Kidney Lab Results Shocker

[OldGHGuy]

Hey Meso,

After my recent uncontrolled BP episode, at least partially due to high hematocrit (documented in another post) I thought it prudent to check kidney health closely (and I had done Anavar for 4 weeks in my old man "blast" leading up to it). Here are my results:

eGFR Creatinine 57 (Low)

Creatinine 1.57 (High)

BUN 15 (Normal)

Urine Negative for Protein (Normal)

Cystatin C .90 mg/ml

eGFR Cyst C 91 (Normal)

First time I've ever done the Cystatin C test. I'm relieved at the results. And it looks like this is another example of why us muscle heads should always add the Cystatin C test to other metrics when fully evaluating the kidneys.

 

[b6798045]

Also next time, measure microalbumin in relation with creatinine in urine.

Microalbumin Creatinine Ratio: MedlinePlus Medical Test

A microalbumin creatinine ratio test measures the amount of albumin in urine. Albumin in urine may be a sign of kidney disease. Learn more.

medlineplus.gov

Also Ultrasound can be good for you.

 

[Humble-Beast]

Hey Meso,

After my recent uncontrolled BP episode, at least partially due to high hematocrit (documented in another post) I thought it prudent to check kidney health closely (and I had done Anavar for 4 weeks in my old man "blast" leading up to it). Here are my results:

eGFR Creatinine 57 (Low)

Creatinine 1.57 (High)

BUN 15 (Normal)

Urine Negative for Protein (Normal)

Cystatin C .90 mg/ml

eGFR Cyst C 91 (Normal)

First time I've ever done the Cystatin C test. I'm relieved at the results. And it looks like this is another example of why us muscle heads should always add the Cystatin C test to other metrics when fully evaluating the kidneys.

Yeah, I have to constantly remind my doc, that I lift weights and the more accurate tests should be cystatin C, always comes back good. People just trust whatever the doc says, no questions.
Doc called me yesterday and wanted me to have an abdominal ultrasound because my ALT and AST levels were elevated, she was all worried. I reminded her that's why I had her test GGT, she didn't even look. Normal of course, but she still wants an abdominal ultrasound.. we go through this a couple times a year. I gotta ask the pros at the gym who their doc is, and transfer.
Ridiculous tho, why do I have to teach the doctor who was in school 12 years? And I was a fuckin BOCES student, lol.

 

[OldGHGuy]

Yeah, I have to constantly remind my doc, that I lift weights and the more accurate tests should be cystatin C, always comes back good. People just trust whatever the doc says, no questions.
Doc called me yesterday and wanted me to have an abdominal ultrasound because my ALT and AST levels were elevated, she was all worried. I reminded her that's why I had her test GGT, she didn't even look. Normal of course, but she still wants an abdominal ultrasound.. we go through this a couple times a year. I gotta ask the pros at the gym who their doc is, and transfer.
Ridiculous tho, why do I have to teach the doctor who was in school 12 years? And I was a fuckin BOCES student, lol.

Funny - I didnt mention it (because its irrelevant) but my AST/ALT are also elevated slightly and....the doc is sending me for an abdominal ultrasound!! I havent had one since 2017 so I am going to go thru with it for good measure but really funny how these doctors are similar in their cluelessness. Abdominal ultrasound must be the "order of the month" in the Doctor's Newsletter

 

[Ghoul]

Yeah, I have to constantly remind my doc, that I lift weights and the more accurate tests should be cystatin C, always comes back good. People just trust whatever the doc says, no questions.
Doc called me yesterday and wanted me to have an abdominal ultrasound because my ALT and AST levels were elevated, she was all worried. I reminded her that's why I had her test GGT, she didn't even look. Normal of course, but she still wants an abdominal ultrasound.. we go through this a couple times a year. I gotta ask the pros at the gym who their doc is, and transfer.
Ridiculous tho, why do I have to teach the doctor who was in school 12 years? And I was a fuckin BOCES student, lol.

