@Hulkmaster97
So a couple of things here real quick, I'm not sure what kind of cool points you get for having an approved blood result, but if you are asking so that you can get the offered credit from me then I approve, hands down. I do not need the Capt to give the green light.
Secondly I want to address the total testosterone that you have posted. The guy that responded to you a couple of times lacks the culmination of empirical data as well as examination of any outliers to narrow down the likely suspect in this case. Preferring to shoot from the hip and risk being wrong, yet still a viable possibility. Unfortunately for everyone, the gear is always on trial and I get that completely. However when we start to look at actual facts and data we can see that going back 3 pages and looking at bloodwork, we see 10 tests, which are as follows:
4.25
6.793
4.872
9.24
6.2
7.6
8.66
10.9
6.08
5.9
So it seems rather strange to have a 2.3 come across, indicating that there is perhaps something more at play here than "bad gear". By all means, feel free to have it tested, I'll reimburse you for that and I don't mean store credit but dollar for dollar (coin for coin). I am looking into this a little deeper, with my initial findings showing that there seems to be a correlation between quest diagnostics and the testosterone, total, MS (which is very different from the LC/ms/ms test) and Primo or NPP. I have reviewed a lot of other sources bloodwork that was low and the common denominator is definitely the Testing Methodology. Here is a snippet of information regarding the difference between the two testing procedures at the bottom of this page for reference. Do you have access to a testing procedure with the Total Testosterone LC/MS/MS? You didn't mention primo so I assume you weren't taking it? I will dive further into this to find answers, hopefully that will help across the community. If it comes down to the gear then absolutely you can have your money back as one person happily suggested or replacement or whatever you deem appropriate. People before profit. Currently the information we have available doesn't suggest this nor does my in-house testing that I perform. Common sense would also suggest that years of consistency tell an appropriate story as well, indicating that I'm not going to take the most inexpensive compound and sell it short, that just doesn't pass the sniff test. Regardless, I'll share my findings with you and feel free to reciprocate. Thank you,
Syn
I almost forgot:
"Isotope dilution mass spectrometry (MS) is the reference method for total testosterone measurement, but most labs rely on direct chemiluminescent immunoassays that displace bound forms of testosterone from SHBG and albumin. Results of these immunoassays depend on the effectiveness of displacement. They also suffer from limitations such as lack of specificity for cross-reacting steroids, insufficient analytical sensitivity, and imprecision at low concentrations. Other methods used in clinical labs include liquid chromatography-tandem MS (LC-MS/MS) and gas chromatography MS. Both MS-based assays and immunoassays face the challenges of standardization across platforms and appropriate reference intervals partitioned for gender and age groups."
Jing Cao, PhD, DABCC, FACB, takes a look at the pros and cons of different assays for measuring testosterone and how labs can select the best method to meet their needs.
www.aacc.org
