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I think he is saying if you don't test the level no one will know it's that high. If you need a level you can test at a time that fits your need. There is no restrictions on time you test levels. The space between two numbers is a restriction not a treatment plan. The blood level does not reflect what is happening at the cellular level. Asking why did they test E2 and he never got the response he was after. They should have said the patient had symptoms but they was just testing because they think they should. I think he was over inflating his numbers trying to make a point. He is teaching them how to bend the rules.