Medical Exam

To Cablemodem...
I had the problem with the Medical with my fiance. He admitted to using drugs in the past, but hasn't since last year, cause they said they can tell if he has in the last 2 years. When we went to the Consulate, said he tested positive for drugs. He quit his job to go to Juarez, Mexico (we lived in Cancun) to see the Consulate, I was with him nonstop for almost 3 weeks before the Consulate. We were going to cross over to El Paso, TX to go to NY where I am from. Everything was bought and planned and we did not expect any problems. He was on this anti-fungal foot medication for one week and stopped taking it 2 days before the test. I looked at the ingredient and did research and it has been known to mess up tests and has been used for drug addict and HIV patients. When I told the Consulae this, she did not want to hear it and turned away. We were not allowed to have a copy of his Medical. My lawyer said I need to get a lawyer down in Mexico to help this cause their is only so much she can do here, some immigration lawyer. Now I am in NY, without my fiance, trying to figure out how to get him here. He has to stay with his sister cause he has no job anymore and we gave up our apartment. What to do? I am writing to everyone and everywhere to find out what to do. My fiancee has to go on his medication on August 1st for a week and again on September 1 for the last week. He will go to a private doctor and have him test him when he is on it. If we have to do hair sample, we will.

DETECTION TIMES

Drug tests detect drugs as well as metabolites. Metabolites are the by-products of a substance after it has run through your system. To determine whether you will pass or not, it is important to know how much of the illicit metabolites are in your urine and how much is tested for. The table below gives an approximation; however, it varies depending on a number of factors. Testing method and levels tested for are major factors.

Amphetamines: 2 -4 days
Barbituates:
Short-Acting (ie. secobarbital): 1 day
Long-Acting (ie. phenobarbital): 2-3 weeks
Benzodiazepines: 3-7 days
Cannabinoids: 3-30 days
Cocaine: 2-4 days
Codeine: 2-5 days
Euphorics (MDMA, psilocybin): 1-3 days
LSD: 1-4 days
Opiates: 2-4 days
Phencyclidine (PCP): 2-4 days
Steroids (anabolic)
- ****: 14 days
parenterally: 1 month


Other factors determining degree of intoxication include metabolism, tolerance, frequency of intake, fluid intake, in case of THC the amount of marijuana, potency of marijuana, and length of time you've been a user. If you use marijuana on rare occasions, your urine may be clean of metabolites in less than a week. There is a common and strange phenomena that occurs with chronic users. You would expect a chronic user to have the longest detection time and the smallest chance of passing. This is not always the case. A chronic user with a high tolerance will eliminate drugs quicker than an occasional user. Chronic users have tested negative after a week long binge. Lipid tissue also makes a huge difference. Skinny users not only have a faster metabolism (usually), but also lack storage for THC metabolites. Fat will cause a lag in excretion pattern, and lead to a longer detection time. You should now be able to understand why an individual's detection time for THC is so unpredictable.

Please don't post or e-mail a question "how long will it take..." This is the single most frequently asked question. Many people can't even begin to estimate a detection for their own bodies, let alone the unseen, unknown body of a lost internet explorer.

Those who oppose drug testing provide numbers indicating a high level of false positives. Those who favor drug testing provide numbers indicating high levels of accuracy. The fact is that accuracy varies widely from lab to lab. Generally speaking, NIDA labs are accurate.
NIDA (The National Institute of Drug Abuse) is the government organization responsible for regulating the drug-testing industry. The vast majority of urine drug screens done these days conform to NIDA specs, and ALL testing associated with the government (department of transportation, etc.) complies with the NIDA standard. It is NIDA that decides what the "safe" cutoffs are to avoid false positives.... Despite what you might hear on the net, urinalysis, if done correctly, is a very accurate scientific procedure. I know of no labs that simply report the results of the initial EMIT screening without confirming the sample on GC/MS. The fact is, labs WANT you to test negative, because then they only have to run an EMIT test on your urine (a few cents). If you test positive, they must then confirm the positive result on GC/MS, which is considerably more expensive. . . .Incidentally, the machine which tests the hair is a relative of the GC/MS, but is FAR more precise. It can accurately detect levels of THC in a solution that are below 1 ng/mL!

