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Growth Hormone Abuse and Detection in Athletes
By Jerald Cook, MD, FACOEM

In Blog by Jerald Cook

Recombinant human growth hormone (rhGH) is a popular hormone of abuse for performance enhancement with athletes. It is developed through recombinant technology, using E. coli bacteria and human DNA to generate the hormone, reducing the immunogenicity of the hormone. It is difficult to differentiate endogenous and exogenous hormone in toxicology testing because the hormone that is generated in vitro is …

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Cocaine: Acute Toxicity and Presumptive Testing
By Jerald Cook, MD, FACOEM

In Blog by Jerald Cook

Cocaine remains a popular drug of abuse, and per HHS (2008) of 6.5 million US Federal workplace drug tests, about 40,000 were positive for cocaine in 2007. Drug testing for cocaine is based on the metabolite benzoylecogonine which is detectable in the user’s urine for 24 hours, possibly even up to 72 hours. Non-metabolized cocaine may only be detectable for …

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Forensic Science Scrutiny
By Jerald Cook, MD, FACOEM

In Blog by CTO My Industry Brand

In 2016 the White House reported that they were going to scrutinize some forensic sciences in the court room. The White House’s scrutiny, however, over some forensic disciplines is probably justified. When the level of evidence required is very high, the expectations from the scientific community should also be very high. These are usually cases where consequences of decisions can …

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Presumptive Testing
By Jerald Cook, MD, FACOEM

In Blog by CTO My Industry Brand

Presumptive tests, also known as preliminary tests or field tests, allow drugs to be quickly classified into a particular chemical group, but do not unequivocally identify the presence of a specific chemical compound. Preliminary drug test results are often included in a panel of tests, which then be used as a guide to an appropriate confirmatory test to determine and …

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Fibromyalgia and Disability
By Jerald Cook, MD, FACOEM

In Blog by CTO My Industry Brand

Fibromyalgia is considered a functional disorder with unknown etiology and unclear pathophysiology. It’s not well understood because there is little objective information to support the physical and psychological impairment that affected individuals report. This often becomes a challenge for individuals that feel disabled by the disorder and try to prove that the disorder prevents productive and meaningful work, so they …