Nandrolone effect on lymphocytes/ B-cells

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Blackhawk

Member
I hope @Nelson Vergel sees this...

Background: I am currently a Leukemia patient. My type of leukemia is Chronic Lymphocytic Leukemia (CLL) which is from monoclonal B-cell mutation, i.e. B cells (lymphocytes) mutate and then self clone. Their apoptotic process is shut off by the mutation, i.e. they do not die off normally, and become senescent, i.e. non functional, but wreck havoc by secreting inflammatory chemicals. They can over multiply by factors of 100s of thousands, and displace normal cells and interfere with bone marrow, spleen and lymph node function.

Long story short, I have had progressive bone marrow failure secondary to marrow being infiltrated with the CLL cells. My bone marrow biopsy pathology stated 100% replacement with CLL cells. I have pancytopenia, meaning I have been seriously anemic and have been dependent on blood transfusions for 6 months, have had seriously decreased platelet levels which means severe bleeding risk, and have been severely neutropenic, with neutrophil levels essentially at zero for more than 4 months, which means severe immune system compromise. I have been hospitalized 5 times in the last 5 months and the last two times for infection and pneumonia due to infections and neutropenic fever due to the the compromised immune system.

And I have lost weight and muscle mass. Due to the anemia and CLL caused fatigue, I have been utterly inactive for over 5 months. It is a good day when I can be on my feet long enough to make my own breakfast.

I had a consultation with Dr Saya a few days ago. Interestingly my TRT protocol has not been able to keep up with the physiological change due to cancer and/or cancer treatment. My T, Free T and E2 levels all essentially were/are 1/2 of previous levels on a protocol I have sustained for a couple years. As such, we are increasing dose of T cyp slowly.

Dr Saya also offered Nandrolone as a possible anabolic treatment for my catabolic state. I have been reading the wide range of threads and articles on Excel male including Nelson's built to survive and find the potential for Nandrolone in my case to be compelling, both in terms of combating muscle wasting, and potentially contributing to hematopoesis which could be therapeutic for my cytopenias.

The big question in the context of cytopenia, B-cells run amok, and Nandrolone's stimulatory effect on hematopoesis; I found not very conclusive references to increased CD4 T cell increases, but nothing regarding effects on B-cells. This is a bit complicated and unclear. I don't whether there is any production of the mutated cancer cells themselves in the process of hematopoetic stem cell originated B-cells, but I do know that the main culprits in the Leukemia are self cloning mutated B-cells, which means they replicate themselves... cells created in this way did not come directly through stem cells and hematopoetic processes. So this begs the question, will taking Nandrolone lead to stimulation of mutated B-cell production/replication?

So, I have run this question by my CLL specialist/oncologist, but have yet had no answer.

In the meantime, does anyone know of any references to Nanrolone's more specific effects on hematopoesis and specifically any effect on B-cells?
 
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Nelson Vergel

Founder, ExcelMale.com
Hi Blackhawk

I am so sorry that you are going through that very intense health challenge.

I found no references on nandrolone and B cells (I have online access to medical libraries).

Let's say that you start a 200 mg nandrolone plus 200 mg testosterone per week protocol. How would you get tested for B cell numbers and activation?

Have you explored a stem cell transplant?



Also, I found an interesting article but I can't access the PDF.


Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia



Hele Everaus (1992) Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia, Leukemia & Lymphoma, 8:6, 483-489, DOI: 10.3109/10428199209051031

Abstract
Chronic lymphocytic leukemia (CLL) is a B cell disorder with multiple abnormalities in T-cell function. The status of the immune system will depend to some extent upon the net effect of the changes in the equilibrium of various hormones. In order to investigate the association of the defects in the cellular immunity and hormonal dysregulation in CLL, studies were performed in 130 CLL patients with that disorder. Decreased lymphocyte proliferation in response to mitogen stimulation appears to be an early event in CLL pathogenesis and is not always influenced by the clinical stage of the disease or the specific treatment. The dysfunction of T-lymphocytes was accompanied by increased serum cortisol (C) concentrations. Elevated levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), 17 β-estradiol (E) and testasterone (T) ratio were found in male CLL patients, but not in female patients.

