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Template for posting [Bloodwork]

FruitInMyLoop

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COPY AND PASTE THIS TABLE

Link to BloodworkInsert Image Link Here
SourceTag Source Here
Test Ester RunningCypionate, Enanthate, Propionate
Weekly Testosterone Dose (mg)Mg
Other Compounds in CycleInsert anything else in cycle
Weekly Dose Other Compunds (mg)Mg
Weeks RunInter Number of Weeks
Draw Time from Last PinInsert Hours from last pin to draw
Blood Results
Testosterone Reading in ng/dlng/dl
Testosterone MultiplierReading/weekly dose
Test Capped at 1500?Yes or No
Estrogen (E2) Reading pg/mlpg/ml
Liver/Lipids Elevated?Yes or No
Anything Else Goes Below
Blood Thicker than Yogurt pls help, Why am I still smol?
 
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mrsmaam80

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COPY AND PASTE THIS TABLE

Link to BloodworkInsert Image Link Here
SourceTag Source Here
Test Ester Running
Weekly Testosterone Dose (mg)Mg
Other Compounds in Cycleanavar, gh, nolva, primo, t3, clen
Weekly Dose Other Compunds (mg)var 10 ED, gh 1u ED, nolva 20 ED, primo 25 twice weekly, t3 25 ED, clen 40 ED
Weeks Run8
6
Blood Results
Testosterone Reading in ng/dlng/dl
Testosterone MultiplierReading/weekly dose
Test Capped at 1500?
Estrogen (E2) Reading pg/mlpg/ml
Liver/Lipids Elevated?Yes
Anything Else Goes Below
Blood Thicker than Yogurt pls help, Why am I still smol?
 

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readalot

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Weekly Dose Other Compunds (mg)Mg
Weeks RunInter Number of Weeks
Draw Time from Last PinInsert Hours from last pin to draw
Respectfully, the template table should also include injection frequency for the weekly dose total. While I understand the wiki lists requirements for hours post injection prior to blood draw, these instructions (without considering injection frequency) create a discrepancy for comparison of results and computed "multiplier".

Time for blood to be drawn:
  • Test P & A 12-24 hours after last pin. You need to not have been on any long esters for 3 weeks beforehand and you need to have been on Test P/A for minimum 3 weeks.
  • Test E 36-48 hours after last pin. You need to be on for at least 5 weeks.
  • Test C 48-60 hours after last pin. You need to be on for at least 5 weeks.

To repeat, a member's TT by LCMS may be drastically different if injecting ED vs E7D and then pulling blood work at the requested hours post injection found in the Wiki. What's needed is a common basis for calculated multiplier (namely, mean serum TT level) to bring self-consistency across all injection frequencies.

As an improvement to current system employed, especially given that the PK profile of Test E and Test C are basically interchangeable, I'd respectfully submit using a pharmacokinetic conversion table (similar to attached) to convert trough measurement to mean level (assumes 8 hr absorption half life / 4.5 day elimination half life). There is only one trough no matter the injection frequency, and it is easy to time with blood draw.

Also for fun, I've included a dose response graph showing 2.5, 50, and 97.5 percentile "multipliers" based on published PK studies along with some crowdsourced data.

I would welcome any and all feedback if there is interest.
5150ee13b32c55bf3ab0f47d22a17ccc34104a22.png

d4607dc0df3f84ebd6c9c0bfc6582d7bcc075498.png

Would be happy to make another table for Test P. Yes, to be clear, the graph is intended for Test E/Test C. Would need correction for Test P.

In conclusion, with this harmonized approach the multipliers will fall between 3.5 and 9 for vast majority of users. A bunch of additional details to consider as well. Using an oral like oxandrolone will crush SHBG and make TT multiplier lower than without. So perhaps there could be additional constraints implemented for this system.

Comments on this section of Wiki:

Provided the bloods were drawn according to the timetable above, the test multiplier (test levels in ng/dl divided by weekly dose of test in mg) needs to be above 4.0x to count as good blood work. Test multipliers below 4x will be counted as bad bloodwork. Prior blood work may be taken into account (i.e. if a user has gotten bloodwork 5 times and consistently converts at a 4x multiplier from pharma test and various SST source’s test, then this will not be counted as bad bloodwork) at the discretion of the mods.

