nodoctor
Active Member
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:
1. Lipids not ideal:
LDL of 124 (midrange=100-130) I've been as high as 214, but this is high
HDL 55 (mid=40-60) lower than I want
Apo B 111 mid=80-120
Peak LDL size: (mid=218-222) 218.7 low
LDL Particles 2040 - (high=1538)
Medium LDL 556 - high=271
Solution: 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.
2. Estrogen: 48. 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 discountlabs didn't include fsh/lh but maybe I did something wrong with the order?
Free Testosterone: 164.5 and feeling about right
Total T: 763
3. CO2 31: (top of range 30). Never really heard of this...but my urine was like 9 ph 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.
Solution: 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. Creatine Kinase: 285 (top of range 196) 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.
5. Hematocrit: 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.
6. 25-Hydroxy Vitamin D: 24 (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 wellnessfx.com (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?
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:
1. Lipids not ideal:
LDL of 124 (midrange=100-130) I've been as high as 214, but this is high
HDL 55 (mid=40-60) lower than I want
Apo B 111 mid=80-120
Peak LDL size: (mid=218-222) 218.7 low
LDL Particles 2040 - (high=1538)
Medium LDL 556 - high=271
Solution: 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.
2. Estrogen: 48. 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 discountlabs didn't include fsh/lh but maybe I did something wrong with the order?
Free Testosterone: 164.5 and feeling about right
Total T: 763
3. CO2 31: (top of range 30). Never really heard of this...but my urine was like 9 ph 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.
Solution: 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. Creatine Kinase: 285 (top of range 196) 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.
5. Hematocrit: 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.
6. 25-Hydroxy Vitamin D: 24 (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 wellnessfx.com (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?