CAP (College of American Pathologists) also certifies laboratories the way NIDA does. NIDA keeps it's labs in check by sending positive and negative double-blind samples. Lab personnel does not know what samples came from NIDA. If the lab results are wrong, NIDA may take away the labs certification. Only labs that perform the GC/MS on site can be NIDA certified. Labs that send samples to another laboratory for GC/MS confirmation are ineligible for NIDA certification. "Drug testing when done properly with all required controls and confirmation procedures is very accurate and reliable" (anon1).

Not all labs are NIDA/CAP certified. Some labs do not properly and thoroughly clean the GC/MS equipment. Some labs don't even do a GC/MS confirmation! Some labs use cheap alternative methods to reduce expenses.

Many human errors occur in labs and cause inaccurate results. Some are careless or irresponsible errors, and some errors are accidents. Human error can ruin the results of ANY test, screening or confirmation GC/MS.

The only lab you should be concerned with is the one that is testing you. Only Federal jobs require NIDA standards. Your typical private employer may use any lab s/he chooses, which would very likely be the least expensive. Businesses don't always choose NIDA labs that follow-up a positive screening test with a confirmation GC/MS.

Procedures used:
In the workplace, an EMIT screening is typically used, with a CG/MS confirmation if the EMIT is positive. However, this is not a rule; employers can, and some do, use unusual procedures. Some employers use the RIA, and some use the hair test. The government uses RIA. They may or may not supervise the subject. Olympic athletes must be monitored by courier after a competition. The courier stays with the athlete until the athlete urinates, with a time frame of up to sixty minutes.

False positives:
No laboratory process is completely free from error. The GC/MS test is virtually error free, but the EMIT is far from accurate. There are some false positives you should avoid if you're getting an EMIT test. Take this seriously; false positives run high. If you know that there will be a GC/MS confirmation test, you can disregard this section. It would be too lengthy to list all of the false positives here. Jeff Nightbyrd's "Conquering the Urine Tests" pamphlet lists a majority of the false positives in detail. (If you are clean, want to get back at the testing industry for conducting these absurd tests, and know that there will be a confirmation test, you could consume several false positives. This would force labs to pay for the high priced GC/MS test, eventually drive up test expenses. You will still pass the test as long as you didn't use any true positives.)

Ibuprofen:
Ibuprofen is a common pain reliever that (even in low dosages) used to cause a false THC positive on the EMIT test. The EMIT has been changed to use a different enzyme to eliminate false positives due to Ibuprofen. Ibuprofen in very high doses will still interfere with both the EMIT and the GC/MS. There is some conflicting data here because some sources say that the GC/MS tests can distinguish between Ibuprofen and THC (as well as other over-the-counter drugs).

Cold remedies, pain relievers, hay fever remedies, & diet pills:
Decongestants and diet pills result in false positives for amphetamine use in one third of the test samples given to 40 of the countries leading laboratories. There are roughly 300 over-the-counter drugs that cause false positives on the EMIT.

Antibiotics:
Certain antibiotics (like Amoxicillin) are claimed to cause a positive for heroin or cocaine. My expert source was unable to verify this, so I regret that there is some uncertainty here.

Melanin (black skin):
Melanin is the brown pigment that protects your skin from UV rays. It was raised as a discrimination issue in the 1980's, and argued that melanin's molecular structure is similar to that of a THC metabolite. Subsequent research revealed flaws in the data. Melanin was found to have no effect on THC metabolite testing.

DHEA:
DHEA taken by AIDS patients will cause a false positive for anabolic steroid use.

Dental treatment:
Caine products (like Novocain) used in dentistry have been known to cause false positives for cocaine.

True positives (legitimate): Some legal products actually contain small amounts of illegal chemicals. All tests, including the GC/MS, will test you positive because the metabolites derived from the true positive are identical to the metabolites of the illegal drugs. One exception: poppy seeds will not cause a positive GC/MS (explained below).

