Pre-consultation: Performance Enhancement

First name *

Last name *

Email *

Phone *

Date of birth *

What are you looking to enhance? *

Select all that apply

Athletic performance

Muscle mass

Recovery

Endurance

Cognitive performance

Energy

Sexual performance

Anti-ageing

Other

What is your current training type? *

Strength/resistance

Endurance/cardio

Team sport

Combat sport

Crossover (mixed)

Other

How many sessions per week? *

Years of serious training experience?

What is your competition level?

Some treatments are banned in competitive sport. We'll discuss WADA/UKAD implications.

Recreational

Amateur competitive

Semi-professional

Professional

What supplements do you currently use?

List brands and dosages if possible

Have you used performance-enhancing substances before? *

No judgment. Honest history helps us assess your needs and manage risk.

No

Yes

For testosterone: what dose, how long, how many cycles?

Include cycling pattern (on/off duration)

For other steroids: which ones, doses, duration?

For SARMs: which ones, doses, duration?

Did you do PCT (post-cycle therapy)?

PCT helps restore natural hormone production after cycles

N/A

No

Yes, what protocol?

Are you currently using any performance-enhancing substances? *

No

Yes

Do you experience any of these symptoms?

Select all that apply

Fatigue

Low libido

Erectile dysfunction

Mood changes/depression

Acne

Hair loss

Broadening of breast tissue

Testicular shrinkage

Joint pain

Insomnia

Water retention

None of these

Have you had blood tests while using performance substances?

No

Yes

Do you have or have you had heart disease, blood clots, or stroke? *

No

Yes

Do you have prostate disease or concerns?

No

Yes

Do you have liver or kidney disease?

No

Yes

Do you have high cholesterol or blood pressure?

No

Yes, controlled

Yes, uncontrolled

Any mental health history (depression, anxiety)?

No

Yes

Any fertility concerns or plans to have children?

Anabolic steroids suppress sperm production. This is important for family planning.

No

Yes

What is your resting heart rate (bpm)?

Have you had cardiac screening (ECG or echocardiogram)?

No

Yes, normal

Yes, abnormal findings

What are your primary goals for this consultation? *

Medical monitoring

Optimise performance naturally

Testosterone replacement/TRT

Peptide therapy

Bloodwork and assessment

Harm reduction advice

Come off PEDs safely

PCT support

General advice

What is your preferred approach? *

Natural optimization only

Pharmaceutical support

Combination approach

Unsure - want professional guidance

What other medications are you taking?

Do you have any allergies or sensitivities?

Is there anything else you'd like to tell us?

Anything relevant to your goals or health that we should know

Here's what you've told us. Have a quick check, then hit send - this means your consultation can focus on what actually matters to you.

Your details

Name

Email

Phone

Date of birth

Your Training & Goals

What are you looking to enhance? -

What is your current training type? -

How many sessions per week? -

Years of serious training experience? -

What is your competition level? -

Current & Previous Substance Use

What supplements do you currently use? -

Have you used performance-enhancing substances before? -

For testosterone: what dose, how long, how many cycles? -

For other steroids: which ones, doses, duration? -

For SARMs: which ones, doses, duration? -

Did you do PCT (post-cycle therapy)? -

Are you currently using any performance-enhancing substances? -

Current Symptoms

Do you experience any of these symptoms? -

Blood Work History

Have you had blood tests while using performance substances? -

Medical Safety Check

Do you have or have you had heart disease, blood clots, or stroke? -

Do you have prostate disease or concerns? -

Do you have liver or kidney disease? -

Do you have high cholesterol or blood pressure? -

Any mental health history (depression, anxiety)? -

Any fertility concerns or plans to have children? -

Vitals & Cardiac Screening

What is your resting heart rate (bpm)? -

Have you had cardiac screening (ECG or echocardiogram)? -

Goals & Preferences

What are your primary goals for this consultation? -

What is your preferred approach? -

What other medications are you taking? -

Do you have any allergies or sensitivities? -

Is there anything else you'd like to tell us? -

Upload recent blood work or medical records (optional)

Share recent hormone panels, lipid profiles, liver/kidney function tests, or ECG results

Click to upload files

Anything else for your doctor?