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Old 06-21-2007, 03:15 PM   5 links from elsewhere to this Post. Click to view. #31
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Quote:
Originally Posted by hardasnails1973
phil also has hypopititaury that is also being finally treated properly with all hormones inclusing aldosterone which does effect estrogen metabolism in some way but have not found out how but it really will tank ones e2

120 mgs a week put me at trough at 1111 TT but bio T was only mid way ? and that was on a 2 week split m,th 60 mgs with 250 ius hcg day before the shot. Blood was drwn on monday morning before shot and i was on .5 mgs armidex on day of shot but quest did the wrong test for e2 and royally set me back almost 2 months because of it..Now on stable test E at 42.5 mgs every 3 days with 250 ius of hcg with .5 mgs armidex on day of the shot to help bring down the e2 levels of 73 will retest in 4 weeks
e2, dht, biotest, TT, homocysteine, Lp(a), ft4, ft3, copper, ferritin, CBC, CMP
It is complex proposition, but if TT=1111 have given you BioT only in the middle range I would probably stay at that T level and try to straighten up my act in other areas.

It is very important to have steady routine and not to get screwed by laboratory.
For my next test I will go to Quest lab, script in hand and have them prepare paperwork first.
I did that first time and they let me check the tests that they were going to do.
I still missed pregnenolone and double Testosterone, but that was realy my fault, one can say.
Unfortunately with large tests there is big chance for screw-ups.
 
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Old 06-21-2007, 03:37 PM   #32
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Nails,
You are 25 to 30 something with testicals that still produce T. JansZ is older with testicals that probably produce nothing.

It is very very likely he will need more T than you to end up in upper range.

hCG in people with responding testes, healthy young leydig cells will crank up T 200 points(Like in you)

JansZ testicals are probably permanently shutdown, leydig cells in testes will become basically 'dead" from having years of no response/use, desensitized. hCG still benefit though because balls will swell up, prevent scrotum from tightening up, for looks as well.

I have read stuff that hCG will boost mood, blood flow of genital area even if testicals do not work anymore.

There is new cutting edge work now that has shown hCG is a very very potent fat burner and metabolism booster. Exact sceince of such is still unknown.

hMG is the new guy on the block. It is basically FSH(follicle stimulating hormone). It combined with hCG(basically LH) and becomes a deadly, potent one-two punch. It will be the new wave, in future everyone will inject hCG and hMG in conjunction. Some are already on bandwagon. hCG and hMG is also the newest and improved way to restard HTPA axis.
 
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Old 06-21-2007, 04:00 PM   #33
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Quote:
Originally Posted by JanSz
It is complex proposition, but if TT=1111 have given you BioT only in the middle range I would probably stay at that T level and try to straighten up my act in other areas.

It is very important to have steady routine and not to get screwed by laboratory.
For my next test I will go to Quest lab, script in hand and have them prepare paperwork first.
I did that first time and they let me check the tests that they were going to do.
I still missed pregnenolone and double Testosterone, but that was realy my fault, one can say.
Unfortunately with large tests there is big chance for screw-ups.
ACtually by lowering the dosage T will most likely not convert to e2 as much and also give my receptors rest. If i can reduce my medicines such as armidex and increase bioavailable testosterone. i think it will be just easier to reduce the TT and the dht and e2 should come down considerable rather then throwing in more medicines to comepnsate for it..
 
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Old 06-21-2007, 04:25 PM   #34
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Quote:
Originally Posted by plymouth city
Nails,
You are 25 to 30 something with testicals that still produce T. JansZ is older with testicals that probably produce nothing.

It is very very likely he will need more T than you to end up in upper range.

hCG in people with responding testes, healthy young leydig cells will crank up T 200 points(Like in you)

JansZ testicals are probably permanently shutdown, leydig cells in testes will become basically 'dead" from having years of no response/use, desensitized. hCG still benefit though because balls will swell up, prevent scrotum from tightening up, for looks as well.

I have read stuff that hCG will boost mood, blood flow of genital area even if testicals do not work anymore.

