Got my Blood test from PrivateMD.. but need help on reading...

[yadi79]

Okay.. So after my PCT.. I got a blood test done after 3 weeks.. got the results but dont know how to read it.. I couldnt find a sticky about it.. so Im going to ask u guys..

My stats... 35 years old, male, 5'8" , 210lb. last cycle was 150mg Test cyp/week. Pct 50mg clomid 20mg Novel.

Conditions : I had high HEMO and high BP.. now on medi for BP.. and Bp is okay.. before I did the cycle.. my hemo was high.. 17.2.. before this cycle my last high does cycle was 500mg/week and my HEMO was at 21~22

When I did my last cycle 150mg.. felt great..Didnt have any dizziness problems.. BP was good.

Results below..

Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 9.3 4.0-10.5 x10E3/uL MB
**Effective September 9, 2013, the reference intervals for CBC:WBC,**
Differential Parameters (Neutrophil %, Neutrophil Absolute,
Lymphocyte %, Lymphocyte Absolute, Monocyte %, Monocyte Absolute,
Eosinophil %, Eosinophil Absolute), and Platelet Counts will be
adjusted to maintain consistency with the distribution of these
values in the reference population.
RBC 5.69 4.14-5.80 x10E6/uL MB
Hemoglobin 17.3 12.6-17.7 g/dL MB
Hematocrit 52.0 HIGH 37.5-51.0 % MB
MCV 91 79-97 fL MB
MCH 30.4 26.6-33.0 pg MB
MCHC 33.3 31.5-35.7 g/dL MB
RDW 13.3 12.3-15.4 % MB
Platelets 196 140-415 x10E3/uL MB
**Effective September 9, 2013, the reference intervals for CBC:WBC,**
Differential Parameters (Neutrophil %, Neutrophil Absolute,
Lymphocyte %, Lymphocyte Absolute, Monocyte %, Monocyte Absolute,
Eosinophil %, Eosinophil Absolute), and Platelet Counts will be
adjusted to maintain consistency with the distribution of these
values in the reference population.


Neutrophils 45 40-74 % MB
Lymphs 46 14-46 % MB
Monocytes 5 4-13 % MB
Eos 3 0-7 % MB
Basos 1 0-3 % MB
Neutrophils (Absolute) 4.2 1.8-7.8 x10E3/uL MB
Lymphs (Absolute) 4.3 0.7-4.5 x10E3/uL MB
Monocytes(Absolute) 0.5 0.1-1.0 x10E3/uL MB
Eos (Absolute) 0.3 0.0-0.4 x10E3/uL MB
Baso (Absolute) 0.1 0.0-0.2 x10E3/uL MB
Immature Granulocytes 0 0-2 % MB
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL MB

Comp. Metabolic Panel (14)

Glucose, Serum 85 65-99 mg/dL MB
BUN 20 6-20 mg/dL MB
Creatinine, Serum 1.04 0.76-1.27 mg/dL MB
eGFR If NonAfricn Am 93 >59 mL/min/1.73 MB
eGFR If Africn Am 108 >59 mL/min/1.73 MB
BUN/Creatinine Ratio 19 8-19 MB
Sodium, Serum 140 134-144 mmol/L MB
Potassium, Serum 4.2 3.5-5.2 mmol/L MB
Chloride, Serum 103 97-108 mmol/L MB
Carbon Dioxide, Total 23 19-28 mmol/L MB
Calcium, Serum 9.3 8.7-10.2 mg/dL MB
Protein, Total, Serum 7.1 6.0-8.5 g/dL MB
Albumin, Serum 4.4 3.5-5.5 g/dL MB
Globulin, Total 2.7 1.5-4.5 g/dL MB
A/G Ratio 1.6 1.1-2.5 MB
Bilirubin, Total 0.4 0.0-1.2 mg/dL MB

Alkaline Phosphatase, S 36 LOW 44-102 IU/L MB
AST (SGOT) 30 0-40 IU/L MB
ALT (SGPT) 39 0-44 IU/L MB
Testosterone, Serum
Testosterone, Serum 430 348-1197 ng/dL MB
Luteinizing Hormone(LH), S
LH 4.4 1.7-8.6 mIU/mL MB
FSH, Serum
FSH 1.9 1.5-12.4 mIU/mL MB
Estradiol
Estradiol 33.2 7.6-42.6 pg/mL MB


I will be seeing my Doc.. but Would like to see what you guys say from experience... also I looked up about HIGH Hematocrit.. and plan on Donating blood soon.

