Mid-cycle blood work result and suggestions
Ref: https://forums.steroid.com/members-c...ml#post7436876
I am on my 9th week of 375mg Test E cycle.
Did the mid-cycle BW on 8th week and results are below.
Please help me understand and provide the suggestion to make the best out of this cycle, thanks in advance.
HAEMATOLOGY EXAMINATION
Total RBC : 4.9 M/cmm (M 4.5-6.0 F 4.0-5.5) : 4.9 x10^12 /L (M 4.5-6.0 F 4.0-5.5)
Haemoglobin (Hb) : 14.3 g/dl : 143 gm/L (M 125-175 F
115-155)
(M 12.5-17.5 F
11.5-15.5)
Haematocrit(PCV) : 41 % : 0.41 L (M 0.40-0.50 F
0.37-0.45)
(M 40-50 F 37-45)
MCV : 85 fl (82-98) : 85 fl (82-98)
MCH : 29 pg (27-33) : 29 pg (27-33)
MCHC : 35 % (31-35) : 350 g/L (310 - 350)
RDW : 14.0 % (11.0 - 16.0) : 14.0 % (11.0 - 16.0)
Total WBC : 5,200 /cmm (4,000 - 11,000 ) : 5.2 x10^9 /L (4-11)
Differential Count
*Polymorphs : 44 % (50-70) : 44 % (50-70)
*Lymphocytes : 45 % (20 - 40) : 45 % (20 - 40)
*Monocytes : 6 % < 10 : 6 % < 10
*Eosinophils : 5 % < 4 : 5 % < 4
*Basophils : 0 % (< 1) : 0 % (< 1)
Absolute Count
*Polymorphs : 2288 /cmm (2000-7500) : 2.3 x10^9/L (2.0 - 7.5)
*Lymphocytes : 2340 /cmm (1000 - 4000) : 2.3 x10^9/L (1.0 - 4.0)
*Monocytes : 312 /cmm < 1000 : 0.3 x10^9/L < 1.0
*Eosinophils : 260 /cmm < 600 : 0.26 x10^9/L < 0.6
*Basophils : 0 /cmm < 100 : 0.00 x10^9/L < 0.1
ESR (Westergren) : 2 mm/hr (M 0-16 F 0-20 ) : 2 mm/hr (M 0-16 F 0-20 )
Platelet count : 224,000 /cmm (150,000-400,000) : 224 x10^9 /L (150-400)
RENAL FUNCTION TEST
Sodium : 139 mmol/L (135 - 145) : 139 mmol/L (135 - 145)
Potassium : 4.8 mmol/L (3.5-5.1) : 4.8 mmol/L (3.5-5.1)
Chloride : 103 mmol/L (98-107) : 103 mmol/L (98-107)
Urea : 34 mg/dl Male:<50yrs old 19-44 : 5.7 mmol/L
Male<50yrs old:3.2-7.4
:>50yrs old 18-55 >50yrs old:3.0-9.2
Creatinine : 1.17 mg/dL (M 0.72 - 1.25 mg/dL) : 103.4 umol/L (M 63.6 - 110.5 umol/L)
Glomerular Filtration Rate(Estimated) : 82 mL/min/1.73 m^2 : 82 mL/min/1.73 m^2
Note : Calculation adopted from CKD-EPI
Stages of Chronic Kidney Disease (CKD)
--------------------------------------------------------------------------------
Stage GFR (mL/min/1.73m^2) Description
--------------------------------------------------------------------------------
1 >= 90 : Normal or increased GFR, with other evidence of kidney damage
2 60 - 89 : Slight decrease in GFR, with other evidence of kidney damage
3A 45 - 59 : Moderate decrease in GFR, with or without other evidence of kidney damage
3B 30 - 44 : Moderate decrease in GFR, with or without other evidence of kidney damage
4 15 - 29 : Severe decrease in GFR, with or without other evidence of kidney damage
5 < 15 : Established renal failure
--------------------------------------------------------------------------------
Uric Acid : 6.1 mg/dl (M: 3.5-7.2, F: 2.6-6.0) : 363 umol/L (M:208-428, F:155-357)
Calcium : 9.9 mg/dL (8.4-10.2) : 2.48 mmol/L (2.10-2.55)
Phosphorus : 4.0 mg/dL (2.3-4.7) : 1.29 mmol/L (0.74-1.52)
LIVER FUNCTION TEST
Total Protein : 7.2 g/dL (6.4-8.3) : 72 g/L (64-83)
Albumin : 4.5 g/dL (3.5-5.2) : 45 g/L (35-52)
Globulin : 2.7 gm/dL (2.1-4.0) : 27 g/L (21-40)
A/G Ratio : 1.7 (1.0-2.2) : 1.7 (1.0-2.2)
Total Bilirubin : 0.8 mg/dl (0.2-1.2mg/dL) : 13.7 umol/L (3.4-20.5 umol/L)
(Less than 10.0-NB) (Less than 171.0-NB)
SGOT/AST : 35 U/L (5-34) : 35 U/L (5-34)
SGPT/ALT : 32 U/L (0-55) : 32 U/L (0-55)
Gamma Glutamyl : 16 U/L (M 12-64; F 9-36) : 16 U/L (M 12-64; F 9-36)
Transpeptidase(GGT)
Alkaline Phosphatase : 52 U/L (1-12years old<500 : 52 U/L (1-12years old<500
