Sample results
Increased risk of sudden death refers to conditions where cardiac or life-threatening events can occur unexpectedly, often triggered by substances that severely stress the cardiovascular system. It is caused by dangerous drug combinations, particularly cocaine and alcohol together, which form cocaethylene—a highly toxic metabolite that causes fatal cardiac arrhythmias. The Cocaine and Metabolites Confirmation Blood Test is the most important test for detecting these substances and assessing cardiovascular risk.
Increased risk of sudden death is caused by substances that place extreme stress on the cardiovascular system, particularly cocaine and the combination of cocaine with alcohol. When cocaine and alcohol are used together, they form cocaethylene in the body, a metabolite that is significantly more toxic than cocaine alone and dramatically increases the likelihood of fatal cardiac arrhythmias, heart attack, or stroke. Other contributing factors include underlying heart conditions, pre-existing cardiovascular disease, and the use of stimulant drugs that elevate heart rate and blood pressure to dangerous levels.
The Cocaine and Metabolites Confirmation Blood Test is the most important test for assessing substance-related sudden death risk because it specifically detects cocaine and its dangerous metabolites, including cocaethylene. Cocaethylene is formed when cocaine and alcohol are used together and is far more cardiotoxic than cocaine alone, causing severe cardiovascular stress and fatal arrhythmias. This confirmatory test uses advanced laboratory methods to identify these compounds in blood, providing critical information about exposure to substances that dramatically elevate the risk of sudden cardiac events. Early detection allows for immediate medical intervention and risk reduction strategies.
You should get tested if you or someone you care about has used cocaine, especially in combination with alcohol, or if there are concerns about substance use affecting heart health. Testing is also crucial if you experience symptoms like chest pain, rapid or irregular heartbeat, severe anxiety, or breathing difficulties after substance use. Additionally, if you are undergoing medical evaluation for unexplained cardiac symptoms, workplace drug screening, or substance abuse treatment, this test provides essential information about cardiovascular risk factors that require immediate medical attention.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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