 

[Megatron28]

I haven't gone through the whole thing, but I noticed your Total T is on the lower side. Not hypogonadal yet, by not ideal. Do you have baseline labs from before you started your cycle to see if your TT has changed?

 

[halfwit]

I doubt you'll be able to donate with those numbers man. You're in the risk zone for DVT, which can be a serious problem if not corrected in the NEAR future. I foresee therapeutic blood draws until you can get those numbers down, and even then they may defer you. I wonder if this has been the cause of your dizziness with higher test cycles...

Only other things I see that I'd work on are your liver values (buy NAC/Liv.52) and your sodium being on the high end. Granted, I'm not a doctor -- but that's what I'd work on in the mean time before seeing your PCP.

My .02c

 

[Austinite]

- Donate blood. hCT getting up there.
- ALP is low. Start taking 30 to 50mg of zinc.
- FSH is in the gutter. LH could be better.

 

[DreDay187]

That format hurts the eyes but def donate some blood brother, you've got some thick blood.

 

[yadi79]

yes.. it was 234 before the cycle..

 

[DreDay187]

- Donate blood. hCT getting up there.
- ALP is low. Start taking 30 to 50mg of zinc.
- FSH is in the gutter. LH could be better.

You're late, only Halfwit's and my responses count

Halfwit & Dre: 1

Austin: 0

Edit* serious?! I knew I beat you, those times are a load of crap lol

 

[Austinite]

You're late, only Halfwit's and my responses count

Halfwit & Dre: 1

Austin: 0

Grow up!

 

[halfwit]

You're late, only Halfwit's and my responses count

Halfwit & Dre: 1

Austin: 0

Ohhhh shit. I forsee a playground battle royale coming up in the near future!

OP: You may very well be looking at testosterone replacement therapy (TRT) as well. I have a feeling once you're back down in the mid-40's for HCT, you'll feel MUCH better.

 

[DreDay187]

Grow up!

I want to be a Toys 'R Us kid

 

[yadi79]

Thanx for the advice guys..

I was going to donate blood before the cycle.. around 3rd week.. but felt good.. didnt have any Bp problems.. or say didnt get HOT... so i didnt donate blood..

Maybe this is why even on a cycle or not im alwayz tired?

 

[DexterMorgan]

Grow up!

 

[halfwit]

Thanx for the advice guys..

I was going to donate blood before the cycle.. around 3rd week.. but felt good.. didnt have any Bp problems.. or say didnt get HOT... so i didnt donate blood..

Maybe this is why even on a cycle or not im alwayz tired?

VERY possible. If you're in the states, call your nearest Red Cross and get set up for an apheresis. It can take up to two hours, but it lowers HCT really well, and you get to watch a movie to boot!

**NOTE: IF they let you with that MONSTER Hb value.

 

[gotgame83]

Your Hb is not THAT high. Seriously ive seen higher. Id expect it to be in that range on some Test. Mine is about 16 normally. You may have been a bit dehydrated as ive seen patients bump 2-3 points based on dilutional or volume contraction. I would however recommend donating some blood and taking 81mg ASA daily as you should be already doing that for cardiovascular benefits and cancer prevention. Other then that your labs are fine.

What BP meds are you on? HCTZ? probably not needed but that wont hurt.

 

[3ct]

VERY possible. If you're in the states, call your nearest Red Cross and get set up for an apheresis. It can take up to two hours, but it lowers HCT really well, and you get to watch a movie to boot!