M>20years M>20years
M 12-15 years<750) M 12-15 years<750)
OTHERS
Blood Glucose : 87 mg/dl (Fasting <=100 mg/dl : 4.83 mmol/L (Fasting <=5.55 mmol/L
Random <140 mg/dl) Random <7.77 mmol/L )
Free T4 : 0.87 ng/dl 0.70-1.48 : 11.20 pmol/L 9.0-19.1
Syphilis Serology (Modified VDRL):
:Non-Reactive Non-Reactive
Rheumatoid Factor (Quantitative) : < 20 IU/ml (<30 IU/ml) : < 20 IU/ml (<30 IU/ml)
LIPIDS STUDIES
Total Cholesterol : 150 mg/dL (< 200) : 3.89 mmol/L (< 5.18)
Triglycerides : 56 mg/dL (<150) : 0.63 mmol/L (<1.70)
HDL - Cholesterol : 58 mg/dL (>40) : 1.5 mmol/L (>1.0)
LDL - Cholesterol : 81 mg/dL (Optimal < 100) : 2.1 mmol/L (Optimal < 2.6)
Total Chol/HDL-Chol : 2.6 (Risk indicated if > 4.5) : 2.6 (Risk indicated if > 4.5)
Non-HDL Cholesterol : 92 mg/dL : 2.38 mmol/L
--------------------------------------------------------
| Non-HDL Cholesterol | Levels of Classification |
|--------------------------| |
| mg/dL | mmol/L | |
|--------------------------|----------------------------|
| >=220 | >=5.70 | Very high |
| 190-219 | 4.92-5.67 | High |
| 160-189 | 4.14-4.90 | Borderline high |
| 130-159 | 3.37-4.12 | Above desirable |
| <130 | <3.37 | Desirable
*Urine FEME (Urinalysis Strip) *Urine FEME (Urinalysis Strip) *Urine Microscopy
*Wet smear (Urine deposit ) :-
*pH : 6.5 *Pus cells : 0-1 /HPF
*Protein : Negative *RBC : Nil /HPF
*Glucose : Negative *Casts : Nil /LPF
*Ketone : Negative *Epithelia : Nil /HPF
*Blood : Negative *Bacteria : Nil /HPF
*Colour : Straw
Transparency : Clear
*Specific Gravity : 1.015 : 1.015
Reference Range for urine FEME
__________________________________________________ _________________
Parameter Range
-------------------------------------------------------------------
PH 5.0 - 8.5
Protein Negative
Glucose Negative
Ketone Negative
Blood Negative
Color Pale yellow to Amber
Transparency Clear - slightly cloudy
Specific Gravity 1.005 - 1.030
__________________________________________________ __________________
Reference Range for Microscopy
__________________________________________________ ___________________________
Parameter Range
-----------------------------------------------------------------------------
WBC 0-5 /HPF
RBC 0-3/ HPF
Casts Hyaline 0-1/LPF ,granular cast present is abnormal
Epithelia 0-5 /HPF
Bacteria(Clean catch) Few/Occasional
Crystals Usually not significant unless found persistently
in patient with renal calculi or if associated with
certain metabolic disease
Amorphous Not significant
__________________________________________________ __________________________
Alpha Fetoprotein (AFP) : 7.73 ng/mL : 6.42 IU/mL (Up to 12.45 IU/mL in
healthy subjects)
(Up to 15.00 ng/ml in
healthy subjects)
High Sensitive CRP (hs-CRP) : 0.07 mg/dL (0 - 0.50 mg/dL) : 0.7 mg/L (0 - 5.0 mg/L)
Testosterone : 3167.86 ng/dL Male : (142.39- 923.14): 109.92 nmol/l Male : (4.94 - 32.03)
Serum Estradiol : 43 pg/ml : 157.9 pmol/L
Estradiol Range
(pg/ml)
---------------------------------------------------------------------
Males ND - 107
Menstruating females
Follicular phase 19 - 183
Midcycle 49 - 528
Luteal phase 53 - 211
Postmenopausal females (untreated) ND - 110
*ND = Not detectable
---------------------------------------------------------------------
Estradiol Range
(pmol/L)
---------------------------------------------------------------------
Males ND - 393
Menstruating females
Follicular phase 70 - 672
Midcycle 180 - 1938
Luteal phase 195 - 775
Postmenopausal females (untreated) ND - 404
*ND = Not detectable
