Form Demo Page

Are you 40 to 65 years of age?

Yes

No

Have you had a mentrual period within the last 6 months?

Yes

No

Are you experiencing hot flashes associated with menopause

Yes

No

Not sure

Do you suffer from any of the following?

Significant history of heart problems like arrythmias, heart block, QT prolongation

Current or previous history of malignancy (except basal and squamous cell skin tumors

Uncontrolled or treatment resistant hypertension

History of untreated hyperthyroidism or hypothyroidism

Contact Us