blood work again

[ganciodestro]

Hi guys, I just got my latest blood test results back and I have some questions. Here’s a quick overview:

• I’ve been on a hypocaloric diet for about 2 months now, very clean with almost no cheats.
• You won’t see glucose in my labs because I monitor it myself with a home device, and my fasting readings are always around 80–82 upon waking.
• My second-to-last bloodwork was done on July 29th (incomplete panel). At the time, I was running 250 mg of Test Cyp (125 mg every 3.5 days IM) + 2 IU GH daily. Results were:
  • HDL: 35
  • LDL: 107
  • Total T: 1500
  • Free T: 80
  • E2: 34

Since then I dropped to 202.5 mg Test Cyp (3 shots of 67.5 mg SUBQ MWF ) and increased GH to 3 IU. My next labs were done on Sept 9th. In the meantime, I also added omega-3s to try to raise HDL and lower LDL.
I didn’t see any improvement in HDL, and just a little with ldl.. so I’m considering adding ezetimibe daily and possibly pravastatin 20–40 mg/day if needed. Because if this is the situation on a light TRT dose, I can only imagine how things would look if I pushed harder with a blast



My goal is to find a Test dose that keeps me at the high end of the range without going above it.

Here are some key points from the Sept 9th labs:

• Despite drinking 5L water per day and doing 30–40 min of post-workout cardio at 120–130 bpm (4–5x per week), my hematocrit is stuck at 53.
• For reference: when I came off all gear for 3 months (previously on 200 mg Test Prop per week), my hematocrit as a “natural” was 48–49. So it seems mostly genetic.
• LDL dropped by 17 points, but HDL is still stubbornly low.
• AST/ALT are slightly elevated, but I took an NSAID (Aulin) the night before for brutal back pain after deadlifts. GGT is perfect.
• Total testosterone went down a bit, but free testosterone actually increased compared to the last labs, even with 45 mg less Test per week.

Now my concerns/questions:

• What can I realistically do about my hematocrit? This is my biggest worry.
• I was planning a short 4-week blast with an extra 10 mg Masteron Prop per week to finish my cut, then either bump Test up to ~400 mg or add 10 mg NPP to a 250 mg Test base. But I’m scared my hematocrit will skyrocket even higher.
• What do you guys think about my DHT and SHBG levels ratio my test level?
• Bloodwork was done at 11:30 AM after breakfast at 9:00 AM. I assume this doesn’t affect much, except maybe slightly higher triglycerides.

Is anyone else in the same situation with genetically high hematocrit? What would you guys do in my case?

Dont know if is Important to says but i take also 40 mg of pantoprazolo daily.

 

[explodingHeart]

Drain it. Take statins/ezetimibe to fix your lipids. Stop listening to trash influencer advice who tell you draining blood or taking statins is bad.

 

[ganciodestro]

Drain it. Take statins/ezetimibe to fix your lipids. Stop listening to trash influencer advice who tell you draining blood or taking statins is bad.

I’ve never heard of these things before — actually I’m aware that without these medications my health risks would increase exponentially.

About phlebotomy (therapeutic bloodletting), how should I proceed? How often?
I’ve heard that a negative rebound of red blood cells follows — is that true?

On top of that I wouldn’t know how to manage it; should I tell my doctor to prescribe a phlebotomy for me, maybe he’ll send me to a hematologist at this point lol.

 

[ganciodestro]

Does GH (growth hormone) cause an increase in hematocrit?

 

[adrenalytic]

should I tell my doctor to prescribe a phlebotomy for me, maybe he’ll send me to a hematologist at this point lol.

Just find the nearest Red Cross and donate.

 

[Ateam2023]

Just find the nearest Red Cross and donate.

If youve ever had hep c and even had it treated , red cross won't take your blood fyi ,

 

[adrenalytic]

If youve ever had hep c and even had it treated , red cross won't take your blood fyi ,

that's why I never get tested for STDs.

 

[Ateam2023]

that's why I never get tested for STDs.

I understand completely, it makes it hard for donating

 

[adrenalytic]

I understand completely, it makes it hard for donating

I figure i'll eventually get a phone call if I have something...

 

[ganciodestro]

Just find the nearest Red Cross and donate.

Ok thanks guys… never had hepatitis C or sexually transmitted diseases. What I’m wondering is, how often are these donations generally done? 2–3 times a year? More?

Have you ever resorted to this solution? If so, by how many points did your hematocrit drop?

Here in Italy, for example, if your hemoglobin is too high they don’t let you donate blood, and there are also many other factors.

 

[bossetti]

Ok thanks guys… never had hepatitis C or sexually transmitted diseases. What I’m wondering is, how often are these donations generally done? 2–3 times a year? More?

Have you ever resorted to this solution? If so, by how many points did your hematocrit drop?

Here in Italy, for example, if your hemoglobin is too high they don’t let you donate blood, and there are also many other factors.

U coul try to be iron/ferritine deficient but could be dumb
53hct i think they are gonna accept it, btw my dad donate 3/4 times a year (he dont use any kind of gear)
Lo so che sei italiano ma scrivo in inglese per correttezza

 

[Ateam2023]

Ok thanks guys… never had hepatitis C or sexually transmitted diseases. What I’m wondering is, how often are these donations generally done? 2–3 times a year? More?

Have you ever resorted to this solution? If so, by how many points did your hematocrit drop?

Here in Italy, for example, if your hemoglobin is too high they don’t let you donate blood, and there are also many other factors.

They will only allow you to donate so much blood in a certain time.

