The Endocrine/Neuroendocrine Laboratory of Age Management Medicine

Mark L. Gordon, M.D.

Medical Director, Millennium-TBI &The Millennium Health Centers, Encino, CA; CBS Studios; USC, Keck School of Medicine, Department of Family Medicine, Los Angeles, CA; Medical Director of Education, Access Medical Laboratories, Jupiter, FL; Member, AMMG Conference Planning Committee

The optimization of laboratory testing for our patients has always been a challenge. Understanding the differences between the technologies used to assess our hormonal well-being as well as what constitutes an optimal hormone level is the focus of this lecture. Looking at the differences between Salivary, Serum and Urine testing aligned with the gold standards of medical communities, can create a legal dilemma based upon the lack of research standards for some of these testing formats. We will discuss the technical formats, selection of lab protocols, and the interpretation of the results all to optimize the patients outcome. Just having a numerical result that fits within the standardized range does not guarantee optimal benefits or risks. In the past 20 years, my practice at Millennium has focused on raising the patients hormonal levels to the 50th – 75th percentage of the accepts medical community’s parameters. It has been within this paradigm shift that we have achieved the greatest amount of benefits for our patients.