latest deluxe private bloodwork - comments?

[Mprtz]

Age 51, 6.0" 190lbs, about 19 months on TRT.

Protocol leading up to test: 100mg 2x/week UGL T cyp and 0.3mg RUI adex 2x/week.
350iU hcG 2x/week.

My observations:

Bilirubin is slightly high because (I believe) of apheresis induced hemolysis.

My LDL always comes out a bit high... maybe dietary since I try to limit carbs but don't restrict fats. I think it has been this way before TRT though.

I think I'm still at low risk for CVD, and the 0.5 CRP result reinforces that.

Testosterone: nailed it!

Don't really like the high A1c together with the fact that my glucose is usually close to the limit. Not sure how the insulin test (which looks good) factors into that. I don't see myself as pre-diabetic...

E2 maybe a little low... shows that year-old unrefrigerated liquidex is effective and probably accurately dosed.

FERRITIN: Apollon was right!! I gave a lot of blood and this has come out quite low. Need to figure out how to raise it. Iron supplements?

Comments appreciated!

CBC With Differential/Platelet

WBC 4.2 3.4-10.8 x10E3/uL
RBC 6.08 HIGH 4.14-5.80 x10E6/uL
Hemoglobin 15.8 12.6-17.7 g/dL
Hematocrit 48.4 37.5-51.0 %
MCV 80 79-97 fL
MCH 26.0 LOW 26.6-33.0 pg
MCHC 32.6 31.5-35.7 g/dL
RDW 14.0 12.3-15.4 %
Platelets 311 150-379 x10E3/uL
Neutrophils 51 %
Lymphs 34 %
Monocytes 11 %
Eos 3 %
Basos 1 %
Neutrophils (Absolute) 2.1 1.4-7.0 x10E3/uL
Lymphs (Absolute) 1.4 0.7-3.1 x10E3/uL
Monocytes(Absolute) 0.5 0.1-0.9 x10E3/uL
Eos (Absolute) 0.1 0.0-0.4 x10E3/uL
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Granulocytes 0 %
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL

Comp. Meta_bolic Panel

Glucose, Serum 93 65-99 mg/dL
BUN 21 6-24 mg/dL
Creatinine, Serum 1.33 HIGH 0.76-1.27 mg/dL
eGFR If NonAfricn Am 61 >59 mL/min/1.73
eGFR If Africn Am 71 >59 mL/min/1.73
BUN/Creatinine Ratio 16 9-20
Sodium, Serum 137 134-144 mmol/L
Potassium, Serum 4.6 3.5-5.2 mmol/L
Chloride, Serum 97 97-108 mmol/L
Carbon Dioxide, Total 25 18-29 mmol/L
Calcium, Serum 9.6 8.7-10.2 mg/dL
Protein, Total, Serum 6.8 6.0-8.5 g/dL
Albumin, Serum 4.6 3.5-5.5 g/dL
Globulin, Total 2.2 1.5-4.5 g/dL
A/G Ratio 2.1 1.1-2.5
Bilirubin, Total 1.3 HIGH 0.0-1.2 mg/dL
Alkaline Phosphatase, S 67 39-117 IU/L
AST (SGOT) 22 0-40 IU/L
ALT (SGPT) 23 0-44 IU/L

Urinalysis, Routine

Specific Gravity 1.012 1.005-1.030
pH 7.0 5.0-7.5
Urine-Color Yellow Yellow
Appearance Clear Clear
WBC Esterase Negative Negative
Protein Negative Negative/Trace
Glucose Negative Negative
Ketones Negative Negative
Occult Blood Negative Negative
Bilirubin Negative Negative
Urobilinogen,Semi-Qn 0.2 0.0-1.9 mg/dL
Nitrite, Urine Negative Negative

Lipid Panel

Cholesterol, Total 236 HIGH 100-199 mg/dL
Triglycerides 99 0-149 mg/dL
HDL Cholesterol 52 >39 mg/dL
VLDL Cholesterol Cal 20 5-40 mg/dL
LDL Cholesterol Calc 164 HIGH 0-99 mg/dL

