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Ethan Leeds

Holistic Health Consultant

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Metabolic Health Self-Assessment

Many people experience symptoms that seem unrelated — fatigue, weight gain, poor sleep, digestive issues, brain fog, hormonal changes.

In many cases these are not separate problems but different signals of the same underlying metabolic imbalance.

Below is a list of 100 common symptoms.
Simply tick any that apply to you.

Many people are surprised how many they recognise.

⬇

Weight & Body Composition

⭐ Stubborn abdominal (visceral) fat

Difficulty losing weight despite effort

Weight gain without increased calories

"Puffy" or inflamed appearance

Loss of muscle tone

Fat gain mostly around midsection

Skinny arms/legs but central belly

Rapid fat regain after dieting

Plateau despite calorie restriction

Strong hunger during weight loss attempts

Immune & Healing

⭐ Frequent infections (colds, flu, etc.)

⭐ Slow healing of cuts or wounds

Getting sick more often than others

Recurring sinus infections

Frequent sore throats

Persistent fatigue after illness

Skin infections or irritations

Gums that bleed easily

Cold sores or recurring mouth sores

Difficulty fully recovering after illness

Circulation & Fluid Balance

⭐ Cold hands or feet

⭐ Swelling in ankles or feet

Feeling lightheaded when standing up

Poor circulation

Hands or feet frequently numb or tingling

Puffy hands or face

Water retention or fluid retention

Varicose veins

Leg cramps

Heavy feeling in legs

Mental & Cognitive

⭐ Brain fog

⭐ Difficulty concentrating

Forgetfulness

Mental fatigue

Difficulty making decisions

Low motivation

Feeling mentally overwhelmed easily

Poor memory recall

Slower thinking or processing

Difficulty focusing on tasks

Digestive Signals

⭐ Frequent bloating after meals

⭐ Excess gas or belching

Acid reflux or heartburn

Constipation

Loose stools or diarrhea

Feeling overly full after normal meals

Abdominal discomfort after eating

Food sensitivities or intolerances

Irregular bowel movements

Nausea after meals

Inflammation & Pain

⭐ Chronic low-grade inflammation

⭐ Joint pain without clear injury

Morning stiffness in joints or muscles

Muscle aches or tenderness

Frequent headaches

Migraines

Back pain or neck tension

Slow recovery after exercise

Swollen or tender joints

General body soreness without obvious cause

Hormonal Signals

⭐ Irregular menstrual cycles

⭐ Difficulty getting pregnant

Reduced libido

Erectile dysfunction

Low morning testosterone (men)

Hot flashes or night sweats

Premenstrual mood swings

Excess facial or body hair (women)

Hair thinning or hair loss

Breast tenderness or swelling

Sleep & Recovery

⭐ Difficulty falling asleep

⭐ Waking between 2–4am and struggling to return to sleep

Waking unrefreshed even after a full night’s sleep

Needing an alarm and still feeling exhausted

Daytime sleepiness

Energy improves late evening (“second wind”)

Restless or light sleep

Waking multiple times during the night

Difficulty relaxing or switching off at night

Feeling mentally tired but physically wired

Energy & Blood Sugar Regulation

⭐ Strong sugar or carb cravings

⭐ Energy crash after meals

Afternoon fatigue (2–4pm slump)

Feeling shaky or irritable when meals are delayed

Brain fog after eating

Needing caffeine to function

Energy spikes then crashes during the day

Difficulty concentrating when hungry

Feeling better after eating something sweet

Insulin resistance, pre-diabetes, or diabetes diagnosis

Skin & Visible Markers

⭐ Skin tags

⭐ Dark patches of skin (neck, armpits, groin)

Acne beyond teenage years

Oily skin

Thinning hair or hair loss

Excess facial or body hair (women)

Dry skin patches

Slow wound healing

Easy bruising

Swollen or puffy face

Want To Know What Your Symptoms May Indicate? ⭐ Some symptoms above were marked with a star.

These tend to be stronger indicators of underlying metabolic imbalance.

If you recognised several symptoms — especially ⭐ symptoms — there may be a clear metabolic pattern connecting them.

Enter your details below and I’ll personally review your symptom pattern and explain what it may indicate.

First name

Email

Ethan Leeds Holistic Nutritionist

ethan@ethanleeds.com

© 2026 Ethan Leeds

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