There is new cutting edge work now that has shown hCG is a very very potent fat burner and metabolism booster. Exact sceince of such is still unknown.

hMG is the new guy on the block. It is basically FSH(follicle stimulating hormone). It combined with hCG(basically LH) and becomes a deadly, potent one-two punch. It will be the new wave, in future everyone will inject hCG and hMG in conjunction. Some are already on bandwagon. hCG and hMG is also the newest and improved way to restard HTPA axis.
Research, and reports of people who used it would help.
It would have to be from somebody who did not cared for fertility but cared primarily for health and happy love making.
.
 
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Old 06-22-2007, 02:11 PM   #35
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Quote:
Originally Posted by JanSz
Research, and reports of people who used it would help.
It would have to be from somebody who did not cared for fertility but cared primarily for health and happy love making.
.
JansZ,

Im on it, but remember, hMG and hCG in conjunction for HRT is probably only being used by a few hundred people at best right now, probably all within the last year. this is very very new territory
 
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Old 06-22-2007, 02:40 PM   #36
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Quote:
Originally Posted by plymouth city
JansZ,

Im on it, but remember, hMG and hCG in conjunction for HRT is probably only being used by a few hundred people at best right now, probably all within the last year. this is very very new territory
Well, thanks for being open about.
But now few questions.

Have you been on HCG alone for enough time to be able feel difference if any when you added HMG?

What is that difference?

What brand of HMG that you are using, dose, frequency

There is HCG, HMG and FSH, have you considered using all three?

How much it cost?

Where to buy to get good price?

I can get script if I really am convinced of the benefits, so do not hold back.

Why are you using HMG, are you trying to get her pregnant or for personal fulfilment?
--------------------------------------------------------

Wish you luck
--------------------------------------------------------
http://forum.mesomorphosis.com/536457-post31.html

In this post, on the bottom, there is a link to a table that shows different brands of
FSH
HCG
HMG
 
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Old 06-23-2007, 02:26 PM   #37
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What is the cheapest injectible fertility drug you can buy in the US?
Question:
What is the cheapest injectible fertility drug you can buy in the US? I have heard of quite a few different injectible drugs you can use (i.e., Pergonal, HMG, Humegon, etc) and want to know if there is a drug that is cheaper than the others and also is it effective?


Answer:
- FSH/LH drugs (HMG): Repronex is cheapest in most places, Humegon next, then Pergonal is much more costly. They are all basically the same. FSH: Only Fertinex to choose from. RhFSH: Follistim is cheaper than Gonal-F in most places. Repronex or Humegon are probably the cheapest injectible meds you can get ahold of right now. - And repronex works, trust me. That's what I'm using. Now if we can just get those darn sperm to swim in the right direction...




Gonal -F® 75 IU
(Serono Europe Pack) $48.50

Gonal -F® 900 IU PEN
(Serono Europe Pack) $580.00

Follistim® (Puregon®) 300 IU
(Organon Europe Pack) $172.50

Follistim® (Puregon®) 600 IU
(Organon Europe Pack) $345.00

Repronex®(Menopur®) 75 IU
(Ferring Europe Pack) $34.00

HMG (Generic Repronex®) 75 IU
(Generic Europe Pack) $12.75


Fostimon® (Gen. Bravelle®) 75 IU
(IBSA Europe Pack) $28.00

HCG (Pregnyl®) 10,000 IU
(Organon Europe Pack) $25.00


Lupron® - 14 day, 2.8 ml
(Abbott Europe Pack) $170.00

Synarel® Spray (0.2 mg/0.5ml)
(Pharmacia Europe Pack) $190.00

Antagon®(Orgalutran®) .25 mg/.5 ml
(Organon Europe Pack) $57.00

Cetrotide® 0.25 mg
(Serono Europe Pack) $60.00

Ovidrel® (Ovitrelle®) (250 mcg)
(Serono Europe Pack) $58.00

Clomid® 50 mg (each)
(Aventis Europe Pack) $1.50
================================================== =========================


