WHAT TURNS PRACTITIONERS AWAY
1) SALIVA KITS AND FAULTY TESTING- Rightly so ! Many years ago I worked at a facility that used this testing method. What we noticed immediately was a complete lack of corelation to the patients' symptoms. Another anomoly we notice was that patients using topical forms of HRT were coming back with numbers that were so high, we determined that an I.V. injection would not achieve these type of levels.We decided that these values that were so exponentially beyond the norm, immediate verification was necessary. To our surprise (although not actually), we got serum total Estradiol levels that were undetectable 9/10 times and the same for testosterone. The symptom patterns, however, definitively followed serum. After approaching the Saliva Testing company, the unexpected response for topical medications was "Let's just make up some new ranges". The other response for baseline and other dosage forms was " our diagnostic kits only measure free/bio-available levels. That may be so, but since hormones are highly protein bound to SHBG and/or Albumin the instant they enter the bloodstream. There is no "covert" method via which hormones can "evade" protein binders and successfully enter the target tissues. To even suggest something like that is ridiculous. So any "free" or "bioavailable" levels should have been detected a serum test of the "total" level. That was NOT the case.
In the end, serum, with all of its innate limitations, is still the best method for verification. In the end however, we are treating SYMPTOMS not numbers and diagnostics are just one tool along with patient H&P, Symptom Map, surgical HX, and current/former medication usage, as well as other intangibles all go into creating, monitoring, and adjusting a patients therapy.
2) AN EFFECTIVE, CONSISTENT DOSAGE FORM- This just ONE of our major advantages. Since after years of independent R&D, Testing, Patient reporting, and end outcome, we have achieved what I believe the most effective form yet with THE specific aim for absorbption of steroid hormones. We only share this trade secret with Pharmacies that can effectively reproduce it which also requires a sizeable investment in state-of-the-art equipment. The "norm" for Bio-Identical Therapy is the Topical cream or Gel forms both of which are, by their nature, too variable in performance and are effected by surface area applied, moisture of the skin, clothing, contact with others, subcutaneous fat, etc. By contrast, our specialized forms all absorb at a 10-1 ratio when dosed equally, absorb at a consistent rate, and very closely mimic the pulsitile release found endogenously.
3) FDA APPROVAL- This is the biggest and most perpetuated falsehood in HRT medicine. The truth is all hormones used in the Compounding are FDA approved as are the facilities in which they are made, however, nothing that is made extemporaneously in a Pharmacy WILL EVER BE FDA APPROVED BECAUSE THE FDA DOES NOT OVERSEE COMPOUNDING IN THIS MANNER. The FDA oversees manufacturing which requires GMP and Manufacturing policy. Pharmacy is Governed by their respective Boards and the NABP. ** A word of caution ** A "Good" Compounding Pharmacy should have the products tested regularly and the results should fall within the same limits that are set for manufactured products. Custom Clinical Services maintains an even higher standard for any Pharmacies utilized by us and must pass a trial phase before they can become a participating Pharmacy. Since we routinely order and review Thousands of serum results, it becomes readily apparent whether the medications are performing to our desired standard. This combined with randomized lab testing, and process/safety review of QA & QC procedures ensures an extremely high level of consistency. In fact, the few anomolies that do occur are almost entirely attributed to Lab error or Patient compliance
4) CONFLICTING INFORMATION- There are several organizations in the area of Compounding, unfortunately, their main agendas put profit ahead of quality. It is in their vested interests to maintain the status quo and only educate their prospective customers in venues that benefit their organizations. We at CCS have no such agenda nor to we maitain any affiliation to any organization. We invented and produced our own dosage form and then sought out Pharmacies that had the technology to reproduce it with precision. Furthermore, our business IS YOUR BUSINESS. We are highly vested in your success as without it, we have no business !!!!