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Quest Diagnostics Ultrasensitive Estradiol Code
The aforementioned thread by Nelson is a great post, emphasizing you MUST run the more sensitive estradiol assay. The standard assay is not valid for adult males, and usually over-estimates the true E concentration. This may lead to inappropriate use of an aromatase inhibitor, to the detriment...- Dr. John Crisler
- Post #2
- Forum: Blood Test Discussion
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Quest Diagnostics Ultrasensitive Estradiol Code
The code, and range, provided in this thread: Suggested Lab Tests and Questions Before and After Initiation of Testosterone Replacement ...needs an edit. The proper code is 30289, and range is "<29" (I am unable to reply to that thread directly)- Dr. John Crisler
- Thread
- Replies: 3
- Forum: Blood Test Discussion
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Estradiol (standard vs. sensitive)
I see numbers...but not a word about how you FEEL...- Dr. John Crisler
- Post #8
- Forum: Testosterone Side Effect Management
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Estradiol (standard vs. sensitive)
Right, Nelson, and compounded (pun intended) by the fact they treat to numbers, not actual symptoms. IF there are no elevated symptoms, I do not add an AI.- Dr. John Crisler
- Post #7
- Forum: Testosterone Side Effect Management
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Estradiol (standard vs. sensitive)
That's pretty common, as the Standard assay greatly overestimates the actual concentration of E2.- Dr. John Crisler
- Post #6
- Forum: Testosterone Side Effect Management
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Gynecomastia: Clinical evaluation and management
Without further evaluation--including labs--it's not possible to say. But nipples which are increasing in size is indeed a sign of gynocomastia. Since we talked about it, I hope the estrogen test is appropriate for an adult male; that is to say an enhanced laboratory methodology. IF the...- Dr. John Crisler
- Post #5
- Forum: Testosterone Side Effect Management
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
Have they been shown to be so in adult males? Or is he extrapolating? All these years, hundreds of patients, and not a single event while on Arimidex.- Dr. John Crisler
- Post #17
- Forum: Testosterone Side Effect Management
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
Have they been shown to be so in adult males? Or is he extrapolating? All these years, hundreds of patients, and not a single event while on Arimidex.- Dr. John Crisler
- Post #17
- Forum: Expert Interviews
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
I always have monitored the CBC.- Dr. John Crisler
- Post #15
- Forum: Testosterone Side Effect Management
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
I always have monitored the CBC.- Dr. John Crisler
- Post #15
- Forum: Expert Interviews
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
How much faith do we have in the 1-2% incidence claim? IF there is going to be an issue, he says it will show up in the first 3 months. This sure does warrant an additional two questions on Medical History (personal and Family Medical History).- Dr. John Crisler
- Post #14
- Forum: Testosterone Side Effect Management
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
How much faith do we have in the 1-2% incidence claim? IF there is going to be an issue, he says it will show up in the first 3 months. This sure does warrant an additional two questions on Medical History (personal and Family Medical History).- Dr. John Crisler
- Post #14
- Forum: Expert Interviews
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
"1-2% of men taking T will develop blood clots related to underlying inherited clotting abnormalities or to acquired thrombophilia (the antiphospholipid antibody syndrome)." I have not seen a single case of this in a dozen years of prescribing TRT, including use of anastrazole, on a daily...- Dr. John Crisler
- Post #10
- Forum: Testosterone Side Effect Management
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Can Testosterone Induce Blood Clots and Thrombosis? Interview with Dr Charles Glueck
"1-2% of men taking T will develop blood clots related to underlying inherited clotting abnormalities or to acquired thrombophilia (the antiphospholipid antibody syndrome)." I have not seen a single case of this in a dozen years of prescribing TRT, including use of anastrazole, on a daily...- Dr. John Crisler
- Post #10
- Forum: Expert Interviews
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