Bravelle™ 75 International Units Vial
Cetrotide® .25mg prefilled syringe
Cetrotide® 3mg prefilled syringe
Clomiphene Citrate 50mg Tabs
Crinone Gel 8% Vaginal Applicators
Fertile One vitamin supplement 120 Tablets
Follistim® AQ 300 International Units, 600 International Units and 900 International Units Cartridge
75 International Units and 150 International Units Vial
Ganirelix (formerly Antagon) 250mcg Syringe
Gonal - F® 450 International Units Multi Dose Vial
Gonal - F® RFF 75 International Units Vial
Gonal - F® RFF Pen 300, 450 and 900
HCG 10,000 International Units Vial
IVIG Varies
Lupron® 2 Week Kit
Leuprolide Acetate 2 Week Kit
Luveris® 75 International Units Vial
Menopur® 75 International Units Vial
Novarel™ 10,000 International Units Vial
Ovidrel® 250mcg Prefilled Syringe
Progesterone in Oil 50 mg/ml Vial
10ml Vial
Repronex® 75 International Units Vial
 
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Old 06-23-2007, 03:16 PM   #38
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Quote:
Originally Posted by JanSz
What is the cheapest injectible fertility drug you can buy in the US?
Question:
What is the cheapest injectible fertility drug you can buy in the US? I have heard of quite a few different injectible drugs you can use (i.e., Pergonal, HMG, Humegon, etc) and want to know if there is a drug that is cheaper than the others and also is it effective?


Answer:
- FSH/LH drugs (HMG): Repronex is cheapest in most places, Humegon next, then Pergonal is much more costly. They are all basically the same. FSH: Only Fertinex to choose from. RhFSH: Follistim is cheaper than Gonal-F in most places. Repronex or Humegon are probably the cheapest injectible meds you can get ahold of right now. - And repronex works, trust me. That's what I'm using. Now if we can just get those darn sperm to swim in the right direction...
================================================== ====================




Gonal -F® 75 IU
(Serono Europe Pack) $48.50

Gonal -F® 900 IU PEN
(Serono Europe Pack) $580.00

Follistim® (Puregon®) 300 IU
(Organon Europe Pack) $172.50

Follistim® (Puregon®) 600 IU
(Organon Europe Pack) $345.00

Repronex®(Menopur®) 75 IU
(Ferring Europe Pack) $34.00

HMG (Generic Repronex®) 75 IU
(Generic Europe Pack) $12.75


Fostimon® (Gen. Bravelle®) 75 IU
(IBSA Europe Pack) $28.00

HCG (Pregnyl®) 10,000 IU
(Organon Europe Pack) $25.00


Lupron® - 14 day, 2.8 ml
(Abbott Europe Pack) $170.00

Synarel® Spray (0.2 mg/0.5ml)
(Pharmacia Europe Pack) $190.00

Antagon®(Orgalutran®) .25 mg/.5 ml
(Organon Europe Pack) $57.00

Cetrotide® 0.25 mg
(Serono Europe Pack) $60.00

Ovidrel® (Ovitrelle®) (250 mcg)
(Serono Europe Pack) $58.00

Clomid® 50 mg (each)
(Aventis Europe Pack) $1.50

I tihnk you are not allowed to post that
 
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Old 06-23-2007, 03:52 PM   #39
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Quote:
Originally Posted by hardasnails1973
I tihnk you are not allowed to post that
One need script to buy from that place.
I posted to get ball park prices and names.
 
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Old 06-25-2007, 03:09 PM   #40
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Using my study above using RoidCalculator, I note that on weekly injection test blood level are half on minimum of what they are at the max.
------
Using this study, I know T levels at the minimum. Blood drawn on the day of weekly shot right before the shot.

AJP - Endocrinology and Metabolism -- Bhasin et al. 281 (6): E1172 Table 2

Testosterone dose-response relationships in healthy young men -- Bhasin et al. 281 (6): E1172 -- AJP - Endocrinology and Metabolism

Testosterone dose-response relationships in healthy young men -- Bhasin et al. 281 (6): E1172 -- AJP - Endocrinology and Metabolism

------------------------
My analysis is shown on the attached chart, also bottom line results are below. Variation= ±75 should be added when reading the table.
Also remember that in the study endogenous testosterone was blocked, testis were not producing T during study.

