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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
High: Lipids, CO2, PH, E, creatine kinase, hct, low:Vit D and more!
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<blockquote data-quote="nodoctor" data-source="post: 220175" data-attributes="member: 43393"><p>First of all--thanks for the amazing and science/data driven advice I've received from you guys!</p><p></p><p>I totally agree with treating symptoms not labs, but I've got some results that I think warrant action.</p><p></p><p>Latest labs attached. Any help or questions much appreciated!</p><p></p><p>General background: strict vegetarian, on b12. no caffeine/alcohol in 8 years. moderate stress, bp 122/75 consistently. Daily meditation/relaxation exercises and stretching. 45 years, caucasian. Work out 7+ days/wk--typically 5-6 weights and maybe another 3-5 cardio. </p><p>On TRT for 10 years pretty successfully</p><p>100mg/wk cypionate</p><p>500ius hcg for 8 weeks on, 8 off</p><p>experimented with some peptides: ipamorelin, cjc w/o dac (mod grf), bpc157, bt500, mainly.</p><p>semaglutide and cardarine but after labs </p><p>planning to run a little deca, clen--but maybe not given lipid profile) </p><p>No family history of heart issues, but cholesterol often high. </p><p>Bodyfat around 12%. </p><p>Melanotan 2 at the moment as well (but started post-labs)</p><p></p><p>Biggest issues:</p><p></p><p><strong>1. Lipids</strong> not ideal:</p><p><strong>LDL of 124</strong> (midrange=100-130) I've been as high as 214, but this is high</p><p><strong>HDL 55 </strong>(mid=40-60) lower than I want</p><p>Apo B 111 mid=80-120</p><p>Peak LDL size: (mid=218-222) 218.7 low</p><p><strong>LDL Particles 2040 </strong>- (high=1538)</p><p>Medium LDL 556 - high=271</p><p></p><p><strong>Solution</strong>: I'm going to see if I can get an MRI and plaque score to assess arterial plaque and heart health. My new GP who is fairly clueless and overly confident said a stress-test ekg is better. No idea if he's right yet. He was willing to refer to a cardiologist though.</p><p></p><p><strong>2. Estrogen: 48.</strong> high=39 maybe a bit more emotional than when it's lower but no huge symptoms.</p><p>Solution: Maybe I'll do like 1/8th arimidex once every week or two. I'm super sensitive to AIs.</p><p></p><p></p><p>A little surprised <strong>discountlabs didn't include fsh/lh</strong> but maybe I did something wrong with the order?</p><p></p><p>Free Testosterone: 164.5 and feeling about right</p><p>Total T: 763 </p><p><strong></strong></p><p><strong>3. CO2 31: </strong>(top of range 30). Never really heard of this...but my <strong>urine was like 9 ph</strong> so it makes sense. Anyone have experience with this? I know vegan diets can be highly alkalizing and the body puts lots of bicarbonate in the blood to balance that high ph. I've always been 24-30 on the high end (30 is top of range) so maybe not a huge issue. Maybe clen will help as a bronchodilator.</p><p>Urine: Cloudy. PH off charts high (9+)</p><p>Interestingly, my kidney markers are all fine: creatine, egfr, bun, albumin, etc. I had a parasite called blastocystis hominis that I think I picked up in Asia many years ago. I've read that high urine ph could be a parasite signal (debatable and can't find a very credible source), so I'm thinking of getting a stool sample test to check. Or else maybe I'm over-thinking this one.</p><p></p><p><strong>Solution:</strong> No idea. I had some kidney stones but it wasn't a big deal and I think that's more for acidity. I definitely don't have a UTI. </p><p></p><p>4. <strong>Creatine Kinase: 285 (top of range 196)</strong> I supplement creatine at least a few times/wk so maybe this is that? I workout a decent amount and I know post workout this number can go up.</p><p>Solution: Maybe nothing for now--pretty elevated though.</p><p></p><p><strong>5. Hematocrit:</strong> 48.3 (high=51) but I'd still like it a little lower--particularly given the lipids, so I'll donate unless someone sees a reason not to. Go to 45 or so.</p><p>Solution: I'll be donating blood again right away.</p><p></p><p><strong>6. 25-Hydroxy Vitamin D: 24</strong> (low=30) struggled with this pretty consistently. I will start supplementing immediately and realize it has effects on T and other important factors. Supplement. </p><p>adding vitamin D supplements 5k iu daily</p><p></p><p>The rest of my values are very in line and generally around middle of normal. I track trends on <a href="http://wellnessfx.com" target="_blank">wellnessfx.com</a> (but planning to check out nelson's graphing/tracking app as well.</p><p></p><p>will get labs done again in 6 months to check the efficacy of these steps</p><p></p><p>Please let me know if I left anything important out?</p></blockquote><p></p>