Poppy seeds:
Poppy seeds, usually on breads, contain traces of morphine, and lead to positives for opiates. According to Dr. Grow, eating a pastry filled with poppy seeds will bring results showing that you are a *high level* opiate user. Harold Crossley, a nationally known chemical dependency expert, said you would have to eat 100 poppy seed bagels to score a positive on a drug test. When taken into account that very few poppy seeds are sprinkled on bagels, you can see that poppy seeds from a hundred poppy seed bagels will easily fill a single large pastry. Purim cookies, a Jewish food known as Hamantashen, may have five to six tablespoons of poppy seeds. A couple Purim cookies may cause a positive test. Poppy seeds can be distinguished from illicit drugs on the GC/MS test. Although poppy seeds have the same metabolites as opium, these metabolites are shown to have different patterns when viewed with the GC/MS.

Testosterone supplements:
Orchic extract (found in bull's *****) will give a positive foh="3abolic steroid use. It is a legitimate substance that causes the test to imply that you abuse steroids.

Marijuana
_________

THC is fat soluble, and it gets stored in your fat cells. Cleaning it out of your lipid tissue is very difficult. Many herbal products claim to clean out your system, yet they do nothing to remove THC byproducts from fat cells. A study was done in Germany in 1993 on 50 of the most common herbs used by people trying to pass the test. All 50 herbs failed to cause a negative. Unfortunately, this rumor will not die. Goldenseal (plant) is useless; yet it's the most common thing for people to use. The only way to extract THC from fat cells is to exercise (5.8). Fat cells secrete fat with THC metabolites at a constant rate, regardless of what herbs you consume. You may be able to temporarily clean THC metabolites from your bloodstream, or dilute your fluids to yield a larger urine/THC ratio, but your bloodstream will continue collecting THC metabolites from fat. Your urine will continue collecting THC metabolites from your bloodstream.

Dilution
Hyper saturating your body with fluids will dilute metabolites possibly below the 50 ng/mL threshold, depending on your metabolism. Be aware that creatinine levels are often tested, and will show that the sample has been diluted. Diluting your sample will also produce clear urine, with virtually no yellow color. They will assume that you've diluted your sample, and they may reject your sample on the basis of color alone. It's only necessary to start drinking just before the test. Those who drown themselves in fluid days before a test are only causing unnecessary discomfort. Those who stay up all night drinking don't have any better chance than one who drinks heavily first thing in the morning. Get up early if the test is early, but don't lose sleep over a test that's given in the daytime.

Water
Drink at least eight hefty glasses of fluid (preferably water) just prior to the test. Many people start drinking water several days before the test; which is useless. Water does *not* clean any THC metabolites out of your system because THC is not water soluble. Water only dilutes urine temporarily. Do not over do it; you can get water intoxication. People can actually overdose and even die from water intoxication. It's very hard to do, and you'll vomit before anything gets serious.

Creatinine level
Eating red meat will boost creatinine levels. If you eat a lot of red meat for the 3 days prior to the test, your creatinine level will be normal, and the lab won't know that you've diluted your urine sample.

Vitamin B
Color your sample yellow by taking 50 to 100 milligrams of vitamin B. Many vitamins will work, but B-2 or B-12 (found in B-complex vitamins) are the most effective, though some will argue that vitamin C is better. This will also help if you plan to dope your sample (section 7). This does not guarantee that dilution will work. Diluted samples have been red-flagged when specific gravity and creatinine levels are tested and below normal. If you're taking vitamins at the last minute, check to see if they're time release. If so, crush it up and consume the powder. Coloring your urine isn't all that important because it's normal for people to have clear urine even when they don't consume much fluid.

Diuretics:
Diuretics make people urinate frequently. Coffee, cranberry juice, beer, iced tea, herbal tea, and Pepsi are all good diuretics. Grapes are known to be very good diuretics. Diuretics without caffeine or alcohol are recommended because caffeine and alcohol have negative side effects. Cranberry juice is also the cheapest. Avoid salts. Herbal diuretics do better than home remedies like juices.