**NOTE: IF they let you with that MONSTER Hb value.

If his hb is 17.3 its still within range just barely. I switched from Red Cross to carter blood care in tx not sure if they are national. Their limit is 18.0 and I asked them what happens if its over because I was also barely under the limit one time I went and she told me they only disqualify you for that DAY so I clarified what she meant she said they have an MD on site thst does a blood test just to make sure you're not anemic and if not you can come back the next day or whatever and do the donation even if you're over the limit. Again this was at carter blood care not Red Cross.

Couple other reasons I switched over to carter is, Red Cross in my area they keep changing the location of the blood drive and you can't get an appointment at your convenience all the time because its dependant on the date and time of the drive. Carter has their own permanent location/center and you can even walk in to do a donation no appointment necessary. However while I'm there before I leave they ask me if I'd like to schedule my next appointment and I just say yes and they schedule me right then so don't have to keep track of when my last appointment was done and when to do my next etc.

Lastly when you leave they give you a card with your sample # and in 3 days after your draw you can login to their website with your sample # and check your cholesterol. They also store your previous blood draws stats your hb, pulse, BP and cholesterol.

One last thing some people are worried about their blood effecting others because of being on cycle and what not. Carter will give you a number you can call if you want them to discard your sample. I've never done it and not sure if they ask questions or if it will be an issue the next time you go but I guess the option is still there if it concerns you. I would imagine they dont keep track of it they probably just throw it out.

So that's my experience with carter blood care and much prefer them to Red Cross.

 

[yadi79]

Does anyone know How much blood needs to be donated? 500cc? 1000cc?

 

[3ct]

Does anyone know How much blood needs to be donated? 500cc? 1000cc?

Why are you asking? It's not like you can tell them how much to take but I think they take a pint.

 

[yadi79]

View attachment 553473My doc that I went to is a internist... guess he doesnt have ppl with this conditions.. I told him about ppl with high HEMO and HEMA donate blood to keep the levels down... and hes like.. oh..

and he is asking me how much do I need to draw.. he would wright me a Doc note..

btw, Found this on the net..



Testosterone: A Man's Guide: How to Prevent Heart Attacks if You are Using Testosterone



How to Prevent Heart Attacks if You are Using Testosterone


It's important to check patients' hemoglobin and hematocrit blood levels while on testosterone replacement therapy. As we all know, hemoglobin is the substance that makes blood red and helps transport oxygen in the blood. Hematocrit reflects the proportion of red cells to total blood volume. A hematocrit of over 52 percent or a hemoglobin value over 19 g/dl should be evaluated. Decreasing testosterone dose or stopping it are options that may not be the best for assuring patients' best quality of life, however. Switching from injectable to transdermal testosterone may decrease hematocrit, but in many cases not to the degree needed.

The following table shows the different guideline groups that recommend monitoring for testosterone replacement therapy. Since hematocrit increases usually happen during the first few months of testosterone replacement, all guideline groups agree on measuring hematocrit at month 3, and then annually, with some also recommending measurements at month 6 after starting testosterone



Many patients on testosterone replacement who experience polycythemia do not want to stop the therapy due to fears of re-experiencing the depression, fatigue and low sex-drive they had before starting treatment. For those patients, therapeutic phlebotomy may be the answer. Therapeutic phlebotomy is very similar to what happens when donating blood, but this procedure is prescribed by physicians as a way to bring down blood hematocrit and viscosity.

A phlebotomy of one pint of blood will generally lower hematocrit by about 3 percent. I have seen phlebotomy given weekly for several weeks bring hematocrit from 56 percent to a healthy 46 percent. I know physicians who prescribe phlebotomy once every 8-12 weeks because of an unusual response to testosterone replacement therapy. This simple procedure is done in a hospital blood draw or a blood bank facility and can reduce hematocrit, hemoglobin, and blood iron easily and in less than one hour. Unfortunately, therapeutic phlebotomy can be a difficult option to get reimbursed or covered by insurance companies. The reimbursement codes for therapeutic phlebotomy are CPT 39107, icd9 code 289.0.

Unless a local blood bank is willing to help, some physicians may need to write a letter of medical necessity for phlebotomy if requested by insurance companies. If the patient is healthy and without HIV, hepatitis B, C, or other infections, they could donate blood at a blood bank (it is good to remember that there is a ban on gay blood donors in the United States, however).

