1. Sex Female Male
2. Age Choose Under 18 18 to 34 35 to 49 50 to 64 65 or over
3. What are you researching? Weight and metabolism Injury and recovery Skin, hair and tanning Growth hormone and body composition Sleep Focus and mood Libido and hormones Longevity and energy Immune support
4. Health: do any of these apply to you? Cancer now or in the past Breast, prostate, ovarian or another hormone-sensitive cancer Eating disorder now or in the past Depression, anxiety or suicidal thoughts Diabetes Heart disease or high blood pressure Pancreatitis or gallbladder problems Personal or family history of medullary thyroid cancer or MEN2 Diabetic eye disease, glaucoma or sudden vision changes Melanoma, or many or changing moles Autoimmune condition, including psoriasis, lupus or rheumatoid arthritis Epilepsy or seizures Sleep apnoea Bleeding or clotting disorder Surgery or a procedure under anaesthetic coming up Kidney or liver disease Allergic reaction to an injection or peptide medicine before Trying for a baby
5. Medicines you take now Insulin, gliclazide or other diabetes medicine Warfarin, apixaban, rivaroxaban, clopidogrel or daily aspirin Contraceptive pill Antidepressants, anti-anxiety or ADHD medicine HRT, testosterone or fertility treatment Blood pressure tablets Levothyroxine or other thyroid medicine Steroids, methotrexate or other immune-suppressing medicine Naltrexone Any other prescription medicine
6. Do you compete in a drug-tested sport? Any sport under UK Anti-Doping or an international federation, at any level.
Yes No
7. Have you injected anything yourself before? Yes No, this would be my first time
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