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You can fix the broken record by presenting your supposed DATA that you supposedly presented to them... That would fix that broken record once and for all, and something tells me IF you had that DATA you would eagerly produce it for just that purpose... You're right, this has become futile and...

And if Quest posted that on their lab report WITHOUT you presenting DATA to them, all the more reason I have less faith in their results. If you did present DATA to them, produce it... it's THAT SIMPLE...EVERYONE would appreciate it. Dr Saya

Data.........

Anyone who reads the entire thread, and is intelligent, will easily see the holes. You say "I don't know where you got the middle-range from...that's not even relevant"...umm, it was YOU that first mentioned it, that was also when you became hostile...when I pointed that out. Throw around...

YOUR arrogance is unmatched and unwarranted as evidenced by the COUNTLESS inconsistencies in your posts... When challenged, you attack...as is customary for anyone who cannot partake in a valid evidence-based debate. I've sat down with so-and-so this, talked with yada yada, 1000 of this a 1000...

Being condescending serves no purpose other than self-promotion. I know the statement is there on Quest lab reports and you've stated 10 times it is there as a direct result of your compelling DISCUSSION to Nichols Inst, which I would love to be presented with (as would many others...or at...

I will not post again on this topic... I think we both know where each other stands. Dr Saya

Data walks and bullsh** talks... Has NOTHING to do with personal profit as I am on salary and make not a dollar more or dollar less regardless of what lab tests I order. Myself and, I hope, other like-minded physicians will grant their patients the CHOICE (which you do not) of whether or not...

This is where the mid-range discussion came about, posted by YOU, in THIS thread. Indeed, this discussion is going nowhere. I will continue to order the sensitive estradiol WHEN it seems clinically necessary (on the RARE occasion when the standard assay level and symptoms are discordant), but...

If the data you speak of is assumed to be correct, if anything it proves that one of Quest's assays (standard or sensitive) - or more appropriately their statistical derivation of their reference ranges on said assays - is flawed... remember that "mid-range on one is equivalent to mid-range on...

I hope to see Rando here too! Tell him to come on over

I, and I'm sure many others, would love to see the abstract of this presented data for our own review...please post or point to where it can be reviewed. Until then, I can only speak on statistics and statistical calculations/analysis facts... I do order the sensitive assay, but as I noted...

The location on said bell curve (steeper slope) produces the enhanced SENSITIVITY of differing tests...ie: on steeper part of slope = smaller change is much more evident, on flatter part of sloop = smaller change is less evident, but tells us nothing of the accuracy or reliability of the test...

If the problem lies with the lab, there is either: -human/lab measurement error -reference range calculation error -reference population discrepancy (ie: different assays NOT based on same reference population) - MOST likely Dr Saya

You might want to do same, I understand statistical measurement and analysis more than most, probably you included. I hold a dual Bachelor's degree in Biological Sciences and ECONOMICS - a majority of which deals with statistics. Unless laboratory analysis (and their resultant STATISTICAL...

Then this would mean either one of two things...1- your statement previously (and the statistical fact that I validated above) that mid-range on one panel is equivalent to mid-range on another panel (as long as from same population) is not true - but it IS true as we have both stated (50th...

BTW didn't realize it kept entire post in bold lol... In case anyone forgot their glasses today

Not on gels, on cyp. Three separate occasions where I took the pain to draw at same time through Quest and LabCorp, same result EACH time for different patients (and poorer customer support when staff reached out to them to discuss...just personal experience). Statistics are statistics, unless...

I missed this post previously, but interesting... Not really strange if one understands statistics, but certainly difficult to grasp if they do not. Another example of where the standard E2 assays and the "Sensitive" E2 assays are different and cannot be compared...they both report different...

Check out this thread, Nelson, it will answer your question: https://www.excelmale.com/forum/threads/797-Total-T-over-550-reduces-risk-of-cardiovascular-events-is-TRT-warranted

To me it is all about empowerment. When patients are empowered to take control of their own health and not feel as if their health or health conditions are controlling them, then they become motivated and are much more likely to stay compliant with any regimen, simple or complex. Dr Saya

LOL...it is so the readers can look for better cooking equipment to make it easier for them to do all of that "cutting and chopping and so forth" so they can eat better! All jokes aside, I agree with you in principle on this one. Hormonal treatment, and TRT in general, with all of the...

The definitive test to see if a dental infection/abscess is seeding your system with harmful bacteria would be a blood culture. However, a single blood culture cannot necessarily rule out infection, so often (in the hospital at least) 2 or 3 drawn at different times provides a fairly conclusive...

I agree with Dr John's concern over timeframe for adjusting/optimizing patient's T levels with undecanoate. It is somewhat similar to the pellet method of TRT... Once you place the pellets or take the undecanoate injection, it's there ...and it's there for a LONG time. This makes it more...

I tend to agree, Nelson. In practice, as you may know, the majority of my patients indeed do quite well with once weekly or q5-6 day IM injections. I do not necessarily agree with your statement that most men are too busy to do twice weekly injections. For those patients of mine who either need...

Nelson, what's the current status on the undecanoate approval here in the US? Last I heard they had some over exaggerated concerns about injection site reactions, oil embolisms, etc... Dr Saya

Per Nelson's post, do you have this study Dr John?

Marco, You seem to be a very bright guy, also well-informed on the topic, which puts you way ahead of the game (and some - or all - of the medical providers you may have encountered thus far). As you mentioned, careful E and H/H management crucial for every patient, CRITICAL for you. The acute...

Marco, Hopefully your physician did a coagulopathy work-up on you (or referred you to a hematologist that did) following your blood clot episodes BEFORE giving you that script for testosterone. Testosterone replacement, in some unfortunate men, can lead to the discovery of an underlying...

I like thinking and being stimulated to think, which is why I am now even FURTHER behind on my notes.... have to get cracking before I will have to bring work home, which will get me in hot water with the wife! Dr Saya

IF... "sawtooth" is the goal, agree with low SHBG a smaller more frequent injection is ideal. IF... "sawtooth" is the goal, disagree that with a high SHBG a ONCE weekly larger injection would be better...IF sawtooth pattern is the goal...then sticking with the more frequent injections (same...