 

[ganciodestro]

I think I’ll have to go for this kind of frequent donations… because naturally my hematocrit is 48/49 without steroids, and my TRT is supposed to be lifelong.

What I wonder is: there are people who donate to keep their hematocrit levels in check, but is the blood of someone using trenbolone and other drugs still eligible for donation? Assuming everything is within range… would anyone donate blood while using a lot of steroids?

 

[RockyP]

M

Hi guys, I just got my latest blood test results back and I have some questions. Here’s a quick overview:

• I’ve been on a hypocaloric diet for about 2 months now, very clean with almost no cheats.
• You won’t see glucose in my labs because I monitor it myself with a home device, and my fasting readings are always around 80–82 upon waking.
• My second-to-last bloodwork was done on July 29th (incomplete panel). At the time, I was running 250 mg of Test Cyp (125 mg every 3.5 days IM) + 2 IU GH daily. Results were:
  • HDL: 35
  • LDL: 107
  • Total T: 1500
  • Free T: 80
  • E2: 34

Since then I dropped to 202.5 mg Test Cyp (3 shots of 67.5 mg SUBQ MWF ) and increased GH to 3 IU. My next labs were done on Sept 9th. In the meantime, I also added omega-3s to try to raise HDL and lower LDL.
I didn’t see any improvement in HDL, and just a little with ldl.. so I’m considering adding ezetimibe daily and possibly pravastatin 20–40 mg/day if needed. Because if this is the situation on a light TRT dose, I can only imagine how things would look if I pushed harder with a blast



My goal is to find a Test dose that keeps me at the high end of the range without going above it.

Here are some key points from the Sept 9th labs:

• Despite drinking 5L water per day and doing 30–40 min of post-workout cardio at 120–130 bpm (4–5x per week), my hematocrit is stuck at 53.
• For reference: when I came off all gear for 3 months (previously on 200 mg Test Prop per week), my hematocrit as a “natural” was 48–49. So it seems mostly genetic.
• LDL dropped by 17 points, but HDL is still stubbornly low.
• AST/ALT are slightly elevated, but I took an NSAID (Aulin) the night before for brutal back pain after deadlifts. GGT is perfect.
• Total testosterone went down a bit, but free testosterone actually increased compared to the last labs, even with 45 mg less Test per week.

Now my concerns/questions:

• What can I realistically do about my hematocrit? This is my biggest worry.
• I was planning a short 4-week blast with an extra 10 mg Masteron Prop per week to finish my cut, then either bump Test up to ~400 mg or add 10 mg NPP to a 250 mg Test base. But I’m scared my hematocrit will skyrocket even higher.
• What do you guys think about my DHT and SHBG levels ratio my test level?
• Bloodwork was done at 11:30 AM after breakfast at 9:00 AM. I assume this doesn’t affect much, except maybe slightly higher triglycerides.

Is anyone else in the same situation with genetically high hematocrit? What would you guys do in my case?

Dont know if is Important to says but i take also 40 mg of pantoprazolo daily.

View attachment 348295View attachment 348296View attachment 348297

My hct was 47 at baseline, but I had untreated sleep apnea at that time. Now I’m at 51 on 515 mg weekly.

You should get a sleep study and if you have osa get a CPAP asap.

Pitavastatin or rosuvaststin for lipids. You need to aim for LDL under 55 with your low HDL. The HDL is mostly genetic but weight loss and Reta / GLP1 treatment can help.

Donate blood for now. It’s not a long term fix. But ok for now.

How’s your blood pressure? Must keep that under 130/80 especially with high hct.

 

[RockyP]

I think I’ll have to go for this kind of frequent donations… because naturally my hematocrit is 48/49 without steroids, and my TRT is supposed to be lifelong.

What I wonder is: there are people who donate to keep their hematocrit levels in check, but is the blood of someone using trenbolone and other drugs still eligible for donation? Assuming everything is within range… would anyone donate blood while using a lot of steroids?

this has Been covered in depth in the forum. Can do a search and read up. TLDR. Repeat blood donation not a good idea. Can lead to iron depletion which will leave you a hell
Of a lot more miserable than you are now.

 

[RockyP]

Thanks so much for your reply. I’ve had a stuffy nose ever since I stopped boxing… I have a deviated septum, and even though I stopped taking punches, it’s been getting worse year after year. I’ve never checked for sleep apnea, so that will be the first thing I do!

I’m already very lean… at most I reach 12–13% body fat in a bulk; currently I’m at 9–10% BF.


Regardinf blood pressure, last time it was around 120/70… I don’t have any symptoms from the high hematocrit, and that actually scares me even more. Next week I’ll try donating blood and see how it goes. To check the results, should I wait a few days after the donation or longer?

The hct should drop a good 3 points from donating. No need to re check.

Def get a sleep study. You can be shredded and have OSA. PEDs make it worse. And that worsens high hct.

Rosuvaststin is decently well tolerated and very strong at lowering ldl. Pitavastatin is the best for tolerability. Get on one. It will give you piece of mind for running gear. Those of us with low HDL MUST keep that ldl as low as possible.

 

[ganciodestro]

The hct should drop a good 3 points from donating. No need to re check.

Def get a sleep study. You can be shredded and have OSA. PEDs make it worse. And that worsens high hct.

Rosuvaststin is decently well tolerated and very strong at lowering ldl. Pitavastatin is the best for tolerability. Get on one. It will give you piece of mind for running gear. Those of us with low HDL MUST keep that ldl as low as possible.

Thanks so much for now!
I’ve done the sleep study and I’ll keep you updated.
(By mistake I deleted my previous reply because I thought I had posted it in a different thread lol)