HealthRX.com · Printable lab tracker
Ibutamoren and epitalon monitoring log for your prescriber
Use this sheet to record the measurements a prescriber or pharmacist may want to review if you use ibutamoren, epitalon or both. Fill in the product details, bring the log to each visit, and keep a copy at home.
Product and source details
Write exactly what the label or paperwork says. Leave blank if unknown.
Product name on the labelCopy the name as printed
Ingredient listed (ibutamoren or epitalon)Write each ingredient separately
Form and routeFor example oral, sublingual or injection, as printed
Where it was obtainedPharmacy, clinic, online seller or other
Date first usedWrite the day you started
Prescriber or pharmacist name
Gather before the visit
Bring these to every appointment.
- Bring the original product label or packaging
- List every prescription, supplement and other product you take
- Note the date of your most recent lab results
- Bring any past lab reports showing glucose, glycated hemoglobin or growth factor levels
- Note any new swelling, shortness of breath or weight change since the last visit
- Write down any dizziness, headache or changes in appetite
- Bring this log filled in for the period since your last visit
- Confirm the name and phone number of your prescriber or pharmacist
Measurements to track over time
Record results as your lab or device reports them. Add a note in the last column if something changed.
| Date | Glucose reading | Glycated hemoglobin | Growth factor (IGF) level | Blood pressure | Liver enzyme result |
|---|---|---|---|---|---|
Questions to ask your prescriber or pharmacist
- Which measurements do you want me to bring to each visit?
- Which of these tests do you recommend before I start, while I use these products and after I stop?
- What signs of fluid buildup or heart strain should I report to you right away?
- How should I report blood sugar changes between visits?
- Can you check my full list of medicines and supplements for possible interactions?
- Can you help me confirm the source and ingredients of the product I have?