
Welcome! Please fill out the following medical history form so that we can move towards setting your appointment with one of our board-certified providers. Please note that we do require relevant labs prior to starting treatment and every 6 months for hormone optimization patients. We will review your information and make sure you have everything you need prior to meeting with your provider. We look forward to welcoming you to the No Limits Family!
Please be sure to fill out ALL the required fields (marked with a *). You will have difficulty submitting the form if all the required fields are not filled out.
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Please choose one of the options below to proceed. Thank you and welcome to the No Limits Family!
1 hour provider visit with a Nurse Practitioner and comprehensive labs. Labs for this option include: Females - Сomplete Blood Count with Differential, Comprehensive Metabolic Panel, Testosterone, Sex Hormone Binding Globulin, Progesterone, Estradiol (E2), FSH and LH, T3, Free, Thyroid Peroxidase, Vitamin B12, Vitamin D, Standard Lipid Panel, Hemoglobin A1C, Fasting Insulin. Males - Сomplete Blood Count with Differential, Comprehensive Metabolic Panel, Testosterone, Sex Hormone Binding Globulin, PSA, Estradiol (E2), Prolactin, T3, Free, Thyroid Peroxidase, Vitamin B12, Vitamin D, Standard Lipid Panel, Hemoglobin A1C, Fasting Insulin
1 hour Medical AND Coaching Session with labs with one of our coaches and Nurse Practitioners. Labs for this option include: Females - Сomplete Blood Count with Differential, Comprehensive Metabolic Panel, Testosterone, Sex Hormone Binding Globulin, Progesterone, Estradiol (E2), FSH and LH, T3, Free, Thyroid Peroxidase, Vitamin B12, Vitamin D, Standard Lipid Panel, Hemoglobin A1C, Fasting Insulin. Males - Сomplete Blood Count with Differential, Comprehensive Metabolic Panel, Testosterone, Sex Hormone Binding Globulin, PSA, Estradiol (E2), Prolactin, T3, Free, Thyroid Peroxidase, Vitamin B12, Vitamin D, Standard Lipid Panel, Hemoglobin A1C, Fasting Insulin
1 hour provider visit with a Nurse Practitioner and EXTENSIVE labs. Labs for this option include: Сomplete Blood Count, Comprehensive Metabolic Panel, Estradiol (E2), Lipid Panel, PSA, Total (male), Sex Hormone Binding Globulin, Testosterone (free and total), TSH, T4 - free, T3 - free, Thyroid Peroxidase Abs (looks for Hashimoto's thyroiditis), Vitamin B12, Vitamin D, 25-OH - total, Cortisol, FSH, LH, CRP-HS (looks for overall inflammation), Magnesium, Insulin - Fasting, Hemoglobin A1c, Iron Binding Capacity - Total, DHEA-Sulfate.
1 hour Medical AND Coaching Session with labs with one of our coaches and Nurse Practitioners. Labs for this option includes: Сomplete Blood Count, Comprehensive Metabolic Panel, Estradiol (E2), Lipid Panel, PSA, Total (male), Sex Hormone Binding Globulin, Testosterone (free and total), TSH, T4 - free, T3 - free, Thyroid Peroxidase Abs (looks for Hashimoto's thyroiditis), Vitamin B12, Vitamin D, 25-OH - total, Cortisol, FSH, LH, CRP-HS (looks for overall inflammation), Magnesium, Insulin - Fasting, Hemoglobin A1c, Iron Binding Capacity - Total, DHEA-Sulfate.
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