Why are my 3 month cruise bloods so funky?

Always reluctant to disagree with you HW, but RBC unit is count/volume so shouldn't the number go down with increased blood volume from being well hydrated?

Yeah youre right. I fucked up. I should have just drank water that morning fuck im a dumbass.
 
Always reluctant to disagree with you HW, but RBC unit is count/volume so shouldn't the number go down with increased blood volume from being well hydrated?

Yes, it's a concentration, but being dehydrated won't swing him upwards of 600k when he's really at 300k. That, and his HCT/hb would be much higher if that were the case. :)

It's been awhile since I looked at the methodology, but I believe that the algorithm used for RBC is pretty forgiving too.
 
Yes, it's a concentration, but being dehydrated won't swing him upwards of 600k when he's really at 300k. That, and his HCT/hb would be much higher if that were the case. :)

It's been awhile since I looked at the methodology, but I believe that the algorithm used for RBC is pretty forgiving too.

I'm not sure I follow your explanation there. Certainly these values are related and some are simply calculated. The actual RBC count per blood volume, however, must be an actual count by optical means - I don't see any other way to get it.

MCH, for instance, can be calculated (and probably is) by dividing the amount of hemoglobin per volume by the RBC count per volume. The volume cancels of course and I tried it and it works out perfectly for the numbers in the OP attachment.

It seems to me that RBC/volume should decrease with dilution in exactly the same proportion as any other blood parameter expressed as X/volume. What am I missing?
 
I'm not sure I follow your explanation there. Certainly these values are related and some are simply calculated. The actual RBC count per blood volume, however, must be an actual count by optical means - I don't see any other way to get it.

MCH, for instance, can be calculated (and probably is) by dividing the amount of hemoglobin per volume by the RBC count per volume. The volume cancels of course and I tried it and it works out perfectly for the numbers in the OP attachment.

It seems to me that RBC/volume should decrease with dilution in exactly the same proportion as any other blood parameter expressed as X/volume. What am I missing?

I think his point was that the difference between me being hydrated and not being hydrated is negligible. Which I think is bogus. Hydration is well known to keep things like HCT and RBCs down.
 
I think his point was that the difference between me being hydrated and not being hydrated is negligible. Which I think is bogus. Hydration is well known to keep things like HCT and RBCs down.

No, I think you are greatly underestimating him there. He's hands down one of the most knowledgeable guys on this board.
 
I think his point was that the difference between me being hydrated and not being hydrated is negligible. Which I think is bogusHydration is well known to keep things like HCT and RBCs down.

If you've read any of halfwits posts you'd know that he is highly knowledgeable and doesn't make bogus statements. Especially about things so simple as this. You lack humility and extrude arrogance.
 
If you've read any of halfwits posts you'd know that he is highly knowledgeable and doesn't make bogus statements. Especially about things so simple as this. You lack humility and extrude arrogance.
Even Einstein didnt make correct statements about physics all the time.

Not thinking hydration will affect RBC count is simply a bogus statement. Im not dissing his character, what else can I say? Itd be bad to get the wrong idea here.
 
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Even Einstein didnt make correct statements about physics all the time.

Not thinking hydration will affect RBC count is simply a bogus statement. Im not dissing his character, what else can I say? Itd be bad to get the wrong idea here.

I guess I'm flattered to be compared to Einstein, and I do freely admit that I'm not infallible. However, while your state of hydration DOES impact your CBC, an actual quantified number (counted in a small volume, then multiplied by a specific value based on factors such as sex) is not as impacted nearly as much as something that is given as a ratio of solid to liquid. (percentage)

Example: If you were EXTREMELY dehydrated and a sample of 1ml of blood was analyzed for your CBC, the ratio of solids will be obviously much higher. So if the accurate number is say 0.4 cubic centimeters for 1 cubic centimeter of total fluid. This gives you a ratio of 4:10, or 40%. Now if you're really dehydrated and the same amount of fluid is analyzed, and the solids were at 0.5 cubic centimeters per 1 cc of fluid - you've gained ten percent! That's a HUGE difference, as we're talking very small amounts of analyzed body fluid.

Now to the RBC component; if (I'm using arbitrary numbers here) they sample 1cc of fluid and find 600 red blood cells because you're dehydrated, they multiply that by 1k to arrive at 600k - which is a lot, however, let's suppose that there are really only 500 in that same 1cc sample if hydrated - that gives you a count of 500k - which is still at the top of the range.

See the differences?

What tells me that hydration isn't as big of a factor here is that your platelet count is actually towards the bottom and your hemoglobin/hematocrit are well within range. As these are often sampled from the same vial (or same size vial(s), why would you have only ONE marker way higher than the rest?

If you get another test and ensure that your fluid intake is optimal, I wager that you'll see a similar result. If not, then you may have an issue with your platelet generation, which is also possible given that you're on Accutane. (or maybe you have a congenital issue you're not aware of)

Either way, I do suggest getting another panel as either outcome does require some attention. I know it's much easier to dismiss a result if it's not what you want to see, but even your RDW agrees with my conclusion, as your cells become deformed when production goes into overdrive.

