Bass's new Blood Work as of 9/5/2012

[bass]

this is BW was done to see if my AI adjustment has worked, it looks like it did. also wanted to know if doing self bleeding can help with normalizing my hemoglobin and most importantly Hematocrit!

Protocol,
hCG , 400 iu every three days, one day before Test shot
Test, 50 mgs every three days
AI, 0.25 mgs one day after every Test shot (i like how i feel at this level)
3000 mg fish oil ed
10,000 iu vitamin D eod
one tablet aleve ed

Diet, high protein low fat low starchy carbs but i eat allot of organic fruits!

POINTS,
Kidneys getting better every time i do BW
Cholesterol much better than last time
Glucose improved
PSA improved (this one made me really happy as it was going up every BW i did in the past, this time it went down!)

Negatives, couple of new out of range things, not sure if its diet related but hopefully some one can shed a light on it,
1. WBC 3.3 Low x10E3/uL 4.0-10.5
2. MCHC 31.4 Low g/dL 31.5-35.7
3. Neutrophils (Absolute) 1.7 Low x10E3/uL 1.8-7.8

Here is my complete BW,

CBC With Differential/Platelet
WBC 3.3 Low x10E3/uL 4.0-10.5
RBC 5.09 x10E6/uL 4.14-5.80
Hemoglobin 14.7 g/dL 12.6-17.7
Hematocrit 46.8 % 37.5-51.0
MCV 92 fL 79-97
MCH 28.9 pg 26.6-33.0
MCHC 31.4 Low g/dL 31.5-35.7
RDW 14.5 % 12.3-15.4
Platelets 152 x10E3/uL 140-415
Neutrophils 51 % 40-74
Lymphs 39 % 14-46
Monocytes 8 % 4-13
Eos 2 % 0-7
Basos 0 % 0-3
Neutrophils (Absolute) 1.7 Low x10E3/uL 1.8-7.8
Lymphs (Absolute) 1.3 x10E3/uL 0.7-4.5
Monocytes(Absolute) 0.3 x10E3/uL 0.1-1.0
Eos (Absolute) 0.1 x10E3/uL 0.0-0.4
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2
Immature Granulocytes 0 % 0-2
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1

Comp. Metabolic Panel
Glucose, Serum 98 mg/dL 65-99
BUN 24 mg/dL 6-24
Creatinine, Serum 1.19 mg/dL 0.76-1.27
eGFR If NonAfricn Am 70 mL/min/1.73 >59
eGFR If Africn Am 81 mL/min/1.73 >59
BUN/Creatinine Ratio 20 9-20
Sodium, Serum 137 mmol/L 134-144
Potassium, Serum 4.1 mmol/L 3.5-5.2
Chloride, Serum 102 mmol/L 97-108
Carbon Dioxide, Total 23 mmol/L 20-32
Calcium, Serum 9.0 mg/dL 8.7-10.2
Protein, Total, Serum 6.7 g/dL 6.0-8.5
Albumin, Serum 4.1 g/dL 3.5-5.5
Globulin, Total 2.6 g/dL 1.5-4.5
A/G Ratio 1.6 1.1-2.5
Bilirubin, Total 0.7 mg/dL 0.0-1.2
Alkaline Phosphatase, S 60 IU/L 25-150
AST (SGOT) 23 IU/L 0-40
ALT (SGPT) 19 IU/L 0-55

Lipid Panel
Cholesterol, Total 178 mg/dL 100-199
Triglycerides 66 mg/dL 0-149
HDL Cholesterol 49 mg/dL >39
VLDL Cholesterol Cal 13 mg/dL 5-40
LDL Cholesterol Calc 116 High mg/dL 0-99

Thyroid Panel With TSH
TSH 2.240 uIU/mL 0.450-4.500
Thyroxine (T4) 6.5 ug/dL 4.5-12.0
T3 Uptake 38 % 24-39
Free Thyroxine Index 2.5 1.2-4.9

Testosterone ,Free and Total
Testosterone, Serum 871 ng/dL 348-1197
Free Testosterone(Direct) 28.6 High pg/mL 7.2-24.0

Dehydroepiandrosterone (DHEA) 71 ng/dL 31-701 (need advice)

Prolactin 9.0 ng/mL 4.0-15.2

Prostate Specific Ag, Serum 0.9 ng/mL 0.0-4.0

Insulin -Like Growth Factor I 241 High ng/mL 56-201

Vitamin D, 25-Hydroxy 87.0 ng/mL 30.0-100.0 (at 10,000 ius eod)

Estradiol, Sensitive 11 pg/mL 3-70 (last BW was 5)

[steroid.com 1]

Estradiol, Sensitive 11 pg/mL 3-70 (last BW was 5)

With your frequent low dose protocol, good diet and low body fat plus the small low dose AI after each injection would suggest you can cut back on the AI dosage.