Iron and TIBC

Iron Bind.Cap.(TIBC) 383 250-450 ug/dL
UIBC 308 150-375 ug/dL
Iron, Serum 75 40-155 ug/dL
Iron Saturation 20 15-55 %

Testosterone,Free and Total

Testosterone, Serum 1166 348-1197 ng/dL
Free Testosterone(Direct) 25.5 HIGH 7.2-24.0 pg/mL

TSH

TSH 2.000 0.450-4.500 uIU/mL

Hemoglobin A1c

Hemoglobin A1c 5.8 HIGH 4.8-5.6 %

Thyroxine (T4) Free, Direct, S

T4,Free(Direct) 1.19 0.82-1.77 ng/dL

DHEA-Sulfate

DHEA-Sulfate 131.9 71.6-375.4 ug/dL

Prolactin

Prolactin 11.8 4.0-15.2 ng/mL

Prostate-Specific Ag, Serum

Prostate Specific Ag, Serum 1.0 0.0-4.0 ng/mL

C-Reactive Protein, Cardiac

C-Reactive Protein, Cardiac 0.51 0.00-3.00 mg/L

Estradiol, Sensitive

Estradiol, Sensitive 20 3-70 pg/mL

GGT

GGT 13 0-65 IU/L

Magnesium, Serum

Magnesium, Serum 2.0 1.6-2.6 mg/dL

Insulin

Insulin 6.6 2.6-24.9 uIU/mL

Ferritin, Serum

Ferritin, Serum 11 LOW 30-400 ng/mL

Triiodothyronine,Free,Serum

Triiodothyronine,Free,Serum 3.1 2.0-4.4 pg/mL

Sex Horm Binding Glob, Serum

Sex Horm Binding Glob, Serum 27.0 19.3-76.4 nmol/L

 

[3J]

how long after injection did you take this test??

 

[Mprtz]

how long after injection did you take this test??

Forgot to mention - it's the trough reading 3.5 days after last bi-weekly injection.

 

[dont wanna be old]

Do you donate blood on regular basis ? If possible do double RBC when you can .
Blood is a little thick . You will feel better and BP will improve .
Diet tweaks can help cholesterol . Cook with safflower oil . High heat and doesn't change to saturated fat like olive oil .
Not sure on other High marks on test .
Maybe some LIV52 for bilirubin . It's very cheap on line .
Next bloodwork should be improved .

 

[Mprtz]

I've donated blood 25 times since starting TRT (platelets and whole blood). I actually hit the FDA "red cell loss" limit.
BP has always been fine.

 

[halfwit]

Guessing you were a little dehydrated before the draw based on a few numbers like creatinine. I think you're right as bilirubin isn't often seen unless there's a kidney problem, or in our case - we intentionally destroy RBC'S through apheresis.

Watch the glucose spikes from an overabundance of simple sugars. You are in diabetes range, but if your diet has been awful, that can slightly throw off an HbA1c draw. You ARE at risk though, so increase that fiber and easy on sweets/refined carbs.

I'm really surprised with the ferritin, as that tends to rebound pretty quickly. Do you eat spinach or other iron-rich foods? I recently had a debate with Apollon over this as I have never had a problem with ferritin, and I too hit that retarded FDA limit on volume loss. So in hopes of not having to eat crow, I'd be interested in those dietary habits. (yes Apollon, I'm not always right. )

Otherwise, you are looking great!

My .02c

 

[Megatron28]

How has your PSA result been trending?

 

[Mprtz]

How has your PSA result been trending?

PSA has been flat in a close range from low of 0.8 to high of 1.1 with no discernible trend within that range, probably within margin of error.

 

[Mprtz]

Guessing you were a little dehydrated before the draw based on a few numbers like creatinine. I think you're right as bilirubin isn't often seen unless there's a kidney problem, or in our case - we intentionally destroy RBC'S through apheresis.

