High RBC, Low MHC - Causes? Concerns?

crazyhaha · Jun 13, 2017

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

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 %

johndoesmith · Jun 13, 2017

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.

crazyhaha · Jun 13, 2017

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.

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

johndoesmith · Jun 13, 2017

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

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.

crazyhaha · Jun 13, 2017

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.

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!!

johndoesmith · Jun 14, 2017

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!!

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

crazyhaha · Jun 14, 2017

Sorry. I meant symptoms of gi bleeding.

High RBC, Low MHC - Causes? Concerns?

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