Never forget that for most medical providers, it's just a job. Very few are interested enough to continually update their knowledge (more than the law requires with continuing education.).

Among specialists you'll find a few more who are passionate. The kind who'll read the research journals associated with their area.

You have to be your own advocate and walk in armed with info regarding the treatment you think you need, and work with them, rather than assuming they know best. Just asking questions and suggesting certain meds or tests makes them sit up and more likely to give you a higher level of service than those who don't make noise.

If you can get medical care through a university affiliated system, they're often much more on top of the latest developments since they're often involved in educating students, and have plenty of opportunities for lectures along with access to the latest meds and equipment.

 

[Humble-Beast]

Funny - I didnt mention it (because its irrelevant) but my AST/ALT are also elevated slightly and....the doc is sending me for an abdominal ultrasound!! I havent had one since 2017 so I am going to go thru with it for good measure but really funny how these doctors are similar in their cluelessness. Abdominal ultrasound must be the "order of the month" in the Doctor's Newsletter

Haha, crazy. Yeah, I mean get the ultrasound, but think about it.. alt and ast are in muscle tissue, not just liver. Ya workout hard creating micro muscle damage, which releases the alt/ ast.
Get the GGT, it'll give a more clear picture of how your liver is actually doing cause muscles don't contain that one.. good luck

 

[Humble-Beast]

Never forget that for most medical providers, it's just a job. Very few are interested enough to continually update their knowledge (more than the law requires with continuing education.).

Among specialists you'll find a few more who are passionate. The kind who'll read the research journals associated with their area.

You have to be your own advocate and walk in armed with info regarding the treatment you think you need, and work with them, rather than assuming they know best. Just asking questions and suggesting certain meds or tests makes them sit up and more likely to give you a higher level of service than those who don't make noise.

If you can get medical care through a university affiliated system, they're often much more on top of the latest developments since they're often involved in educating students, and have plenty of opportunities for lectures along with access to the latest meds and equipment.

Yeah, worse, my doc is through the medical University, lol. Thing is, we've been over the same shit for a few years.
I know a coach who hosts local bodybuilding shows, I'll ask who he refers clients to.

 

[Ghoul]

Yeah, worse, my doc is through the medical University, lol. Thing is, we've been over the same shit for a few years.
I know a coach who hosts local bodybuilding shows, I'll ask who he refers clients to.

Some have certain sensitivities or blind spots. I got "fired" as a patient by one when I pulled out a vial of UGL Sema years ago and told him I was using it. I'm sure if I told him I was a heroin addict he would've been more accepting.

I can only imagine the response some docs would give to being informed of AAS use. Gotta find a doctor who's jacked to have the best shot at a sympathetic ear, lol.

 

[DECLAN]

Hey Meso,

After my recent uncontrolled BP episode, at least partially due to high hematocrit (documented in another post) I thought it prudent to check kidney health closely (and I had done Anavar for 4 weeks in my old man "blast" leading up to it). Here are my results:

eGFR Creatinine 57 (Low)

Creatinine 1.57 (High)

BUN 15 (Normal)

Urine Negative for Protein (Normal)

Cystatin C .90 mg/ml

eGFR Cyst C 91 (Normal)

First time I've ever done the Cystatin C test. I'm relieved at the results. And it looks like this is another example of why us muscle heads should always add the Cystatin C test to other metrics when fully evaluating the kidneys.

I am envious that you can get Cystatin C easily down there. It is not a standard test they do up here unless you are already stage 3 ckd.

I have almost identical egfr and creatinine like yours albeit I have small protein leaking which is a concern not enough to panic about but enough to do some retest on.

Just like they said get a uacr urine test done if you want another parameter to gauge kidney health.

 

[BamaCrazy]

Because of you and Ateam I also went and got more kidney and liver focused labs this week.

Creatinine 1.29 high
BUN normal
eGFR normal
Cyastatin C normal
CRP normal
AST high
ALT high
Urine protein normal
Creatine Kinase 757 crazy high. Still figuring this one out.

