At Home Steroid Testing Guide

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    STER@HDTffiSTPhumoterhAt Home"teroidTestnstruction/0uestionAnswerHqndbookPloceellowti(key'Personoldenlifirotion.|umber(PlN)fromobelediol

    HIRE

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    AtHome*teroidest-t r aboratorybased ool for detecting hepresence f commonSteroidsn urine.IMPORTANTRead entire Test InstructionHandbook before use

    WARNINGSNDPRECAUTIONSThis is a laboratory basedscreening est fo r com-monly used Steroids and/or their metabolites..Although his is a comprehensive aboratory test-: toes lot covereverysubstance vai lable..is'-cai. edical. and environmen-, ' , . : ' .e, i : . . ' . i , :oual. a:sunrprions: i-e : :bs-: . t- le a:sunieC. arr0ultr

    a: i the -rqesror:ou:r cannot be:oielv or labora.or res;- ' : .S.lbs:anceseponedposiriventat 'be :re :esull ofc.recr ngesrion f a Steroid. Sreroi i

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    TONFIRMATIONATERIALS4. Ploslicouchwith bsorbentod5. Po$ogeoid re-oddresedmoilerox

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    Urine ompleollecfionHave the ColiectionCup and LabeledVialready.Check to make sure that the number on theLabeledVial matchesyour personalIdentiflcation Number.

    Wash your hands with soap and warm water.Urinate directly into the Collection Cup (withtemperaturemonitoring strip). Fill the cup toabove he 6OmL 2 oz.)mark It is 0K to haveextra sample. Wipe any splashesor spills thatmay be on the outsideof this cup.Immediately checkthe temperature-monitoringstrip. The temperatureshould readbetween90'F and 100"F.f the temperature s not in thisrange, he samplemay be alteredand anothersampleshould be collected. For more informa-tion about tampering, please ead the section ASpecialNote to ParentsAbout SampleTampering'l

    6. Open he LabeledVial and carefirily pour theurine liom the CollectionCup nto the LabeledVial. Fill the vial to about 213 vll and tightlyclose he cap.7. Wash and dry hands.8. Place he LabeledViat into the plastic pouchwith the absorbentmaterial.9. Seal he ptastic pouch.10.Place he sealedplastic pouch into thepostagepre-paid addressed ox mailer.Closeand seal.ll. Place he box mailer into any U.S.postalmailbox.PI.EASIOIEHIMAII-ERSPOSTAGIRE-PAID.OUO\lOINIID O AYt'|YOSTAGI.HIBOXNBIMAII-IDROMNYI-O(ATIONHI .S.O$ FFI(II(KSP AII.IT15MPORATANTOMAII-HtSAMPLIIGHTWAYSOI-DSPE(IMINSAYOI E UITABTIORISTING.

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    Aspeciololeoporenfsbodompering:A good urine sample s very important to gettingan accurate result. It is very important that thesample to be screenedhas not been altered ortampered with in any way.The following stepsare hings you can do to min-imize or reduce he possibilitythat the samplehasbeen tamperedwith:o Make sure he faucets n the bathroom basinand showerare tumed off tightly and the chitdshould be instructednot to tum them on.o Placeblue colorlng into the toilet. This willhelp to discourage he use of any watersources o di lute he specimen.o Tape medicine cabinet door closed.o Check he child's clothing to ensure hat theydo not have accesso or anything in their pos-session hat would be used to tamper with the

    specimen.\Ahether or not you as a parent makes a decision ouse any of these options is your choice. This deci-sion is best made after careflrl consideration basedupon your knowledge of the child. Preferably, hechild should be tested andom-ly.

    GellingheLoboroloryesuhsio he nlernel1. Get the Personal dentif ication Number [PIN)from the colored sticker on page 1 ofthisbooklet beforeyou log onto the intemet. Youmust have this number to obtain your results.2. Log onto urr.w.phamatech.com3. At the top of the page click the At Home'"

    Results ab.4. Under Lab Resultsenteryour 'PersonalIdentifi cation Number'.5. Re-enteryour 'Personal dentificationNumber' for verification.6. Ciick'SubmitiYOURISULISHOUI.DtAVAILABIIO OBUSINESSAYSFIERYOUHIPPTDOURAMPLI.ItsTRtsur_TStlr_E(Eff 1{ tLroR HTRTY30) Ays.o|JMUSTL0G-|NRlLr_WrrHrNHTRTY30) AY50RECHVToURrsUt"TS.RTMIMBERO AVIOURTRSONATDENTIHilTINUMBIRA]'|DY,AS IsUffWIII- OTE ISCI.OSTDITHOUTAIN UMBIR.Pt"tAsrAr_LusT0MrRrRVr(rT-877-H0MI-TESTlt -87 66-3837t0RA5SSTANE.