In view of our findings, it is conceivable that there are a number of disturbances in the lymphocyte-microenvironmental regulation, which may be responsible for immuno-hormonal imbalance in some patients with CLL.
 

Blackhawk

Member
Hi Blackhawk

I am so sorry that you are going through that very intense health challenge.

I found no references on nandrolone and B cells (I have online access to medical libraries).

Let's say that you start a 200 mg nandrolone plus 200 mg testosterone per week protocol. How would you get tested for B cell numbers and activation?

Have you explored a stem cell transplant?



Also, I found an interesting article but I can't access the PDF.


Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia



Hele Everaus (1992) Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia, Leukemia & Lymphoma, 8:6, 483-489, DOI: 10.3109/10428199209051031

Abstract
Chronic lymphocytic leukemia (CLL) is a B cell disorder with multiple abnormalities in T-cell function. The status of the immune system will depend to some extent upon the net effect of the changes in the equilibrium of various hormones. In order to investigate the association of the defects in the cellular immunity and hormonal dysregulation in CLL, studies were performed in 130 CLL patients with that disorder. Decreased lymphocyte proliferation in response to mitogen stimulation appears to be an early event in CLL pathogenesis and is not always influenced by the clinical stage of the disease or the specific treatment. The dysfunction of T-lymphocytes was accompanied by increased serum cortisol (C) concentrations. Elevated levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), 17 β-estradiol (E) and testasterone (T) ratio were found in male CLL patients, but not in female patients.

In view of our findings, it is conceivable that there are a number of disturbances in the lymphocyte-microenvironmental regulation, which may be responsible for immuno-hormonal imbalance in some patients with CLL.


Thanks Nelson. I have searched for hormone related info with CLL, and there is precious little to go on. Likewise regarding this hematopoesis vs monoclonal aspect of CLL.

Regarding stem cell transplant, it is very risky in CLL with a high rate a failure. There currently are a number of relatively novel drugs which are providing some very good outcomes: "Undetectable minimum residual disease" (uMRD) is the new standard, still essentially means potential long lasting durable remission. If all these drug treatments fail, My doctor's preference is for CAR-T rather than stem transplant, though both are high risk with high rates of failure.

I had drug treatment failure 3 times due to infusion reaction and cytopenias, now on plan D, a drug called acalabrutinib which is showing very minimal signs of working to clear out bone marrow and allow hematopoesis to restart. It typically takes around a month to see these effects and I have been taking it for about 5 weeks now. Hopefully in a few more weeks we will see better results with the cytopenias. Plan is to add a second drug that leads to deeper uMRD, once my blood counts improve.

It is unlikely i would be tested for the effects of Nandrolone specifically. I am not scheduled for any further definitive testing of B-cells until I reach more normal RBC, HGB, Platelet and neutrophil levels, symptoms abate and uMRD becomes a real possibility. The actual B cell status is quantifed and qualified by Flow cytometry, FISH and IGHV testing in peripheral blood and/or bone marrow. These test are VERY expensive and doing on an elective basis is out of the question. Until then the main proxy is absolute lymph count, and other calculated lymphocyte data in oncological CBC.

Hey just want to say too, reading Built to Survive, much appreciated your story and the information on muscle wasting generally speaking. I wish I had found that publication back when I have the statin induced myopathy. Invaluable info my friend! I did notice a bit of dated info, it would be nice to see an up to date revision for things like weekly T dosing recommendations.
 
Last edited:

Rock H. Johnson

Active Member
Hi Blackhawk

I am so sorry that you are going through that very intense health challenge.

I found no references on nandrolone and B cells (I have online access to medical libraries).

Let's say that you start a 200 mg nandrolone plus 200 mg testosterone per week protocol. How would you get tested for B cell numbers and activation?

Have you explored a stem cell transplant?



Also, I found an interesting article but I can't access the PDF.


Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia



Hele Everaus (1992) Hormones and Immune Responsiveness Chronic Lymphocytic ieukemia, Leukemia & Lymphoma, 8:6, 483-489, DOI: 10.3109/10428199209051031

Abstract
Chronic lymphocytic leukemia (CLL) is a B cell disorder with multiple abnormalities in T-cell function. The status of the immune system will depend to some extent upon the net effect of the changes in the equilibrium of various hormones. In order to investigate the association of the defects in the cellular immunity and hormonal dysregulation in CLL, studies were performed in 130 CLL patients with that disorder. Decreased lymphocyte proliferation in response to mitogen stimulation appears to be an early event in CLL pathogenesis and is not always influenced by the clinical stage of the disease or the specific treatment. The dysfunction of T-lymphocytes was accompanied by increased serum cortisol (C) concentrations. Elevated levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), 17 β-estradiol (E) and testasterone (T) ratio were found in male CLL patients, but not in female patients.

In view of our findings, it is conceivable that there are a number of disturbances in the lymphocyte-microenvironmental regulation, which may be responsible for immuno-hormonal imbalance in some patients with CLL.
There you go...
 

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Blackhawk

Member
There you go...


LOL! This study essentially indicates that HPA (adrenal) is affected and cortisol levels higher, and estrogen:testsoterone ratio is higher in men affected by CLL, and that hormonal relationships between these phenomeneon and CLL may be significant. There is no useful information however regarding the effects of manipulating hormone levels via use of exogenous T and/or other steroids in this relationship.

So, that there is a relationship between CLL and hormones is concerning, but it is an utter crapshoot whether TRT has positive or negative effect on CLL (B-cell proliferation is not even addressed in this study, other than the observation that stage of disease is statistically irrelevant in this hormone relationship).
 
Last edited:

Gman86

Member
Ya I’m also very sorry to hear about everything you’ve been going through. My heart goes out to you. This is off topic from your original question, but just curious, have you been trying to do anything in regards to diet and lifestyle changes? I’ve been doing a ton of research in regards to the carnivore diet lately. And we all know that keto is a very good diet for someone with cancer. So I would imagine carnivore would be even better. Have you looked into CBD oil and/ or coffee enemas? A huge part of the gerson therapy for treating cancer is coffee enemas. I was doing them for a while for just overall health purposes. But if you aren’t currently doing those, I would highly recommend you start. I can send you links for the supplies you would need if you would like. And I did a ton of research in regards to CBD oil, and found one company that stands above the rest. I can also give you their info if you would like. Anything I can do to help, lmk. Preventing cancer is fairly easy, imo. But I think about the steps I would take if I were to actually get it, and treating it is a whole different ball game. Much more complicated, and much tougher decisions have to be made. Again, lmk if there’s anything I can do to help.
 

Blackhawk

Member
Ya I’m also very sorry to hear about everything you’ve been going through. My heart goes out to you. This is off topic from your original question, but just curious, have you been trying to do anything in regards to diet and lifestyle changes? I’ve been doing a ton of research in regards to the carnivore diet lately. And we all know that keto is a very good diet for someone with cancer. So I would imagine carnivore would be even better. Have you looked into CBD oil and/ or coffee enemas? A huge part of the gerson therapy for treating cancer is coffee enemas. I was doing them for a while for just overall health purposes. But if you aren’t currently doing those, I would highly recommend you start. I can send you links for the supplies you would need if you would like. And I did a ton of research in regards to CBD oil, and found one company that stands above the rest. I can also give you their info if you would like. Anything I can do to help, lmk. Preventing cancer is fairly easy, imo. But I think about the steps I would take if I were to actually get it, and treating it is a whole different ball game. Much more complicated, and much tougher decisions have to be made. Again, lmk if there’s anything I can do to help.


Thanks for the input. I do appreciate your intent to help.