E2 at 11 pg/ml is low bass but better than 5 pg/ml.

I was recently at 13 pg/ml on .25 twice weekly and my Doc and I decided to stop the AI for a while or permanently depending on how I feel in the coming months.

11 is too low my friend...

Free Test panel looks nice!!!

[bass]

thanks for the input G! definitely will consider cutting back or stopping permanently, that would be nice! how about the other three negatives (low readings) i posted, any concern there?

[gbrice75]

Bass, I am VERY green when it comes to this side of the 'business' as you well know, but the bits I do understand look nice, especially the free test - awesome! Also digging the IGF-1 level. x2 on the E2; i'd probably drop that AI for a bit, don't really see the need - but again, I don't want to speak out of order. I'm learning from you guys, not the other way around.

[bass]

appreciate the input GB, we all learn from each other.

[HRTstudent]

That's a low DHEA on that range, but the "DHEA" test that we like to see clinically is the DHEAs (DHEA sulfate) test.

Regardless, it seems like just about everyone can use a little DHEA. My doc recently told me he would like to see it a little higher and mine is about mid range.

Its so inexpensive though and if you feel better after a couple months on it then why not? Anti aging people have loved this stuff for decades... so there is a ton to read about it as well.

[steroid.com 1]

DHEA is very low BUT is DHEA or DHEA-S; if not S (Sulfate) it's the wrong test.

bass, you probably already read this thread re DHEA but re-read what Dr. Neial Rouzier presented recently at an A4M conference:

http://forums.steroid.com/showthread...ou-should-know.

[bass]

thanks again guys. GD you sent me a PM some time ago regarding where to get DHEA cream, would be please PM me again what that link? thanks!

[kelkel]

Overall looks great Bass! MCHC may be just Iron related but I didn't see that anywhere on your BW but I could have missed it. Neutrophils "may" be B vitamin related (12, Folic Acid) other than that there's scary stuff related to it but there's absolutely no need to take that leap. I also just started supplementing with DHEA-micronized. Even though I'm on a prescribed cream it needs to come up a bit more.

Agree with G on your E. It's basically a compliment to your diet, training and lifestyle but that may be just a bit too low. Time to lose the AI or cut back to .125. I wish the hell I could elevate mine a bit and actually keep it there. Always drops back down to my low "norm." Farking E!

[bass]

thanks Kel! I'll get some DHEA cream as soon as i hear from GD, or anyone that has a link! cut the Anastrozole tablets to 0.125?! yea right!!!

[steroid.com 1]

thanks again guys. GD you sent me a PM some time ago regarding where to get DHEA cream, would be please PM me again what that link? thanks!

Transdermal is expensive bass.

Many Doc's are having much better absorption and uptake with micronized DHEA.

Here's what I take as all LEF DHEA is micronized: http://www.lef.org/Vitamins-Suppleme...0882/DHEA.html

[bass]

thanks buddy!

[Brohim]

Bass great number's! Cholesterol looks great, seems your diet is on point. Which day was the blood draw in relation to your injection? I assume this was on the day of your next test shot?

[bass]

you are correct Brohim, the blood was collected in the morning and my next test shot was in the evening. thanks for the input.

[bass]

i was concerned about my WBC count being so low, so i did some research and found that Aleve can be doing this to me. Here are some of the possible sides from Aleve listed as severe!

Deficiency of Granulocytes a Type of White Blood Cell, Severe
Decreased White Blood Cells, Severe
Decreased Neutrophils a Type of White Blood Cell, Severe

so i am quitting Aleve for a while, i was taking 1 tablet ed...

[LevMyshkin]

Dang, Bass, those are some great numbers. Especially your test. I get 140mg once per week and just before my next shot I'm sitting at close to half the test you've got (442).

[HRTstudent]

Dang, Bass, those are some great numbers. Especially your test. I get 140mg once per week and just before my next shot I'm sitting at close to half the test you've got (442).

You may very well benefit from a more frequent dose... your SHBG is probably a little lower than average so your body "goes through" T faster. You are no doubt going supraphysiological early in the week and quickly dropping off to mid/mid-low. I was similar, and even twice a week helped even things out a lot.

[jamotech]

Bass, are you currently sq or im?

[bass]

SQ every 3 days.

[jamotech]

Thanks, thought id ask, I know were all different but I still monitor everyone's ai dose along with their results. Starting to seem like after a year or two on shots were not all so different in terms of E2 conversion. I just got me E2 test ...10 out of 3-70. .25mg arimidex eod, 250iu hcg day after shot, 60mg test im every 3.5 days. Our protocols are pretty close, still appears that subq always leads to less conversion.