 

[Humble-Beast]

Because of you and Ateam I also went and got more kidney and liver focused labs this week.

Creatinine 1.29 high
BUN normal
eGFR normal
Cyastatin C normal
CRP normal
AST high
ALT high
Urine protein normal
Creatine Kinase 757 crazy high. Still figuring this one out.

I mean, I don't know, CK, ALT, AST all release with muscle damage and will be elevated unless you don't lift for few days before bloodwork.
Get your GGT tested next time, it's only in the liver and more accurate for showing true liver stress/ damage.
Anyway, you must have fukn killed it in the gym, nice work bro!

 

[BamaCrazy]

I mean, I don't know, CK, ALT, AST all release with muscle damage and will be elevated unless you don't lift for few days before bloodwork.
Get your GGT tested next time, it's only in the liver and more accurate for showing true liver stress/ damage.
Anyway, you must have fukn killed it in the gym, nice work bro!

Sorry. I forgot to include GGT

GGT 18 (0-65)

The way we all train skipping more than 2 days before labs is hard to pull off. ALT/AST was likely from lifting hard 2 days and Proviron.

 

[buck]

Yeah, I have to constantly remind my doc, that I lift weights and the more accurate tests should be cystatin C, always comes back good. People just trust whatever the doc says, no questions.
Doc called me yesterday and wanted me to have an abdominal ultrasound because my ALT and AST levels were elevated, she was all worried. I reminded her that's why I had her test GGT, she didn't even look. Normal of course, but she still wants an abdominal ultrasound.. we go through this a couple times a year. I gotta ask the pros at the gym who their doc is, and transfer.
Ridiculous tho, why do I have to teach the doctor who was in school 12 years? And I was a fuckin BOCES student, lol.

Dr.'s do not treat patients as individuals. They give the same advice to all patient
s that have the same reading results etc. as that is good medical practice and keeps them from being sued. And would take far more time and cost more money to do everyone on a case by case basis. I expect nothing else.
It is up to the individual to take into consideration their own personal situation.

 

[Humble-Beast]

Dr.'s do not treat patients as individuals. They give the same advice to all patient
s that have the same reading results etc. as that is good medical practice and keeps them from being sued. And would take far more time and cost more money to do everyone on a case by case basis. I expect nothing else.
It is up to the individual to take into consideration their own personal situation.

No I feel that.. another thing is how they learn. Memorize vs internalize.
A large majority of students in pre-med and nursing school I sat alongside and watched really just had good memory. They'd study and memorized the flash cards, and passed. Great, now they can parrot the "correct" answer. Now a patient presents with x symptoms/ labs and they're lost cause they never learned how to think outside the box. Think through shit on their own. They'll think, "Where the Fk are my flashcards now?" Lol
I got to train residents and nurses basic shit, and I'm not lying when I say 8 out of 10 of em not only didn't know how to take a manual blood pressure, they would lie on the numbers constantly cause they were embarrassed. Somehow everybody had 120/80 BP, lol. That's what the flash cards say anyway. I had to explain what they're hearing in the stethoscope and what's happening physiologically, then they got it.
Scary shit
Somehow my primary care doc isn't as receptive to being schooled on the physiology of why I need GGT, and Cystatin- C as a weightlifter. Don't they want to learn, lol.

 

[OldGHGuy]

Its OK - Bill Gates said yesterday that within 10 years teachers and doctors will be replaced with AI. And I happen to agree

 

[buck]

No I feel that.. another thing is how they learn. Memorize vs internalize.
A large majority of students in pre-med and nursing school I sat alongside and watched really just had good memory. They'd study and memorized the flash cards, and passed. Great, now they can parrot the "correct" answer. Now a patient presents with x symptoms/ labs and they're lost cause they never learned how to think outside the box. Think through shit on their own. They'll think, "Where the Fk are my flashcards now?" Lol
I got to train residents and nurses basic shit, and I'm not lying when I say 8 out of 10 of em not only didn't know how to take a manual blood pressure, they would lie on the numbers constantly cause they were embarrassed. Somehow everybody had 120/80 BP, lol. That's what the flash cards say anyway. I had to explain what they're hearing in the stethoscope and what's happening physiologically, then they got it.
Scary shit
Somehow my primary care doc isn't as receptive to being schooled on the physiology of why I need GGT, and Cystatin- C as a weightlifter. Don't they want to learn, lol.