Unfortunately with CLL, alternative therapies are an utter crapshoot. Typical supplemental type "immune boosting" or "cancer fighting" "alternative therapies" are generally counter productive. This is because whereas tumor based cancers can be somewhat subdued by immune boosters, the same boosters cause a higher level of proliferation of CLL cells. The B cells are immune cells, and we don't want to stimulate more proliferation. So pretty much everything from mushrooms, to antioxidants, to amino acids to turmeric are controversial at best and in many cases outright contraindicated. And CBD is also sketchy at best regarding interaction with CLL cells. i am sorry, but I am not ready to make any such leaps of faith in alternative unproven treatments. Even vitamin C and supplemental B vitamins can stimulate this proliferation.

The other pertinent aspect is interactions with the anti cancer drugs. While there are some known interactions, these CLL drugs are mostly novel and there is as much unknown as known regarding things like CBD interaction. i.e. dabbling could have very serious consequences.

Regarding Gerson, sorry, I don't buy the coffee enema approach. At this point my gut flora seems a much more important aspect, and has been decimated by the antibiotics and anti fungals I have had to take for the infections and pneumonia. Doing anything that could further disrupt gut biome is out of the question.

And I am severly neutropenic, which means I am severely immune comporimised in the gut as well as everything else. I am on neutropenic diet which means no raw foods other than fruits which can be peeled like banana and citrus, no yeasts or live probiotics as my immune system can not regulate growth of exogenous bacteria yeast etc. I am not going to implement any radical changes like go carnivore that could further disrupt and challenge my immune system. And I just don't believe that humans are carnovires... I am an omnivore. Let's leave the rest of that discussion, there are no clear answers in the endless dietary debates if one already eats a natural whole food organic vs packaged food kind of diet.

And finally regarding the statement "cancer is easy to prevent"

Sure, until you get it.
 
Last edited:

Gman86

Member
Thanks for the input. I do appreciate your intent to help.

Unfortunately with CLL, alternative therapies are an utter crapshoot. Typical supplemental type "immune boosting" or "cancer fighting" "alternative therapies" are generally counter productive. This is because whereas tumor based cancers can be somewhat subdued by immune boosters, the same boosters cause a higher level of proliferation of CLL cells. The B cells are immune cells, and we don't want to stimulate more proliferation. So pretty much everything from mushrooms, to antioxidants, to amino acids to turmeric are controversial at best and in many cases outright contraindicated. And CBD is also sketchy at best regarding interaction with CLL cells. i am sorry, but I am not ready to make any such leaps of faith in alternative unproven treatments. Even vitamin C and supplemental B vitamins can stimulate this proliferation.

The other pertinent aspect is interactions with the anti cancer drugs. While there are some known interactions, these CLL drugs are mostly novel and there is as much unknown as known regarding things like CBD interaction. i.e. dabbling could have very serious consequences.

Regarding Gerson, sorry, I don't buy the coffee enema approach. At this point my gut flora seems a much more important aspect, and has been decimated by the antibiotics and anti fungals I have had to take for the infections and pneumonia. Doing anything that could further disrupt gut biome is out of the question.

And I am severly neutropenic, which means I am severely immune comporimised in the gut as well as everything else. I am on neutropenic diet which means no raw foods other than fruits which can be peeled like banana and citrus, no yeasts or live probiotics as my immune system can not regulate growth of exogenous bacteria yeast etc. I am not going to implement any radical changes like go carnivore that could further disrupt and challenge my immune system. And I just don't believe that humans are carnovires... I am an omnivore. Let's leave the rest of that discussion, there are no clear answers in the endless dietary debates if one already eats a natural whole food organic vs packaged food kind of diet.

And finally regarding the statement "cancer is easy to prevent"

Sure, until you get it.

Understand completely
 

Gman86

Member
Good response to one of the most stupid things I have ever read on this forum.

Haha why is that statement stupid? It’s 2020, we know very well how to prevent cancer. It’s not 100% effective. Genetics still play a very strong role. But there’s things everyone can do, or not do, to make it so the chances of them getting malignant cancer are so extremely slim. Most people aren’t willing to do them all though. Not even me.
 

JV63

Member
Because it is stupid. You should go visit St. Jude Children's hospital and tell all those dumb kids and their parents how they shouldn't be there.
You are a moron and I won't be adding to any more garbage on Blackhawk's thread.
 
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