[kelkel]

Jamo I'd drop that adex back to twice a week, day after injection. Re-test in a month and if still low maybe you can now get off of the AI! Wouldn't that be great! Some may say get totally off now but it always seems as if that is when we see the big swings in the wrong direction.

As you know, somewhere between 20-30 would be great. Seeing more guys here able to come off of their AI's after a period of time with continued working out, aggressive protocols and lower body fat. Nice! Also consider your hcg the day before each injection (Crisler protocol actually.)

[bass]

I agree with Kel, drop the AI down to twice a week a day after each test shot and do hCG a day before the test shot. It seems the conversion slows down after being on TRT for a year or two. And yes I agree SQ seems to help with E2 management.

[optionsdude]

Hey Bass what was your calcium level on your last BW. I know you've done some vit D BW and I'm interested to see if your calcium levels went up with the introduction of the vit D. Thanks for sharing your progress.

[bass]

Hey Bass what was your calcium level on your last BW. I know you've done some vit D BW and I'm interested to see if your calcium levels went up with the introduction of the vit D. Thanks for sharing your progress.

last time was 9.8

[bass]

Hey OptionsDude, you made me go back and compare my WBC from all the previous tests and wow i did realize WBC was always low, even went back to 2009 way before TRT and diet and still was below normal! i guess nothing to worry about since there is really no significant change, also found out that my older brother is the same way. so i guess its hereditary!

[jamotech]

Jamo I'd drop that adex back to twice a week, day after injection. Re-test in a month and if still low maybe you can now get off of the AI! Wouldn't that be great! Some may say get totally off now but it always seems as if that is when we see the big swings in the wrong direction.

As you know, somewhere between 20-30 would be great. Seeing more guys here able to come off of their AI's after a period of time with continued working out, aggressive protocols and lower body fat. Nice! Also consider your hcg the day before each injection (Crisler protocol actually.)

Hey Kel, taking a week off totally from the ai ...then ill do .25 the day after. Ive been playing around with the day of hcg shot... before... after....day of... day after seems to produce a more consistent nutometer for me personally. As far as no ai, I think subq would be my only hope for that, im sure ill try it sooner than later!

[kelkel]

Keep us posted Jamo!

[LevMyshkin]

You may very well benefit from a more frequent dose... your SHBG is probably a little lower than average so your body "goes through" T faster. You are no doubt going supraphysiological early in the week and quickly dropping off to mid/mid-low. I was similar, and even twice a week helped even things out a lot.

I've thought about that as well, HRT. The problem is that at the moment I'm going to a clinic that administers once/week (every Wednesday during lunch) and I have to pay my $30 copay per visit. I'm looking for an endocrinologist who will prescribe a vial so I that I could do 70mg twice a week, but it seems as though all they want to do around here is inject pellets into you or give you test gel.

[dreadnok89]

Hey bass what's aleve for?

[bass]

Hey bass what's aleve for?

For Joint pain. Been of it for about a week, I think the msm is kicking in and my joints are doing better without painkillers, especially my knees.

[optionsdude]

Okay finally got my Vit D level BW from the lab. 28 it's low and I can't bring it up until I get this hyperparathyroidism thing taken care of. And to add insult to injury I just got my 24 hour urine collection back and my calcium level was 512 from a normal range of 100-300 and creatinine was 2.4 with a normal range of 1.0-2.0. I'm kinda screwed right now until this gets fixed. I bypassed the endo,who wanted to bump up the vit d for 3 months and then re-check my calcium level,and got into a university endo dept with an actual hyperparathyroid specialist. Thanks for sharing your results Bass,I'll PM you for some more info on kidneys.

[bass]

Optionsdude, I'll respond to your questions when I get on my computer, at family gathering right now.

[optionsdude]

Thanks Bass,I appreciate it

[jamotech]

Did you get your E2 retested Bass?

After 4 weeks mine only went from 10 to 13.

.25mg ai 2x week, probably do .25 once a week now and get tested in another 4 weeks.

[Phased]

I need to get my PSA checked, I can't take a leek worth a damn

[bass]

Did you get your E2 retested Bass?

After 4 weeks mine only went from 10 to 13.

.25mg ai 2x week, probably do .25 once a week now and get tested in another 4 weeks.

Yes did it last Friday, I'll post it here when I get it. Been on 0.25 mg twice a week.

I need to get my PSA checked, I can't take a leek worth a damn

There is a supplement Kel keeps recommending, saw somdthing?! Kel, if you see this please tell us the full name please.

