Evidence of the standard E2 test's inaccuracy

Here is a study showing the correlation of overestimation of E2 by immunoassay with C reactive protein levels


GAMZiEF.webp


Source: http://press.endocrine.org/doi/figure/10.1210/jc.2012-3861


Further evidence of the immunoassay and it's inaccuracy
2.webp


Source: http://clinchem.aaccjnls.org/content/60/3/510.long


The use of a sensitive, LC/MS assay for serum E2 measurement in males is preferred over direct immunoassays because of its greater sensitivity and lesser interference by other steroids.28 In males, estradiol is present at low concentrations in blood, but it is extraordinarily high in semen.4 Estradiol plays an important role in epididymal function and sperm maturation and is essential for normal spermatogenesis and sperm motility.4

from labcorp regarding the immunoassay https://www.labcorp.com/wps/portal/...408440&criterion=Estradiol,+Sensitive+(LC/MS)


Finally, I introduce Exhibit A: 3.webp into evidence.


The purpose of "Exhibit A" is to show that while the standard test usually overestimates E2, it sometimes does the opposite, and that it's a poor way to assess where your E2 is.
 
I had the same thing, without quoting numbers and due to lab error I received both tests, same day/same blood draw...Sensitive test was higher.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

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Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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