The approximate amount of blood volume that needs to be withdrawn to restore normal values can be calculated by the following formula, courtesy of Dr. Michael Scally, an expert on testosterone side effect management. The use of the formula includes the assumption that whole blood is withdrawn. The duration over which the blood volume is withdrawn is affected by whether concurrent fluid replacement occurs.

Volume of Withdrawn Blood (cc)=
Weight (kg) × ABV×[Hgbi - Hgbf]/[(Hgbi +Hgbf)/2]


Where:
ABV = Average Blood Volume (default = 70)
Hgbi (Hcti) = Hemoglobin initial
Hgbf (Hctf) = Hemoglobin final (desired);

So, for a 70 kg (154 lbs) man (multiply lbs x 0.45359237 to get kilogram) with an initial high hemoglobin of 20 mg/mL who needs to have it brought down to a normal hemoglobin of 14 mg/mL, the calculation would be:

CC of blood volume to be withdrawn = 75 x 70 x [20 - l4]/[(20 + l4)/2] = 75 x 70 x (6/17) = approximately 1850 cc;

One unit of whole blood is around 350 to 450 cc; approximately 4 units of blood need to be withdrawn to decrease this man's hemoglobin from 20 mg/mL to 14 mg/mL.

The frequency of the phlebotomy depends on individual factors, but most men can do one every two to three months to manage their hemoglobin this way. Sometimes red blood cell production normalizes without any specific reason. It is impossible to predict exactly who is more prone to developing polycythemia, but men who use higher doses, men with higher fat percentage, and older men may have a higher incidence.

Some doctors recommend the use of a baby aspirin (81 mg) a day and 2,000 to 4,000 mg a day of omega-3 fatty acids (fish oil capsules) to help lower blood viscosity and prevent heart attacks. These can be an important part of most people's health regimen but they are not alternatives for therapeutic phlebotomy if the patient has polycythemia and does not want to stop testosterone therapy. It is concerning that many people assume that they are completely free of stroke/heart attack risks by taking aspirin and omega-3 supplements when they have a high hematocrit.

Although some people may have more headaches induced by high blood pressure or get extremely red when they exercise, most do not feel any different when they have polycythemia. This does not make it any less dangerous. It may be a silent killer that is easy to prevent.

 

[yadi79]

*update*

Went to a blood donation center 2 weeks ago.. before I even took my doctors note out.. I took a test..bunch of questions... and then after that they took a sample blood from me.. told me they needed to check and see if I can give blood..guess I was okay with high hema (52) and hemo (17.2).. They started taking blood out..

after all this.. they gave me a guidline sheet.. and on it its shows these dates..

next donation for platelets 9.24.13
next date of redblood cells donation 11.12.13
next date of plasma 10.15.13

Do I need to do all this?n Im donatiing blood cuz I have high Hemo and Hema... and plus I want to get back on my testosterone replacement therapy (TRT) does like cycle.. the plan wasa to go every 56 days.... kinda confuse now what to do..

Any suggestions? with experience..

 

[halfwit]

*update*

Went to a blood donation center 2 weeks ago.. before I even took my doctors note out.. I took a test..bunch of questions... and then after that they took a sample blood from me.. told me they needed to check and see if I can give blood..guess I was okay with high hema (52) and hemo (17.2).. They started taking blood out..

after all this.. they gave me a guidline sheet.. and on it its shows these dates..

next donation for platelets 9.24.13
next date of redblood cells donation 11.12.13
next date of plasma 10.15.13

Do I need to do all this?n Im donatiing blood cuz I have high Hemo and Hema... and plus I want to get back on my testosterone replacement therapy (TRT) does like cycle.. the plan wasa to go every 56 days.... kinda confuse now what to do..

Any suggestions? with experience..

Not sure why the plasma, but it looks like you're getting both whole blood and apheresis done. I'd keep at it until you have a nice, low HCT value and make at least one of them a part of your life from here on out. I'm betting once you're at a better HCT value, you'll notice you're not getting dizzy from "normal" cycle doses anymore either.