The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
the mass spectrometry testing which has fancy names is used in research and in clinical labs and it's prob like and I believe you can specialize that so sorry specifically order that so we we do order lcms when we send our patients people know that way that is when when we order estrogen levels testosterone levels we we actually request lcms
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So, you know, it is worth splurging and paying the extra maybe it's5 or $10. It would be the cash price difference on that test. But absolutely make sure when testosterone and estradiol are being measured, if you're the physician, you actually have to go through the hoops and make sure you're ordering the LCMS test. And if you're a patient, you should be asking for it.
which would be the gold standard for total testosterone is liquid chromatography with tandem mass spectrometry.