Ultimate Blend (c):
This product used to be known as Test Free, but the name was changed. Ultimate Blend is a diuretic designed for the test, but works no better than other diuretics. Ultimate Blend is sold by Zydot Unlimited Inc.

Detoxify Carbo Clean (c):
grat This is a very new product, untested by a third party. It claims to absorb toxins, however, experts say that absorbing THC metabolites from fat cells is impossible. Here is a copy of the ad from Party Hut Enterprizes:
[Detox] Is a scientifically formulated carbohydrate blend that works by absorbing toxins and imuurities[sic]. It has been featured in High Times, and we are so confident of the results that we are offering a double-your-money-back guarantee for any failed results. This is the most complete program for the cleanest results! Precleanse (tm) herbal capsules are enclosed in every box of Carbo Clean. This extra advantage helps you begin cleansing the evening before the deadline. B-Complex tablets complete the program.

Naturally Klean Herbal Tea (c)
Naturally Klean claims to clear any drug metabolites for a few hours after taking. Drink this shortly before the test. Naturally Klean was also listed as a drug screen in previous versions, but according to Nightbyrd, "it will do NOTHING to help you pass a urine test;" with the exception that it will dilute your urine. You can get Naturally Klean from Martha Butterfield-Jay Foundation or J& J Enterprizes. An anonymous user provided the ingredients list: dandelion root, burdock root, red clover top, chamomile flower, alfalfa leaf, licorice root, slippery elm inner bark, hibiscus flower, dog rose hips, natural fruit flavors. Dandelion root is said to be the effective diuretic.

Goldenseal
Goldenseal is a plant and you can get either the root or the leaves in pill form. It's also a liquid or tea. The liquid is rumored to absorb slower than the capsules. Goldenseal is a diuretic, but works no better than other diuretics. Furthermore, NORML reports that Goldenseal is now being tested for. Taking Goldenseal is a foolish waste.

Certa or Certo:
This is an untested diuretic. Certa "has something to do with canning. Some people swear by it. Trouble is, it's always somebody else, a third party not present during the conversation, who uses it" (Pearson). I've heard rumors about people who smoked right up to the day before the test, consumed fruit pectin (a canning substance similar to Certa), and passed the test. However, there hasn't been any tests to validate those claims. Will someone with a lab at their disposal please test this stuff?

Vales Original Formula:
Another herbal remedy like Goldenseal. It does nothing. The water you must take with it does everything Vales claims to do.

Lasix:
Take an 80 milligram dose of prescription diuretic lasix (furosemide). Prescription diuretics are the most potent. Some over the counter diuretics will color your urine blue and should be avoided. WARNING! -Diuretics can be harmful to people with kidney problems, pregnant women, and diabetics.

Vinegar
There is a myth that drinking vinegar will mask drugs; it won't. However, vinegar lowers the pH of urine. Amphetamines are excreted up to 3 times as fast when urine is acidified. So vinegar could reduce the detection time period for amphetamines. The effects on detection time are generally insignificant, and it in my opinion it really wouldn't be worth it to drink vinegar. If you do decide to drink vinegar, I hear it's easiest to get a shot glass and do it in shots. It will cause diarrhea.

Dexatrim
There is a myth that taking phenylpropanolamine (Dexatrim's active ingredient) will work. It won't. In fact, Dexatrim is a false positive, and may work against you. The myth may have originated because Dexatrim was claimed to speed metabolism. However, the fact that Dextrim causes a positive makes it useless.

Fiber:
A high fiber diet will help by redirecting fat soluble metabolites to the colon rather than bladder. "THC is eliminated primarily in the stool via bile acids. Both EMIT and RIA detect a secondary metabolite which is reabsorbed from the intestines. Thus a person with a high fiber diet will excrete a majority of THC [metabolites] in the stool" (anon1). A fiber-based laxitive will also help by binding bile-acids. Use caution. Fiber laxitives can alter one's bowel schedule and lead to dependancy.