Then maybe you should get a different Dr i went to as he was starting a TRT/Anti-aging practice almost 20 years ago. Didn't pan out well. So now he does primary care along with it. There is a lot of ego being a Dr and i can understand that. But i have had more then 1 Dr tell me that i know more about health and recovery then they do as they are trained in managing pain and curing disease. Which is not the same as trying to be healthy. If i had to see 40 whinny people a day i am sure i would do things much along the lines that they do. Multiple people can have the same thig and explain it in different ways. Trying to fathom that all out and correlate it to tests results would likely make things very cookie cutter.

 

[Humble-Beast]

Its OK - Bill Gates said yesterday that within 10 years teachers and doctors will be replaced with AI. And I happen to agree

I mean, most docs are running shit through AI already anyway. Be interesting for sure
Shit, 10 years ago the docs I worked with always used the old internets to look shit up, and double check their work. Now
AI does all that and more for them.

 

[Humble-Beast]

Then maybe you should get a different Dr i went to as he was starting a TRT/Anti-aging practice almost 20 years ago. Didn't pan out well. So now he does primary care along with it. There is a lot of ego being a Dr and i can understand that. But i have had more then 1 Dr tell me that i know more about health and recovery then they do as they are trained in managing pain and curing disease. Which is not the same as trying to be healthy. If i had to see 40 whinny people a day i am sure i would do things much along the lines that they do. Multiple people can have the same thig and explain it in different ways. Trying to fathom that all out and correlate it to tests results would likely make things very cookie cutter.

I know, I've been stalling on getting a new doc. There's a local coach I met with recently, I'm sure he can point me to a good doc.
I have sympathy for the most docs, I don't have the patience for the whinny people, lol. I worked emergency medicine for a while and all kinds of crazies coming in there.

 

[Ateam2023]

Hey Meso,

After my recent uncontrolled BP episode, at least partially due to high hematocrit (documented in another post) I thought it prudent to check kidney health closely (and I had done Anavar for 4 weeks in my old man "blast" leading up to it). Here are my results:

eGFR Creatinine 57 (Low)

Creatinine 1.57 (High)

BUN 15 (Normal)

Urine Negative for Protein (Normal)

Cystatin C .90 mg/ml

eGFR Cyst C 91 (Normal)

First time I've ever done the Cystatin C test. I'm relieved at the results. And it looks like this is another example of why us muscle heads should always add the Cystatin C test to other metrics when fully evaluating the kidneys.

if i hadn't added that Cystatin c test last year , just because, i wouldn't have caught my current ckd that im trying to figure out, im waiting to see a kidney specialist,,

 

[Humble-Beast]

if i hadn't added that Cystatin c test last year , just because, i wouldn't have caught my current ckd that im trying to figure out, im waiting to see a kidney specialist,,

There may be hope bro..
I went from stage 5 kidney disease with egfr of 8.0 two years ago, above 80 in less than a month and 120 two months later.
Main culprit? Dehydration.
Lack of sleep from working overnights for years caught up with me, made me nauseous, vomiting, hence the dehydration and downward spiral rapidly.
Before I went into the hospital I got to the point I couldn't get out of bed for more than 5 minutes without feeling like I ran a marathon and needed to lay down. Expected to die actually. All my labs were fucked.
When I saw the nephrologist at follow up, he called others into the room cause he said he's never seen someone's egfr go from that bad to that good in a month.
Amazing what sleep and water can do, lol.

Good luck tho man, make sure to hydrate well before next labs as I'm sure you know. Also, if you're not on astragalus, might be worth looking at. I take it daily now.