Do not measure serum free testosterone in the suspicion of male hypogonadism.
Available immunoassays seem to underestimate testosterone levels and, they are not reliable for free testosterone measurement. The mass spectrometry and equilibrium dialysis are more accurate methodologies. However, they are laboriously, relatively expensive,...
Don’t treat patients sensitized to allergens or aptens if there is not a clear correlation between exposure to that specific allergen/apten and symptoms suggestive of allergic reaction. This recommendation is particularly strong for allergen immunotherapy and elimination diets.
The finding of a positive allergometric test for an allergen whose exposure is not related to any typical allergic symptom is uniquely indicative of an immunological sensitization.Therefore, there is no indication to treat patients only sensitized to allergens or...
Don’t perform serological allergy tests (i.e.: total IgE, specific IgE, ISAC) as first-line tests or as “screening” assays.
Cutaneous allergometric tests, if possible, should be preferred and considered as the first diagnostic level in case of patients with clinical history of suspect allergic reactions, as they are more rapid, less invasive and cheaper than serological tests. Exceptions...
Don’t perform the so-called “food intolerance tests” (apart from those which are validated for suspect celiac disease or lactose enzymatic intolerance)
Several methods are constantly proposed to diagnose the so-called “food intolerance”; these procedures includes VEGA-test, Cytotoxic test, serum specific IgG4 dosage, hair analysis and “bioresonance” techniques. None of these procedure has sufficient scientific...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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