Vitamin lecithin
A recent method that's still under development is to take vitamin lecithin. This vitamin breaks down your stored fat and disperses it into your blood stream, to help clean out drugs that store themselves in lipid tissue, such as THC. NORML recommends taking Lecithin right up to the day of the test. To me it sounds as though this would work against you because by putting THC back in your blood stream, you are increasing metabolites in the urine. Someone has suggested that you take vitamin lecithin on a regular basis to clean lipids of THC metabolites. Then quit before the test, which seems to make more sense. It MAY be useless to take lecithin supplements orally. I've been told that the digestive system breaks it down too much before entering the blood stream. Most aren't willing to take vitamins intravenously. (If you do decide to take lecithin, you might as well take B5 with it. B5 aids in the process of turning lecithin into acetylcholine.) Another solution is to take nutrients which help the body manufacture lecithin. Lipotrophics cause the liver to produce lecithin. A good source for this information is Austin Nutritional Research page.


How to give a clean sample
___________________________

Don't give urine from your first urination of the day. It's the dirtiest, and can be heavily filled with metabolites. Urinate a couple of times before giving a test sample. Also, don't give the beginning or end of the stream. Piss in the toilet, then quickly stop and go in the cup. Stop, and shift back to the toilet for the last portion. Only give a midstream sample. Just be sure to give 60 cc's.

Exercise
Athletes have a big advantage over normal civilians. When fat is burned, THC byproducts are released into the blood. This is the only way to get THC metabolites out of lipid tissue. "Normal living will burn them slowly, as your fat reserves get turned over" (Dr. Grow). Due to an athletes high metabolic rate, THC moves through an athletes system significantly faster. Exercising between drug tests will clean THC metabolites from the system at a faster rate, thus lowering the detection period. It is important to stop burning fat cells near test time. On test day, it doesn't matter what's in your lipid tissue. What's in your blood and urine does matter. Exercise increases the amount of THC metabolites in the urine; so quit exercising a week before the test. Be lazy, and eat big. This will put the body in an anabolic fat-storing stage. At this point, the "buried" THC metabolites won't escape and go the the urine. There are drugs that will increase metabolism the way exercise does, but these are the same drugs that they are usually testing for. Exercise should only be considered when the subject knows that he or she will not be given a pop quiz in the near future.

Beta-2 agonists
Studies have shown that Clenbuterol reduces fat, which would help rid lipid tissue of THC metabolities. Clenbuterol also increases metabolism. No studies have directly shown that Clenbuterol will help pass a drug test. However, provided that it reduces fat, I would assume that the fat breakdown would result in less fat soluble substances in the system. Caution: Clenbuteral is labeled as a performance enhancer, and it's on the banned list for athlete testing. If are being tested as an athlete, avoid Clenbuterol!

Beta-3 agonists
Beta-3 agonists are drugs that stimulate the beta-3 andrenergic receptors on brown fat cells. The beta-3 andrenergic receptor is located on the surface of fat cells, and controls the amount of fat the cell releases into the bloodstream. When brown fat is stimulated, white fat is burned (converted into heat). Many people have mutant beta-3 andrenergic receptors, causing calories to be burned too slowly; thus leading to obesity. These people will benefit most from beta-3 agonist drugs. If the drug works as claimed, I believe it would reduce the detection time of fat soluble drugs by continually excreting metabolites into the bloodstream at a faster pace. As with vitamin lecithin and exercise, you would take beta-3 agonists between tests, and quit a couple days prior to the test. Beta-3 agonists have been in the development phase for the past 13 years. One firm is already testing a beta-3 drug in early clinical trials. It's not on the market yet.

Low dosaging
If you're an athlete and get tested for steroids, you can still use anabolic steroids and possibly beat the cutoff. The body naturally produces testosterone (a steroid), and small amounts of testosterone show up in urine by default. Some athletes are able to keep their steroid intake low enough to indicate a natural level of steroids. A study was done finding that 67% of steroid users take more than the recommended amount, and they stack (meaning they take two or more different kinds of steroids). Steroids are only meant to be used in small amounts to begin with. Anything over a normal dose goes unused. Also, no study has shown stacking to be beneficial.

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