High RBC, Low MHC - Causes? Concerns?

I'm 41 and started TRT Novemeber 2016. Currently on Test. Cyp. (IM) and HCG (SQ) every other day and 25 mg DHEA twice daily (From Defy). I have an appointment in July. Just had blood work and have some questions.

Here are the highlights.
T total = 932 (up from ~200 pre-TRT, feeling much better!)
T-free = 37.8 (High)
DHEA= 418.5 (High)
Estradiol = 33.3
SHBG = 13.8 (Low)

RBC = 5.84 (High - has not been high before)
MHC = 25.2 (Low - has not been low before)
Hematocrit = 46.6

TSH = 4.680 (High - was high last time)
HDL = 23 (Low - need to remember fish oil!


Questions:
1. What gives with the RBC and MHC?

2. Is DHEA ok being high, or can that be a problem?

3. Is T-free being high a problem? Is it because my SHBG so low?

In general I feel pretty good, so much better than before I started. My erections still tend to wimp out during sex, but I'm have increased cialis and started citrulline. Not sure about going for the full NO stack, but was told in another post that it would be worth a look. When they take blood they have always had a hard time finding a vein so maybe I am not a great NO producer or something.

Excel Male rocks!

Full blood work:

[FONT=&quot]DHEA-Sulfate
DHEA-Sulfate

418.5HIGH


​

​

Reference Range: 102.6-416.3 ug/dL​

TSH
TSH

4.680HIGH


​

​

Reference Range: 0.450-4.500 uIU/mL​

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum

0.3NORMAL




​

​

Reference Range: 0.0-4.0 ng/mL​

Roche ECLIA methodology. . According to the American Urological Association, Serum PSA should decrease and remain at undetectable levels after radical prostatectomy. The AUA defines biochemical recurrence as an initial PSA value 0.2 ng/mL or greater followed by a subsequent confirmatory PSA value 0.2 ng/mL or greater. Values obtained with different assay methods or kits cannot be used interchangeably. Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease.






Sex Horm Binding Glob, Serum
Sex Horm Binding Glob, Serum

13.8LOW





​

​

Reference Range: 16.5-55.9 nmol/L​

Testosterone,Free and Total
Comment:

up to 40 years old.


Adult male reference interval is based on a population of lean males



Testosterone, Serum

932NORMAL




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​

Reference Range: 348-1197 ng/dL​

Free Testosterone(Direct)

37.8HIGH


​

​

Reference Range: 6.8-21.5 pg/mL​

Estradiol, Sensitive
Estradiol, Sensitive

33.3NORMAL




​

​

Reference Range: 8.0-35.0 pg/mL​

This test was developed and its performance characteristics determined by LabCorp. It has not been cleared by the Food and Drug Administration. Methodology: Liquid chromatography tandem mass spectrometry(LC/MS/MS)






Lipid Panel
Cholesterol, Total

134NORMAL




​

​

Reference Range: 100-199 mg/dL​

Triglycerides

126NORMAL




​

​

Reference Range: 0-149 mg/dL​

HDL Cholesterol

23LOW





​

​

Reference Range: >39 mg/dL​

VLDL Cholesterol Cal

25NORMAL




​

​

Reference Range: 5-40 mg/dL​

LDL Cholesterol Calc

86NORMAL




​

​

Reference Range: 0-99 mg/dL​

Comp. Metabolic Panel (14)
Calcium, Serum

9.3NORMAL




​

​

Reference Range: 8.7-10.2 mg/dL​

Glucose, Serum

86NORMAL




​

​

Reference Range: 65-99 mg/dL​

BUN

12NORMAL




​

​

Reference Range: 6-24 mg/dL​

Protein, Total, Serum

6.8NORMAL




​

​

Reference Range: 6.0-8.5 g/dL​

Albumin, Serum

4.1NORMAL




​

​

Reference Range: 3.5-5.5 g/dL​

Bilirubin, Total

0.3NORMAL




​

​

Reference Range: 0.0-1.2 mg/dL​

Alkaline Phosphatase, S

61NORMAL




​

​

Reference Range: 39-117 IU/L​

AST (SGOT)

17NORMAL




​

​

Reference Range: 0-40 IU/L​

Potassium, Serum

4.6NORMAL




​

​

Reference Range: 3.5-5.2 mmol/L​

Sodium, Serum

139NORMAL




​

​

Reference Range: 134-144 mmol/L​

Chloride, Serum

99NORMAL




​

​

Reference Range: 96-106 mmol/L​

Creatinine, Serum

0.96NORMAL




​

​

Reference Range: 0.76-1.27 mg/dL​

ALT (SGPT)