Watch the glucose spikes from an overabundance of simple sugars. You are in diabetes range, but if your diet has been awful, that can slightly throw off an HbA1c draw. You ARE at risk though, so increase that fiber and easy on sweets/refined carbs.

I'm really surprised with the ferritin, as that tends to rebound pretty quickly. Do you eat spinach or other iron-rich foods? I recently had a debate with Apollon over this as I have never had a problem with ferritin, and I too hit that retarded FDA limit on volume loss. So in hopes of not having to eat crow, I'd be interested in those dietary habits. (yes Apollon, I'm not always right. )

Otherwise, you are looking great!

My .02c

Thanks!

I always assumed that elevated creatinine is pretty much expected with creatine supplementation.

I certainly wouldn't say my diet is awful, I tried to avoid sugars but sometimes give in to chocolate. Strive for moderately low carbs, moderately high protein and let the fats fall where they may. Little bread and certainly nothing like sugary sodas. My diet used to be better but glucose was still in the same range; this is my first test of A1c...

I do eat a fair amount of spinach in the form of salads, and I don't avoid red meats so I can't imagine that my iron intake is below average.

Is crow particularly rich in iron?

 

[halfwit]

Thanks!

I always assumed that elevated creatinine is pretty much expected with creatine supplementation.

I certainly wouldn't say my diet is awful, I tried to avoid sugars but sometimes give in to chocolate. Strive for moderately low carbs, moderately high protein and let the fats fall where they may. Little bread and certainly nothing like sugary sodas. My diet used to be better but glucose was still in the same range; this is my first test of A1c...

I do eat a fair amount of spinach in the form of salads, and I don't avoid red meats so I can't imagine that my iron intake is below average.

Is crow particularly rich in iron?

Haha, I'll definitely let you know - just gotta get past the taste.

Are you finding that you're waking up several times a night to urinate? It might be a good idea to touch base with a doctor about that A1c just in case. Metformin is what is usually prescribed as a first line of defense and carries some additional benefits.

 

[Megatron28]

Haha, I'll definitely let you know - just gotta get past the taste.

Are you finding that you're waking up several times a night to urinate? It might be a good idea to touch base with a doctor about that A1c just in case. Metformin is what is usually prescribed as a first line of defense and carries some additional benefits.

You mean like diarrhea? I have never used it but I have heard it can take some getting used to!

 

[halfwit]

You mean like diarrhea? I have never used it but I have heard it can take some getting used to!

Have to admit, I thought you were talking about crow at first LOL.

Yes, metformin can cause upset stomach at first, but diarrhea is less common at lower doses. I think it's a similar reaction to certain magnesium supplements and larger doses of vitamin C.

 

[Mprtz]

Haha, I'll definitely let you know - just gotta get past the taste.

Are you finding that you're waking up several times a night to urinate? It might be a good idea to touch base with a doctor about that A1c just in case. Metformin is what is usually prescribed as a first line of defense and carries some additional benefits.

Why do you ask? Is that a symptom of high blood sugar? I don't have any prostate issues (TRT has improved this). Maybe half the time I get up once per night, no more than that.

I don't have any symptoms that I'm aware of related to blood sugar... what should I be looking out for?

 

[Mprtz]

Any advice on how to interpret the Insulin test:

Insulin 6.6 2.6-24.9 uIU/mL

This is more on the low end, meaning that elevated glucose is not likely due to insulin resistance, right?
More likely that I could (should?) be producing more insulin?

 

[TRTnooby]

Why do you ask? Is that a symptom of high blood sugar? I don't have any prostate issues (TRT has improved this). Maybe half the time I get up once per night, no more than that.

I don't have any symptoms that I'm aware of related to blood sugar... what should I be looking out for?

Being thirsty all the time, drinking a lot of water, and going to the bathroom all the time are classic symptoms of high blood sugar. One of my friends' kids is type 1 diabetic and that is how they noticed it when he was a toddler.