Take it or leave it brother, it is just an opinion - but it would be foolish to ignore something that can lead to stroke and blood clots. Add to the fact that you're very young, and that's just a recipe for disaster as you hopefully still have many years on this planet.
 
I think the (just) high RBC and the (just) in range HCT can be explained by looking at the MCV of 83 (79-97), which is near the lower end of the range: the RBC contribution to HCT consists of a larger number of relatively small, immature cells.

The platelet count I would characterize as entirely average... almost exactly midrange. Not everyone has fix-a-flat in their veins like you do HW :)
 
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I think the (just) high RBC and the (just) in range HCT can be explained by looking at the MCV of 83 (79-97), which is near the lower end of the range: the RBC contribution to HCT consists of a larger number of relatively small, immature cells.

The platelet count I would characterize as entirely average... almost exactly midrange. Not everyone has fix-a-flat in their veins like you do HW :)

Right, but as there are only four main components of blood, (RBC, WBC, platelets, and plasma) and one is quite high on the test - with the others being in range, I can only theorize the above.

Yes, I'm an outlier in that I have little worries bleeding to death lol. (my platelet count is 2.5x higher than his on average) :)
 
Right, but as there are only four main components of blood, (RBC, WBC, platelets, and plasma) and one is quite high on the test - with the others being in range, I can only theorize the above.

Yes, I'm an outlier in that I have little worries bleeding to death lol. (my platelet count is 2.5x higher than his on average) :)

RBC is 2.5% over range... I guess I don't see that as quite high.

Maybe I can't afford to since mine is almost certainly quite a bit higher :(
 
RBC is 2.5% over range... I guess I don't see that as quite high.

Maybe I can't afford to since mine is almost certainly quite a bit higher :(

Well, his RBC is higher than mine. Even at 55% HCT, my RBCs don't break 600, but I do donate a lot. That was during a volume loss deferal, and ALL my CBCs were out of range except WBC, which leads me to believe that this is a true reading, given his lower HCT for such a high RBC.

I know I'm interested in seeing another test result, or even a finger stick analysis if he donates in the near future.
 
Well, his RBC is higher than mine. Even at 55% HCT, my RBCs don't break 600, but I do donate a lot. That was during a volume loss deferal, and ALL my CBCs were out of range except WBC, which leads me to believe that this is a true reading, given his lower HCT for such a high RBC.

I know I'm interested in seeing another test result, or even a finger stick analysis if he donates in the near future.
What do you think of my plan i mentioned though?

For the time being ill drink a lot of water, baby aspirin etc. and start my blast in two weeks. Four weeks into the blast i donate blood then get bloodwork a few days after i do that. Thoughts? Or should I get this squared away before adding AAS?

I dont see the point of dealing with it right now when my RBCs are just gonna get high again from test and nandrolone in a few weeks.
 
What do you think of my plan i mentioned though?

For the time being ill drink a lot of water, baby aspirin etc. and start my blast in two weeks. Four weeks into the blast i donate blood then get bloodwork a few days after i do that. Thoughts? Or should I get this squared away before adding AAS?

I dont see the point of dealing with it right now when my RBCs are just gonna get high again from test and nandrolone in a few weeks.

I don't think you get how this works.

If I have a ten gallon tank, and continually add water to it, it will overfill and spill all over, right? So, if the solution to this problem is to scoop out a gallon every so often - would you wait for the tank to be almost full every time, or at a comfortable point where it's not a hassle - but there's no risk of water on the floor?

Adding more AAS is like increasing the flow on that tank (which is ALWAYS being filled). You know those threads where I tell young guys to stay away from AAS, and especially B&C? This is one of those very reasons. There's a great deal of maintenance involved; and while it's not terribly difficult to take care of, the result of not doing so is much worse than wet carpet.

Either get another test, come off Accutane and donate in a month, or (this is your moral decision) go donate now, and call them afterwards to get the blood destroyed.

Waiting is not something I would do, nor would I blast while there's ANY question regarding health. I'm not scolding you, but I am hoping you now see why we act the way we do. :)
 
I don't think you get how this works.

If I have a ten gallon tank, and continually add water to it, it will overfill and spill all over, right? So, if the solution to this problem is to scoop out a gallon every so often - would you wait for the tank to be almost full every time, or at a comfortable point where it's not a hassle - but there's no risk of water on the floor?

Adding more AAS is like increasing the flow on that tank (which is ALWAYS being filled). You know those threads where I tell young guys to stay away from AAS, and especially B&C? This is one of those very reasons. There's a great deal of maintenance involved; and while it's not terribly difficult to take care of, the result of not doing so is much worse than wet carpet.

Either get another test, come off Accutane and donate in a month, or (this is your moral decision) go donate now, and call them afterwards to get the blood destroyed.

Waiting is not something I would do, nor would I blast while there's ANY question regarding health. I'm not scolding you, but I am hoping you now see why we act the way we do. :)

Yeah ill go donate for sure but whats the point when its just going to be high again in a couple weeks? Am i underestimating how long a donation will keeps my RBCs low?

And hey my age isnt a factor here. Im capable of doing everything a 25 year old can do in terms of B&C maintenance.
 
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