Monitors for complications

Comprehensive Treatment Protocol:

At your symptom severity, we typically recommend aggressive treatment:

Testosterone Pellet Implants (Most Recommended for Significant Symptoms):

Fastest, most consistent symptom relief
Steady testosterone levels 24/7 for 3-4 months
No pills, no daily administration
Proven most effective for significant symptoms
Most men prefer this method

Your Protocol Will Likely Include:

Testosterone replacement (pellets, injections, or combination)
Estrogen management if needed (aromatase inhibitor)
Thyroid support if indicated
Vitamin D and other deficiency corrections
Nutritional recommendations
Lifestyle optimization strategies

Aggressive Symptom Management:

We won’t make you wait months to feel better
Treatment can begin within 1-2 weeks of testing
Follow-up at 4-6 weeks to assess response
Rapid adjustments if needed
Goal: Noticeable improvement within 3-4 weeks

Timeline for Recovery:

Because your symptoms are significant, here’s what you can realistically expect:

Week 1-2:

Initial energy improvements
Sleep quality beginning to improve
Mood starting to stabilize
Hope restored (this alone is powerful)

Week 3-6:

Significant energy increase
Libido returning noticeably
Erections improving
Mental fog lifting
Motivation returning
Beginning to feel “normal” again

Week 6-12:

Major improvements across all symptom areas
Sexual function dramatically improved
Body composition visibly changing
Mental sharpness restored
Mood stable and positive
“Feeling like myself again”

Month 3-6:

Most symptoms substantially resolved
Physical transformation visible
Sustained high energy and performance
Sexual confidence and function optimized
Quality of life dramatically improved
“I wish I’d done this years ago”

Real Transformations from Men with Significant Symptoms:

Financial Investment:

Initial Evaluation:

Comprehensive consultation: from $200-400
Complete hormone panel: from $400-600
Total initial: from $600-1,000

Treatment (First Year):

Pellet therapy: from $600-800 every 3-4 months = $2,000-3,200/year
Follow-up labs: from $200-300 every 3 months = $800-1,200/year
Follow-up visits: Usually included or minimal
Total first year: from $3,400-5,400 (including initial evaluation and testing)

Daily cost: $9-15/day to transform your health, performance, and quality of life

Return on Investment:

Career Impact:

Restored energy and focus = better job performance
Improved decision-making and productivity
Reduced sick days
Potential for advancement with improved performance
One promotion easily pays for years of treatment

Health Savings:

Prevention of diabetes, heart disease, osteoporosis
Reduced future medical costs
Fewer medications needed
Extended healthy years
Preventive investment saves tens of thousands long-term

Relationship Impact:

Restored intimacy and sexual function
Better mood and emotional stability
Improved family relationships
Saving your marriage: Priceless

Quality of Life:

Energy to enjoy life again
Confidence restored
Physical transformation
Mental clarity and focus
Feeling like yourself again: Immeasurable value

Most men say: “I can’t put a price on feeling like a man again.”

Why Immediate Action is Critical:

Every month you wait:

Your symptoms worsen
Muscle continues to waste away
Fat continues to accumulate
Health risks increase
Quality of life continues to suffer
Relationships continue to strain
Career performance continues to suffer

Versus starting now:

Relief begins within weeks
Health risks begin decreasing
Quality of life starts improving immediately
Relationships begin healing
Performance starts returning
Future you will thank present you

What You Need to Do Right Now:

Step 1: Call Our Office Today

Mention your assessment score ([SCORE]/125 – Significant Symptoms) and request priority scheduling.

Step 2: Prepare for Your Consultation

List your top 5 most troubling symptoms
Note how long you’ve been experiencing symptoms
Bring current medications list
Recent lab work if available
Write down your questions

Step 3: Commit to Yourself

Decide that you’re worth feeling better. You deserve to feel like yourself again.

Important Safety Note:

If you are experiencing:

Chest pain or severe shortness of breath
Suicidal thoughts or severe depression
Symptoms of heart attack or stroke
Any medical emergency

Please seek immediate medical attention at your nearest emergency room or call 911.

This assessment is for chronic hormone deficiency evaluation, not emergency medical conditions.

Take Action Today—Your Life is Waiting:

CALL NOW FOR PRIORITY CONSULTATION: (864) 202-6583

(Tell your client coordinator your assessment score and request priority scheduling)

Learn More: biltmorerestorativemedicine.com
Email for Urgent Appointment: info@hormonetherapygreenvillesc.com

We prioritize appointments for men with significant symptoms. You will not have to wait weeks.

Most men with your symptom level start treatment within 10-14 days of consultation.

*This assessment is for educational purposes only and does not constitute medical advice.

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