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    GetfingheLoborotoryesultsiohePhone1. Get the Penonal Identification Number {pINlfrom the coloredsrickeron page I of r_hisbooklet before you call for your results. youmust have this number to obtain your results.2. Dial 1 877-HOIVIE-TESTr -87T 466-383Tl.Monday through Friday beftveen7:00 AM and5:00 PM Pacific StandardTime.3. Identiff yourself by your personalIdentificationNumber (PIN) only.4. You will be given your laboratory results orthosesubstanceshat are positive.YOURISUITSHOUI.DEVAITABUO OBUSINESSAYSFIIRYOUHIPPIDOURAMPI-I.TtsT tsut_Tsllil_Lt (En NRtrFoRt|tRIy30)DAYS.ouMU$0Gtl'|Rttt wtTHtNHtRTy30) AYS0RtGtVt0uRRESUITS.IMIMEERO|AVEOURIRSO}|AI-DENTIIIGTINNUMBIRA]{DY,5RTSUI-TSII.I-OTE ISTTOSEDITHOUTPINUMBER.PI.IASTI.I USTOMERTRVITTT{77-HOMI-TESTlt87 66.3837F0 A$tSTANft

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    UnderslondingheResultsAt Home'" Steroid Test is a screeningtest for thepresenceof common steroidsand / or their metabo-lites. It provides quantitative result for the detection/ presence of Testosterone,Noretiochoianolone,Oxymetholone, Dehydroepiandrosterone,Nortes_tosterone, Hydroxyandrosterone, Methandienone,Norandrosterone,Hydroxyetiocholanolone, Epites-toslerone nd Stanozolol.Theresults re eported spositive if:1. The laboratory detectsa substanceisted aboveata cutoff greate than 2 ng/ml which is notnafurally found in human urine and/or:2. The laboratory detecteda combination ofsubstances isted above which occur nafurally inhuman urineabove he curoff ol2 ng/ml bur r_heratio of such substancesndicatesSteroidingestionor enhancement.This applies o testos-teroneand epitestosterone.The ratio of testosteroneand epitestosterones nor-mally a 1 1 ratio.Testosteronengestionor enhance-ment will increase the ratio of testosterone toepitestosterone.The aboratorywill report a positivetestosteroneevel at a ratio of greater han or equalto 5:1. I I0

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    Wholoesnegoliveeslesuh eon?This means hat if the sample was collectedproper-1y, hen none of the compounds isted above weredetectedabove normal levels ound in human urine.Te$ imifolions:I Failure to use this product as directed may

    result in an insufficient sample or inaccurateresult.r This test can be used on urine samplesonly.

    No other fluids have beenevaluated. Do notuse this product for anything but urine.

    I Our laboratory must receive an adequateamount of sample o perform testing.

    r The urine sample s perishable. Old urinesamplesmay not be suitable or testing.

    I Certain foods and medicines,diet plan drugsand nutritional supplementsmay causeapositive result with this product.

    r This laboratory test is limited to thosesubstancesisted in the Instruction /Questionand Answer Handbook.r In rare cases,naturally occurring Steroidslisted in this Handbook may be elevatedandreported as positive due to a physiologicalcondition, a diseaseor the result of thetreatment of a disease.r The possibility exists that substances ndfactors not described n this Handbook mayinterfere with the test, causing positiveresults.r Adulterated urine samplesmay produceerroneous esults.r Liability is limited to the purchaseprice ofthe kit.PRES(RIPTIONRUGSCertain prescription medications may resu lt in apositive Steroid est.This does not mean an indi-vidual is abusing hat substance.We recommendthat you consult with your health-care providerto better understand he laboratory result. l32

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    QuestionsAnswers

    Noreliocholonolonei, a metabotitef theana-bolic Steroid Nandrolone. The presenceof nore-tiocholanolone is an indicator of Nandroloneingestion,a banned anabolic steroid.0xymelholoneAnodrol)is a syntheticnaboticSteroid. It is classified as a Schedule II drugunder the FDA and approved or prescription usefor treating HIV wasting syndrome. It is usedillegally to promote body mass and has signifi-cant side effects due to its potency.DehydroepiondrosleroneDHEAIrs a naturalSteroid prohormone. DHEA is the precursor ofandrostenedione,which is converted to testos-terone. DHEA is used as a treatment forAlzheimer's diseaseand systemic lupus erythe-matous. DHEA is sold as a dietary supplementand is used as a muscle-building or performanceenhancing drug by athletes.NOfleStOSlefOnIs a dietary supplementwhich isconverted n the body to testosterone.

