Bloodwork and trt fine tuning

[undersc0re]

I managed to get an online clinic to get me a requisition for bloodwork. My first ever, do you think I can up my dose of test a wee bit or should I leave it there? Should I try and pay out of pocket for more tests that aren’t covered and such not included? Which results will change if I do a 2 month low dose cycle of mast?

 

[Ghoul]

That LDL isn't doing you any favors at 50, if you're hoping to get to 80 without a heart attack. If you lower it to below 1.8, your risk will drop by 50%.

 

[undersc0re]

That LDL isn't doing you any favors at 50, if you're hoping to get to 80 without a heart attack. If you lower it to below 1.8, your risk will drop by 50%.

Would altering test amounts help, or what would you say would help that other than more cardio, I am going to add 20 min more of high heart rate cardio eod. I can’t really make sleep much better unless I change careers. I am already down 50 lbs this year and working on another 10 lbs by eoy, hopefully just fat.

 

[Ghoul]

Would altering test amounts help, or what would you say would help that other than more cardio, I am going to add 20 min more of high heart rate cardio eod. I can’t really make sleep much better unless I change careers. I am already down 50 lbs this year and working on another 10 lbs by eoy, hopefully just fat.

Lowering it would probobly lower LDL (do you know if it was lower before TRT?)..

However. your total test is within physiological range, and if you feel great, and now have the motivation to take care of yourself I think lowering TRT just for improved lipids would do more harm than good.

You could simply get on a maintenance med to bring your lipids into a range that stops additional plaque accumulation. Pitavastatin and Ezetimibe are side effect free for the vast majority, and will bring LDL into a very healthy below 1.4 range.

ESC/EAS (European Society of Cardiology / European Atherosclerosis Society) guidelines, the most up to date in the world, call for below 1.4 for high risk patients (even below 1.0 if it can be achieved). Although not explicitly addressed in the guidelines, AAS use qualifies as "high risk".

And bear in mind, the only reason they "risk stratify" lower LDLs, the higher the risk the lower the target, is economic. Everyone would benefit from the lowest target, but the lower you go, the more expensive
it becomes. so it's reserved for "those who would most benefit".

 

[undersc0re]

Lowering it would probobly lower LDL (do you know if it was lower before TRT?)..

However. your total test is within physiological range, and if you feel great, and now have the motivation to take care of yourself I think lowering TRT just for improved lipids would do more harm than good.

You could simply get on a maintenance med to bring your lipids into a range that stops additional plaque accumulation. Pitavastatin and Ezetimibe are side effect free for the vast majority, and will bring LDL into a very healthy below 1.4 range.

ESC/EAS (European Society of Cardiology / European Atherosclerosis Society) guidelines, the most up to date in the world, call for below 1.4 for high risk patients (even below 1.0 if it can be achieved). Although not explicitly addressed in the guidelines, AAS use qualifies as "high risk".

And bear in mind, the only reason they "risk stratify" lower LDLs, the higher the risk the lower the target, is economic. Everyone would benefit from the lowest target, but the lower you go, the more expensive
it becomes. so it's reserved for "those who would most benefit".

Thanks, i started trt about a year ago and all i know is LDL was just a little bit worse 7 years ago. I will look into those meds thx.

 

[Ghoul]

Thanks, i started trt about a year ago and all i know is LDL was just a little bit worse 7 years ago. I will look into those meds thx.

Pitavastatin is the newest, most advanced statin, and while it's available in the EU, many doctors are unfamiliar with it. It's generic but more expensive than more conventional statins. It the statin of choice for professional athletes.

However, it doesn't have the "scary side effects" that while rare, are enough to scare many off their use. In other words. it's the safest, healthiest of all statins and unlike all others in this class. So it's worth educating yourself and pressing your doctor for it (or acquiring it on your own from India Pharma).

 

[Elektrobot]

I am going to add 20 min more of high heart rate cardio eod.

Go for 40 min of steady state cardio at 70-75% of your max heart rate every day. Every day, It's just part of what you do now. If you are lazy with it, the risk factors will catch up with you.

You said your levels used to be worse. If you have it available to you, get a calcium score. That will tell if your cholesterol levels have already caused atherosclerosis.

Spend lots of time learning about Omega fatty acids, what types of fats should be omitted from your diet, and what you can do to boost HDL while lowering LDL.

High fiber foods can also help with cholesterol.

 

[undersc0re]

There is zero chance of a calcium score in Canada, I can’t even get a family doctor, heck I can’t even get disability forms filled out by a doctor to get paid from insurance I pay for…doctors here are self entitled and busy. They charge $100 for just 5 min of paperwork and you are lucky if you get it. It’s quite ridiculous in Canada for healthcare and it keeps getting worse. People say you got free healthcare, it must be nice….well its not nice when your cancer or disease has progressed to a point where its too late to reverse it or your next step is getting your will finalized. Its not free either as we get taxed to death here on everything imaginable. I guess all I can do is self medicate and try to educate myself in the best way to stay healthy. Would be nice to enjoy at least 5 years of real healthy retirement lol.

 

[undersc0re]

Pitavastatin is the newest, most advanced statin, and while it's available in the EU, many doctors are unfamiliar with it. It's generic but more expensive than more conventional statins. It the statin of choice for professional athletes.

However, it doesn't have the "scary side effects" that while rare, are enough to scare many off their use. In other words. it's the safest, healthiest of all statins and unlike all others in this class. So it's worth educating yourself and pressing your doctor for it (or acquiring it on your own from India Pharma).

All I can really source is ezetimibe underground unfortunately, but I guess thats better than nothing, I am in Canada.

 

[Elektrobot]

I can’t even get disability forms filled out by a doctor

You need disability forms filled out, but you also want to know if you should start using Masteron and increase your test?

What disability do those things treat?

 

[undersc0re]

I used mast a bit and primo a bit I think back in february and march, I am not sure why you think I want to increase test or start using mast now? I am happy with the test levels for now until I talk to a hormone specialist. I am also working right now, the rant I went on about the forms were from a while ago.

I am not sure what disabilities those treat, someone else would have to chime in on that.

 

[Elektrobot]

I am not sure why you think I want to increase test or start using mast now?

Which results will change if I do a 2 month low dose cycle of mast?

Are you ok dude?

You started this topic by asking if you can increase your test and start mast.

Then you ask why would I think you wanted to increase test and use mast?

 

[undersc0re]

I guess you are right, it just felt blunt and sarcastic with the way you stated it, like I wanted to increase my test and mast to treat an injury and related that to my disability forms. I will not be doing either increasing test or starting mast yet, was just wondering which numbers would change on paper if I did for now.

 

[hades251]

Id really start by cleaning up your diet and adjusting the types of fat youre eating before that LDL catches up to you.

Increase omega-3, get your soluble fibre in and replace saturated fat with monounsaturated from olive oil etc. Regular cardio too.