DepoT TotalT SHBG FreeT SHBG FreeT
25 353 xxxx 300 xxxx 250
30 381 xxxx 300 xxxx 250
35 410 xxxx 300 xxxx 250
40 438 xxxx 300 xxxx 250
45 466 xxxx 300 xxxx 250
50 494 xxxx 300 xxxx 250
55 522 xxxx 300 xxxx 250
60 551 xxxx 300 xxxx 250
65 579 xxxx 300 xxxx 250
70 607 xxxx 300 xxxx 250
75 635 xxxx 300 xxxx 250
80 663 xxxx 300 xxxx 250
85 692 xxxx 300 xxxx 250
90 720 xxxx 300 xxxx 250
95 748 xxxx 300 xxxx 250
100 776 xx5 300 14.4 250
105 805 xx7 300 16.5 250
110 833 xx9 300 18.6 250
115 861 10.8 300 20.7 250
120 889 xx13 300 xx23 250
125 917 xx15 300 xx25 250
130 946 16.7 300 x27.3 250
135 974 18.7 300 x29.4 250
140 1002 xx21 300 x31.5 250
145 1030 22.6 300 x33.5 250
150 1058 24.5 300 x35.6 250
155 1087 26.4 300 xx38 250
160 1115 28.4 300 xx40 250
165 1143 30.4 300 x42.2 250
170 1171 32.3 300 x44.4 250
175 1199 34.3 300 x46.3 250
180 1228 36.3 300 x48.5 250
185 1256 38.2 300 x50.7 250
190 1284 xx40 300 x52.8 250
195 1312 xxxx 300 xx55 250
200 1340 xx44 300 xx57 250
205 1369 xxxx 300 x59.3 250
210 1397 xx48 300 x61.5 250
215 1425 xxxx 300 x63.4 250
220 1453 51.7 300 xxxx 250
225 1481 xxxx 300 xxxx 250
230 1510 55.6 300 xxxx 250
235 1538 xxxx 300 xxxx 250
240 1566 xxxx 300 xxxx 250
245 1594 xxxx 300 xxxx 250
250 1622 63.5 300 xxxx 250
255 1651 xxxx 300 xxxx 250
260 1679 xxxx 300 xxxx 250
265 1707 xxxx 300 xxxx 250
270 1735 xxxx 300 xxxx 250
275 1763 xxxx 300 xxxx 250
280 1792 xxxx 300 xxxx 250
285 1820 xxxx 300 xxxx 250
290 1848 xxxx 300 xxxx 250
295 1876 xxxx 300 xxxx 250
300 1904 83.0 300 99.9 250
=======================
Free & Bioavailable Testosterone calculator
------------------------------
Unit conversion
Conventional units - SI units

Chemistry Conversion

Unit Prefix Conversion Calculator
------------------------------
SI Units for Clinical Data

very big tabeConversion:

to convert from the conventional unit to the SI unit, multiply by the conversion factor;
to convert from the SI unit to the conventional unit, divide by the conversion factor.

Estradiol pg/mL 3.671 pmol/L
Estriol ng/mL 3.467 nmol/L
Estrone ng/dL 37 pmoI/L
Testosterone ng/dL 0.0347 nmol/L

------------------------------
Adrenal Labs - How to Interpret them ***
Stop The Thyroid Madness :: View topic - *** Adrenal Labs - How to Interpret them ***

Stop The Thyroid Madness » ADRENALS FAQ–the most frequently asked questions
------------------------------
 
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Old 07-11-2007, 03:05 PM   #41
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Dr Shippen Chart

Link to (TT, SHBG, FreeT) chart
http://www.andropause.org.uk/nomo_tas.pdf

The Andropause Society Home


================================================== ====================
Dr Shippen Chart

Testosterone Conversion Factor: pg/ml x 3.47 = pMol/L


Androgen Deficiency in the Adult ... - Google Book Search

This chart is from a book:

Androgen Defficiency in the
Adult Male
causes, diagnosis and treatment
by
Malcom Carruthers

printed by Taylor and Princes Group
 
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Old 07-11-2007, 06:53 PM   #42
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Interesting....i applied my last two tests - used my shgb and TT and used this to calculate FreeT, and this chart resulted in almost 2x the Free t compared to my Quest results.
 