14NORMAL




​

​

Reference Range: 0-44 IU/L​

Carbon Dioxide, Total

24NORMAL




​

​

Reference Range: 18-29 mmol/L​

BUN/Creatinine Ratio

13NORMAL




​

​

Reference Range: 9-20 ​

Globulin, Total

2.7NORMAL




​

​

Reference Range: 1.5-4.5 g/dL​

A/G Ratio

1.5NORMAL




​

​

Reference Range: 1.2-2.2 ​

eGFR If NonAfricn Am

98NORMAL




​

​

Reference Range: >59 mL/min/1.73​

eGFR If Africn Am

113NORMAL




​

​

Reference Range: >59 mL/min/1.73​

Cardiovascular Report
Interpretation

Note​

​

Medical Director's Note: Ambig Abbrev LP Default: A hand-written panel/profile was received from your office. In accordance with the LabCorp Ambiguous Test Code Policy dated July 2003, we have completed your order by using the closest currently or formerly recognized AMA panel. We have assigned Lipid Panel, Test Code #303756 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp Client Inquiry/Technical Services Department to clarify the test order. We appreciate your business. Medical Director's Note: Ambig Abbrev CMP14 Default: A hand-written panel/profile was received from your office. In accordance with the LabCorp Ambiguous Test Code Policy dated July 2003, we have completed your order by using the closest currently or formerly recognized AMA panel. We have assigned Comprehensive Metabolic Panel (14), Test Code #322000 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp Client Inquiry/Technical Services Department to clarify the test order. We appreciate your business. Supplement report is available.






CBC/Diff Ambiguous Default
WBC

5.8NORMAL




​

​

Reference Range: 3.4-10.8 x10E3/uL​

RBC

5.84HIGH


​

​

Reference Range: 4.14-5.80 x10E6/uL​

Hemoglobin

14.7NORMAL




​

​

Reference Range: 12.6-17.7 g/dL​

Hematocrit

46.6NORMAL




​

​

Reference Range: 37.5-51.0 %​

MCV

80NORMAL




​

​

Reference Range: 79-97 fL​

MCH

25.2LOW





​

​

Reference Range: 26.6-33.0 pg​

MCHC

31.5NORMAL




​

​

Reference Range: 31.5-35.7 g/dL​

Neutrophils

68NORMAL




​

​

Immature Granulocytes

0NORMAL




​

​

Lymphs

20NORMAL




​

​

Monocytes

10NORMAL




​

​

Eos

2NORMAL




​

​

Basos

0NORMAL




​

​

Platelets

209NORMAL




​

​

Reference Range: 150-379 x10E3/uL​

Neutrophils (Absolute)

3.9NORMAL




​

​

Reference Range: 1.4-7.0 x10E3/uL​

Immature Grans (Abs)

0.0NORMAL




​

​

Reference Range: 0.0-0.1 x10E3/uL​

Lymphs (Absolute)

1.2NORMAL




​

​

Reference Range: 0.7-3.1 x10E3/uL​

Monocytes(Absolute)

0.6NORMAL




​

​

Reference Range: 0.1-0.9 x10E3/uL​

Eos (Absolute)

0.1NORMAL




​

​

Reference Range: 0.0-0.4 x10E3/uL​

Baso (Absolute)

0.0NORMAL




​

​

Reference Range: 0.0-0.2 x10E3/uL​

RDW

14.9NORMAL




​

​

Reference Range: 12.3-15.4 %​

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How many times have you donated blood in the past 6 months to 2 years?

Looks like microcytic anemia due to iron deficiency. Get ferritin.

johndoesmith said:

How many times have you donated blood in the past 6 months to 2 years?

Looks like microcytic anemia due to iron deficiency. Get ferritin.

Click to expand...

Haven't donated in years. I'll look microcytic anemia and ferritin up, Thanks!!

crazyhaha said:

Haven't donated in years. I'll look microcytic anemia and ferritin up, Thanks!!

Click to expand...

Do you have stomach issues? Are you a vegan? Vegetarian?

Low SHBG could be due to hypothyroidism or insulin resistance as those are the two most common, the other is just idiopathic.

stomach?

johndoesmith said:

Do you have stomach issues? Are you a vegan? Vegetarian?

Low SHBG could be due to hypothyroidism or insulin resistance as those are the two most common, the other is just idiopathic.

Click to expand...

Not vegan or vegetarian, but Feb-March I was prescribed ibuprofen 3x day for pericarditis...so that worries me. I don't have any of the symptoms, but I might call my primary car doc.

Thank you so much Johndoesmith!!

crazyhaha said:

Not vegan or vegetarian, but Feb-March I was prescribed ibuprofen 3x day for pericarditis...so that worries me. I don't have any of the symptoms, but I might call my primary car doc.

Thank you so much Johndoesmith!!

Click to expand...

I'm a little confused by what you said, you for have any of the symptoms of what?

Sorry. I meant symptoms of gi bleeding.