[QUOTE="nodoctor, post: 220175, member: 43393"] First of all--thanks for the amazing and science/data driven advice I've received from you guys! I totally agree with treating symptoms not labs, but I've got some results that I think warrant action. Latest labs attached. Any help or questions much appreciated! General background: strict vegetarian, on b12. no caffeine/alcohol in 8 years. moderate stress, bp 122/75 consistently. Daily meditation/relaxation exercises and stretching. 45 years, caucasian. Work out 7+ days/wk--typically 5-6 weights and maybe another 3-5 cardio. On TRT for 10 years pretty successfully 100mg/wk cypionate 500ius hcg for 8 weeks on, 8 off experimented with some peptides: ipamorelin, cjc w/o dac (mod grf), bpc157, bt500, mainly. semaglutide and cardarine but after labs planning to run a little deca, clen--but maybe not given lipid profile) No family history of heart issues, but cholesterol often high. Bodyfat around 12%. Melanotan 2 at the moment as well (but started post-labs) Biggest issues: [B]1. Lipids[/B] not ideal: [B]LDL of 124[/B] (midrange=100-130) I've been as high as 214, but this is high [B]HDL 55 [/B](mid=40-60) lower than I want Apo B 111 mid=80-120 Peak LDL size: (mid=218-222) 218.7 low [B]LDL Particles 2040 [/B]- (high=1538) Medium LDL 556 - high=271 [B]Solution[/B]: I'm going to see if I can get an MRI and plaque score to assess arterial plaque and heart health. My new GP who is fairly clueless and overly confident said a stress-test ekg is better. No idea if he's right yet. He was willing to refer to a cardiologist though. [B]2. Estrogen: 48.[/B] high=39 maybe a bit more emotional than when it's lower but no huge symptoms. Solution: Maybe I'll do like 1/8th arimidex once every week or two. I'm super sensitive to AIs. A little surprised [B]discountlabs didn't include fsh/lh[/B] but maybe I did something wrong with the order? Free Testosterone: 164.5 and feeling about right Total T: 763 [B] 3. CO2 31: [/B](top of range 30). Never really heard of this...but my [B]urine was like 9 ph[/B] so it makes sense. Anyone have experience with this? I know vegan diets can be highly alkalizing and the body puts lots of bicarbonate in the blood to balance that high ph. I've always been 24-30 on the high end (30 is top of range) so maybe not a huge issue. Maybe clen will help as a bronchodilator. Urine: Cloudy. PH off charts high (9+) Interestingly, my kidney markers are all fine: creatine, egfr, bun, albumin, etc. I had a parasite called blastocystis hominis that I think I picked up in Asia many years ago. I've read that high urine ph could be a parasite signal (debatable and can't find a very credible source), so I'm thinking of getting a stool sample test to check. Or else maybe I'm over-thinking this one. [B]Solution:[/B] No idea. I had some kidney stones but it wasn't a big deal and I think that's more for acidity. I definitely don't have a UTI. 4. [B]Creatine Kinase: 285 (top of range 196)[/B] I supplement creatine at least a few times/wk so maybe this is that? I workout a decent amount and I know post workout this number can go up. Solution: Maybe nothing for now--pretty elevated though. [B]5. Hematocrit:[/B] 48.3 (high=51) but I'd still like it a little lower--particularly given the lipids, so I'll donate unless someone sees a reason not to. Go to 45 or so. Solution: I'll be donating blood again right away. [B]6. 25-Hydroxy Vitamin D: 24[/B] (low=30) struggled with this pretty consistently. I will start supplementing immediately and realize it has effects on T and other important factors. Supplement. adding vitamin D supplements 5k iu daily The rest of my values are very in line and generally around middle of normal. I track trends on [URL='http://wellnessfx.com']wellnessfx.com[/URL] (but planning to check out nelson's graphing/tracking app as well. will get labs done again in 6 months to check the efficacy of these steps Please let me know if I left anything important out? [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
High: Lipids, CO2, PH, E, creatine kinase, hct, low:Vit D and more!
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