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Old 07-12-2007, 09:06 AM   #43
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Quote:
Originally Posted by AnotherOldGuy
Interesting....i applied my last two tests - used my shgb and TT and used this to calculate FreeT, and this chart resulted in almost 2x the Free t compared to my Quest results.
I am not surprised.
Was your FreeT assayed or calculated by Quest.
There is at least two ways (probably more) to get number that is called FreeT.
FreeT and BioAvailableT tests are notoriously inaccurate (grossly, over 200%).
The chart is a fall-back way out of this confusion.
Dr Shippen uses this chart (if that would help getting some confidence).

The chart is 1999 vintage, made based on science of about 1990.
To my knowledge there are at least two items that greatly influence results in rather uncontrolable ways;
recently discovered duality of SHBG
and
fact that age of person being tested influences results.

Wish Dr John had a time to discuss this issue.


AnotherOldGuy, hopefully this issue will bother you enough so you will dig deeper, if you find anything helpfull and relevant please post it right here or open new thread.
Not sure yet, but I think older guys are infueced more by this than younger whipper snappers.

In this post
Anabolic Steroids and Bodybuilding - View Single Post - Attention all those on Sub-q injections

I have made attempt at calculating FreeT using internet provided calculator.
Since results come widely scattered I no longer have confidence using it.

age-associated Bio-T
age-associated Bio-T
 
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Old 07-22-2007, 11:29 AM   #44
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My list for blood testing, long, for once/year testing.
Latter will add shorter list, for 2-3/year corrective action, tweaks.
Below are my ICD-9 codes that helps with insurance.

Also place to buy syringes for Testosterone and HCG.

(I modify this list as I learn about my preferences, if you follow this list, please check it shortly before you make test request)
Print from here down to the next blue text.

1 ----------- Chemistry Screen
2 ----------- Hepatic Function Panel (10256X)
3 ----------- kidney panel
4 ----------- VAP TM Cholesterol Test (10270X)
5 ----------- Comprehensive Metabolic Panel w/EGFR
6 ----------- CBC w/ diff/PLT
7 ----------- • Iodine Panel - (2503)
8 ----------- Selenium
9 ----------- Copper, serum
10 ----------- Zinc
11 ----------- Magnesium
12 ----------- Phosphate, serum
13 ----------- C-Reactive Protein (CRP), Highly Sensitive, CSF - (17401X)
14 ----------- Fibrinogen
15 ----------- Homocysteine, cardio
16 ----------- Lipoprotein (A) Lp(A)
17 ----------- • Iron and Iron Binding Capacity (7573X) - (356N)
18 ----------- • Iron, Total (571X) - (24984P)
19 ----------- • Ferritin (457X) - (22764P)
20 ----------- • Transferrin (891X) - (30346P)
21 ----------- • Folate, RBC & Hematocrit - (1768N)
22 ----------- • Hemoglobin A1c (496X) - (45484P)
23 ----------- • Hemoglobin, Plasma (514X) - (7211P)
24 ----------- VITAMIN SCREEN
25 ----------- VITAMIN B PANEL 2 - (9067)
26 ----------- VITAMIN D PANEL (5678X)
27 ----------- T3 Free
28 ----------- T4,Free
29 ----------- reverse T3 (rT3)
30 ----------- Ultrasensitive TSH
31 ----------- Thyroid Peroxidase and Thyroglobulin Antibodies (7260X)
32 ----------- Insuline, serum
33 ----------- PSA, Total
34 ----------- PSA, %, free
35 ----------- IGF Binding protein-3
36 ----------- IGF-1
37 ----------- Aldosterone
38 ----------- Cortisol AM/PM
39 ----------- DHEA sulfate
40 ----------- Prolactin
41 ----------- FSH
42 ----------- LH
43 ----------- Progesterone, LC/MS/MS
44 ----------- Pregnenolone
45 ----------- Estradiol, Ultrasensitive, LC/MS/MS (30289X)
46 ----------- Estrone, LC/MS/MS (23244X)
47 ----------- Testosterone, Free, Bio/Total (LC/MS/MS)
48 ----------- Dihydrotestosterone (204X)