As shown in graph above, a floor of 4x is too high to demonstrate "good" blood work. Using the harmonized approach I've introduced here, the 95% confidence interval includes a multiplier of 4x. Less than 3.5x would be reasonable if a member isn't crushing their SHBG. We can discuss how tight management would want the confidence interval...95, 99, 99.5%, etc. It is all doable with the math.

Thanks for taking the time to read!
 
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readalot

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Well not quite the vigorous discussion one might expect. Oh well.
 

mmaphdmba

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Looking at your table, 4x is the min the orange trend line already hits....
 

readalot

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Looking at your table, 4x is the min the orange trend line already hits....
Yes 4x would be inside the confidence interval and above the orange line. Thanks for taking a look.
 

readalot

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Right, so why are you advocating for 3.5x if 4x is above confidence interval?
3.5x would be a little below 2.5 percentile. Maybe 1 to 2 percentile.

4x is about 5-7 percentile roughly. A 4x floor misses some normal responses. In the end a matter of how stringent you want the confidence interval to be. IMO, a 4x floor introduces too many false negatives (type II error).
 
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mmaphdmba

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This isn't car parts manufacturing where you need a six sigma variation control. This is injecting testosterone.
 

readalot

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This isn't car parts manufacturing where you need a six sigma variation control. This is injecting testosterone.
I answered your question. Thanks for sharing your opinion.

No, this isn't injecting testosterone. This is a method that is being used to make a conclusion about the potency/efficacy of a product and "good" vs "bad". That requires judicious use of stats and setting appropriate confidence limits.
 

mmaphdmba

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I answered your question. Thanks for sharing your opinion.

No, this isn't injecting testosterone. This is a method that is being used to make a conclusion about the potency/efficacy of a product and "good" vs "bad". That requires judicious use of stats and setting appropriate confidence limits.
Confidence limits were set. There are so many individual variables that a decision was made that 4x is fine. aromatase activity, shbg binding, subQ vs IM, albumin levles and so on. You want to go to 3.5x, go for it. 4x hitting a 97% confidence interval is perfectly acceptable for everyone on this board, except you it seems.
 

readalot

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4x hitting a 97% confidence interval
Where'd you get that? As I explained above in detail, 4x isn't 97 percentile. It is inside the 95% confidence interval, but that is not what we are looking for. We are looking for the bottom (aka lower limit) of the xx% confidence interval, which is 2.5 percentile (e.g., for 95% confidence interval) or about 3.7x multiplier. Or to be a little more conservative you could go 3.5x to cast a slightly wider confidence interval.

Fyi.
 
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readalot

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There are so many individual variables that a decision was made that 4x is fine. aromatase activity, shbg binding, subQ vs IM, albumin levles and so on.
Nice comment. I see no mention of how 4x was set as floor. Would be interested to read that if you know where that is.
 

mmaphdmba

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Where'd you get that? As I explained above in detail, 4x isn't 97 percentile. It is inside the 95% confidence interval, but that is not what we are looking for. We are looking for the bottom (aka lower limit) of the xx% confidence interval, which is 2.5 percentile (e.g., for 95% confidence interval) or about 3.7x multiplier. Or to be a little more conservative you could go 3.5x to cast a slightly wider confidence interval.

Fyi.
4x is literally the lower line at 97.5% confidence in the graph you posted.
 

mmaphdmba

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Nice comment. I see no mention of how 4x was set as floor. Would be interested to read that if you know where that is.
I didn't set the limits. You're the only person challenging them. Find something on the wiki or ask a mod.
 

readalot

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4x is literally the lower line at 97.5% confidence in the graph you posted.
Ahh, i see why we are talking past each other. Without the intercept, yes, I would agree that f(x) = 4x

is similar enough to

f(x) = 3.77x+97

for this application. I was referring to the numerical value of the slope with the intercept included. These intercepts become more important at the higher percentile responses.

Ignoring the intercept would reduce the R2, but to your point there is a lot of uncertainty with all these variables. Thanks for taking a look.

When I get time I'll recalculate the slopes with no intercept to compare R2 with and without intercepts.

Nice chatting with you. Thanks for your input.
 
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mmaphdmba

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By training I'm a scientist, look at stuff like this all day.

I was also an original member on the t-nation forums way back in the early 2000s. Lots and lots of dumbasses there, and just based on their data all of them are over 4x too. Even they can use 4x as a baseline for analysis
 
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