Commentary

Dear Mr. Morgenthaler,

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Health & Wellness Update

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Medical Tests to Assess Sex-Hormone-Related Cancer Risk

• Cabbages and Cancer Risk
  
• Is Estrogen Carcinogenic?

• 2/16a-hydroxyestrone-ratio: This can be done using a single urine specimen, collected at any time of the day or (for women) any time of the menstrual cycle. The test is $89 plus shipping and handling..
  
  
• 24-hour-urine-for sex-steroids panel: This panel checks for estrone, estradiol, estriol, progesterone,and testosterone, as well as DHEA and two DHEA metabolites, etiocholanolone and androsterone (these two last steroids are important for properly gauging DHEA dosage). The test is $149.
  
  
• Serum testosterone/estradiol ratio: This test (for men) is done using a single serum specimen. It’s $40. For women, serum testosterone alone is $20. (At this price, there is a shipping charge added.)
  
  
• Additionally, Meridian has tests for serum DHEA ($49), serum DHEA-S ($20), and serum progesterone ($20.)