-----------------------------------------------------------------------------------------------------------------------
250.00
250.01
255.4
783.9
257.2
272.4
601.9
780.4
780.79
788.41
253.3
255.8
End of list ==============================.
(I modify this list as I learn about my preferences, if you follow this list, please check it shortly before you make test request)

ICD9Data.com - Free 2007 ICD-9-CM Medical Coding Database

250.00 Diabetes mellitus without complication type ii or unspecified type not stated as uncontrolled 2009 ICD-9-CM Diagnosis 250.00 - Diabetes Mellitus Without Complication Type Ii Or Unspecified Type Not Stated As Uncontrolled
250.01 Diabetes mellitus without complication type i not stated as uncontrolled 2009 ICD-9-CM Diagnosis 250.01 - Diabetes Mellitus Without Complication Type I Not Stated As Uncontrolled
255.4 Corticoadrenal insufficiency 2009 ICD-9-CM Diagnosis 255.4 - Corticoadrenal Insufficiency
783.9 Other symptoms concerning nutrition metabolism and development 2009 ICD-9-CM Diagnosis 783.9 - Other Symptoms Concerning Nutrition Metabolism And Development
257.2 Other testicular hypofunction 2007 ICD-9-CM Diagnosis 257.2 - Other Testicular Hypofunction
272.4 Other and unspecified hyperlipidemia 2007 ICD-9-CM Diagnosis 272.* - Disorders of lipoid metabolism
601.9 Prostatitis unspecified 2007 ICD-9-CM Diagnosis 601.* - Inflammatory diseases of prostate
780.4 Dizziness and giddiness 2007 ICD-9-CM Diagnosis 780.4 - Dizziness And Giddiness
780.79 Other malaise and fatigue 2007 ICD-9-CM Diagnosis 780.79 - Other Malaise And Fatigue
788.41 Urinary frequency 2007 ICD-9-CM Diagnosis 788.41 - Urinary Frequency
253.3 Adult Onset Growth Hormone Deficiency
255.8 Other specified disorders of adrenal glands 2007 ICD-9-CM Diagnosis 255.8 - Other Specified Disorders Of Adrenal Glands

Anabolic Steroids and Bodybuilding - View Single Post - Adrenal fatigue, does it really exist?
255 Disorders of adrenal glands
For coding adrenal fatigue, I just use the code for Other Specified Disorders of the Adrenal Glands - which I call Adrenal Fatigue
255.8 Other specified disorders of adrenal glands 2007 ICD-9-CM Diagnosis 255.8 - Other Specified Disorders Of Adrenal Glands
HGH and Insurance Coverage
Dr. John 12-17-2006, 06:25 AM
ICD-9 253.3 Adult Onset Growth Hormone Deficiency
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EstroEssence

that I send for on Monday Oct1/2007 had the following
ICD-9 codes
600.0
606.1
257.2
253.4

Genova Diagnostics EstroEssence

The EstroEssence check the following 11 (eleven) indicators:

Estrone (24hr urine)Male 3.00-12.00 mcg/24 hr
Estradiol (24hr urine)Male1.50-6.00 mcg/24 hr
Estriol (24hr urine)Male 3.00-28.50 mcg/24 hr

2-Hydroxyestrone (24hr urine) 0.26-13.68 mcg/24 hr
2-Methoxyestrone (24hr urine) 0.34-9.03 mcg/24 hr
16α-Hydroxyestrone (24hr urine) 0.25-7.89 mcg/24 hr
4-Hydroxyestrone (24hr urine) 0.33-1.95 mcg/24 hr
4-Methoxyestrone (24hr urine) 0.40 0.20-1.60 mcg/24 hr
2-Hydroxyestrone/16α-Hydroxestrone Ratio (24hr urine)0.94-1.56 Ratio
2-Methoxyestrone/2-Hydroxyestrone Ratio (24hr urine) 0.11-4.00 Ratio
4-Methoxyestrone /4-Hydroxyestrone Ratio (24hr urine) 0.18-3.60 Ratio
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Tests good for fishing out possible problems:
Comprehensive Digestive Stool Analysis (CDSA) 2.0
GDX Comprehensive Digestive Stool Analysis
Genova Diagnostics