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Treatment start date

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Time to be reminded

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Check your symptoms by answering the below questions.

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Hot flushes and night sweats.

Sleep & energy

Cognitive & emotional

Physical sensations & pain

Sexual health

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Hot Flushes

Not at all

A little

Quite a bit

Extremely

Night Sweats

Not at all

A little

Quite a bit

Extremely

Trouble Sleeping

Not at all

A little

Quite a bit

Extremely

WAKING UP FEELING TIRED OR FEELING FATIGUED THROUGH THE DAY

Not at all

A little

Quite a bit

Extremely

DIFFICULTY CONCENTRATING (BRAIN FOG)

Not at all

A little

Quite a bit

Extremely

MOOD CHANGES

Not at all

A little

Quite a bit

Extremely

IRRITABILITY

Not at all

A little

Quite a bit

Extremely

FEELING TENSE, NERVOUS OR HAVING ATTACKS OF ANXIETY OR PANIC

Not at all

A little

Quite a bit

Extremely

HEADACHES, PRESSURE OR TIGHTNESS IN HEAD

Not at all

A little

Quite a bit

Extremely

MUSCLE AND JOINT PAINS

Not at all

A little

Quite a bit

Extremely

HEART BEATING QUICKLY OR STRONGLY

Not at all

A little

Quite a bit

Extremely

LOSS OF INTEREST IN SEX

Not at all

A little

Quite a bit

Extremely

YOUR NEXT STEPS

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Astellas makes no guarantee that using the third-party website will result in the outcome you desire. The physician has no obligation to prescribe VEOZAH and may instead prescribe another medication or no medication. It is wholly and solely your responsibility to assess the qualifications of a potential healthcare professional, and to discuss with them your symptoms as well as the risks and benefits of any potential treatment. You are responsible for any charges associated with services offered by the third-party website and should be aware that the third party may not accept medical insurance. ASTELLAS AND ITS AFFILIATES DISCLAIM ANY LIABILITY ARISING FROM YOUR USE AND/OR RELIANCE ON INFORMATION PROVIDED TO YOU BY ANY HEALTHCARE PROFESSIONAL OR THE THIRD-PARTY WEBSITE.

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MAT_ABC_NON_2024_00086 Date of issue of Certificate [28/04/2023]

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