[Phased]

Thank you, Yes please do Kel, I don't want to take flomax.

[MuscleInk]

Yes did it last Friday, I'll post it here when I get it. Been on 0.25 mg twice a week.

There is a supplement Kel keeps recommending, saw somdthing?! Kel, if you see this please tell us the full name please.

Saw palmetto. Unfortunately it's not as effective as everyone thinks and only masks a swollen prostate.

Recently, Cialis was approved for prophylactic tx of BPH. 5mg qd for max 30 days will reduce your PSA.

[bass]

Saw palmetto. Unfortunately it's not as effective as everyone thinks and only masks a swollen prostate.

Recently, Cialis was approved for prophylactic tx of BPH. 5mg qd for max 30 days will reduce your PSA.

Yes thank you MI, cialis is the other one Kel recommends.

[bass]

Here is the latest, it seems everything went back to normal. PSA went up some but still okay. my kidneys keep getting better and better!

current protocol,
Test, 50mgs e3d SQ
hCG , 500 iu e3d one day before test shot
AI, 0.25mg one day after each test shot (total 0.5 mg ew)

Supplements,
Vitamin, D, B, C, Fish Oil and DHEA

BW Results, drwan the same day of my next test shot,

CBC With Differential/Platelet
WBC 4.6 x10E3/uL 4.0-10.5 01
RBC 5.48 x10E6/uL 4.14-5.80 01
Hemoglobin 15.3 g/dL 12.6-17.7 01
Hematocrit 47.5 % 37.5-51.0 01
MCV 87 fL 79-97 01
MCH 27.9 pg 26.6-33.0 01
MCHC 32.2 g/dL 31.5-35.7 01
RDW 13.9 % 12.3-15.4 01
Platelets 169 x10E3/uL 140-415 01
Neutrophils 57 % 40-74 01
Lymphs 35 % 14-46 01
Monocytes 7 % 4-13 01
Eos 1 % 0-7 01
Basos 0 % 0-3 01
Neutrophils (Absolute) 2.6 x10E3/uL 1.8-7.8 01
Lymphs (Absolute) 1.6 x10E3/uL 0.7-4.5 01
Monocytes(Absolute) 0.3 x10E3/uL 0.1-1.0 01
Eos (Absolute) 0.1 x10E3/uL 0.0-0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0-0.2 01
Immature Granulocytes 0 % 0-2 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0-0.1 01

Comp. Metabolic Panel (14)
Glucose, Serum 94 mg/dL 65-99 01
BUN 23 mg/dL 6-24 01
Creatinine, Serum 1.23 mg/dL 0.76-1.27 01
eGFR If NonAfricn Am 67 mL/min/1.73 >59 01
eGFR If Africn Am 78 mL/min/1.73 >59 01
BUN/Creatinine Ratio 19 9-20 01
Sodium, Serum 139 mmol/L 134-144 0
Potassium, Serum 3.9 mmol/L 3.5-5.2 01
Chloride, Serum 101 mmol/L 97-108 01
Carbon Dioxide, Total 24 mmol/L 20-32 01
Calcium, Serum 8.8 mg/dL 8.7-10.2 01
Protein, Total, Serum 6.9 g/dL 6.0-8.5 01
Albumin, Serum 4.4 g/dL 3.5-5.5 01
Globulin, Total 2.5 g/dL 1.5-4.5 01
A/G Ratio 1.8 1.1-2.5 01
Bilirubin, Total 0.6 mg/dL 0.0-1.2 01
Alkaline Phosphatase, S 64 IU/L 25-150 01
AST (SGOT) 29 IU/L 0-40 01
ALT (SGPT) 23 IU/L 0-55 01

Lipid Panel
Cholesterol, Total 200 High mg/dL 100-199 01
Triglycerides 83 mg/dL 0-149 01
HDL Cholesterol 51 mg/dL >39 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 17 mg/dL 5-40 01
LDL Cholesterol Calc 132 High mg/dL 0-99 01

Thyroid Panel With TSH
TSH 2.600 uIU/mL 0.450-4.500 01
Thyroxine (T4) 7.5 ug/dL 4.5-12.0 01
T3 Uptake 36 % 24-39 01
Free Thyroxine Index 2.7 1.2-4.9 01

Testosterone,Free and Total
Testosterone , Serum 977 ng/dL 348-1197 01
Free Testosterone(Direct) 36.5 High pg/mL 7.2-24.0 02

Prostate Specific Ag, Serum 1.1 ng/mL 0.0-4.0 01

Insulin -Like Growth Factor I 258 High ng/mL 56-201 02

Estradiol, Sensitive 21 pg/mL 3-70 02