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    TffiSTWhols...TeSfOSlgfOne Is a Steroid hormone from theandrogengroup. It is produced n the testesandadrenal glands in males and in the ovaries andadrenal glands in females. It is the principlemale sex hormone and an anabolic Steroid. It isingestedto increase he body's levels of testos-terone resulting n musclemass,musclestrength,bone density,bone strength, ibido, mental ener-gy and physical energy. Testosterone s availablefor injection, orai administration,buccal (mucousglands in the membranes lining the mouth)administration and transdermal throughthe skindrug delivery) applications.

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    Hydroxyondroslerone-s a hormoneeleasedythe testes and adrenal glands. Naturally occur-ring levels are low and the presence of levelsabove he cutoff suggests he ingestion of Steroidenhancing substances r dietary supplements.MethondienoneMelhonoplex)-s a quick cting,anabolicsteroid hat produces mmensemusclemassin a very short amount of time. It is a derivative oftestosterone. t was once the most commonly usedSteroid. It is banned by the FDA and illegal in theUnited States,however, t is readily available fromother countries.Norondfoslefon0 Is a naturally produced Steroidand a metaboliteof the anabolic SteroidNandroloneand of nortestosterone. Nandrolone is a bannedsubstancebut found in many dietary supplements.The detectionof Norandrosterones an indication ofNandrolone ingestion. The effect of Nandrolone issimilar to that of Testosterone.

    HydroxyetiocholonoloneIs a hormoneeleasedythe testesand adrenal glands. Naturally occurringlevels are low and the presenceof levels above thecutoff suggests he ingestion of Steroid enhancingsubstances r dietary supplements.Epile$oslefone- s a natural Steroid and an isomeroftestosterone. It is ingestedas a masking agenttodecreasehe testosterone epitestosteroneatio afteringestion of testosteroneor testosteroneproducingsubstance. n normal urine t}le ratio oftestosteroneto epitestosterone s approximately 1:1. See'Understanding he Results' or further information.SfonozololWinsfol)Isa syrtheticnabolic teroidderived from Testosterone. It is approved by theFDA for human use to treat anemia and hereditaryangioedema, ut is banned lom most sports organ-izations. Stanozolol s a Schedule II drug and reg-ulated by the FDA. As with other testosterone )?eSteroids t causes ncreasedstrength without exces-sive weight gain, promotes ncreases n vascularityand doesnot nroduce female oaits.

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    Howong flerngestingteroidsonhey edeteclednurine?Each substance s clearedby the body at differentrates. The amount ofa substance concentration)nthe body, how often the substance s administered,how the substance is administered (swallowed.injected,etc.), he route ofingestion, as well as userage,weight, diet, and metabolic rate all play a partin detection imes. Steroidmay be detected rom asearly as several days up to a year, depending on thefactors isted above.

    Li$edelowsoglossoryfdefinitionsopproprioleoSleroidesling.(UtOff Theconcentrationf a targetsubstancen aspecimen t or abovewhich he test s calledposi-tive andbelow t is callednegative.G/MS - An abbreviationor the instrument ech-niquewhichcoupleshepowerful eparationoten-tial of gaschromatography ith the speciflccharac-terization bilityof mass pectrometly.M0SS peclfOmelfy anaysis using an analyricalinstrumenthat provides ccuratenformation boutthe molecuiarmass ndstructure f a complexmol-ecule. This echnique an dentiflrextremely ma1lamounts f substancesr metabolitesy theirmass-flagmented pectrum.MefubOlile By-products f substancesetabolizedin the body.AndfOgeniC refers o the increasen masculinecharacteristicsroduced y a Steroid.Anobolic- refers o increasen musclemass har-acteristicsroduced v a Steroid. l98

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    SynthefiCtefOid referso a Steroidhat s pro-duced in a laboratory to mimic naturally occurringsubstancesn the body.PfOhOfmOne refers o a substance hat is a precur-sor to a hormone,usually having minimal hormon-a-l effect itself.

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