recent bloodwork help

[Ateam2023]

What has your doc suggested to help with your kidneys?
I see alot of discussion on this forum for liver -- not much on kidneys (the irony being that the liver can regrow but the kidney cant)

From what I've gathered
-- keep bp controlled
-- take a SGLT2
-- take a GLP
-- astragulus root

Anything else I missed?

There's a relatively new drug (Finerenone for CKT in T2D patients) but other than that I don't see much medication for kidney failure?

well my pcp just reffered me to a specialist, i have yet to speak to the specialist, but i told my pcp my supplements etc and he knows i do trt on my own and pulls bloods for me periodically throughout the year and says that he's sure i can get a handle on it, He's not concerned enough to prescribe me anything for the ckd and is letting the kidney specialist do more exaustive testing to prescribe something,, thats where im at , waiting for specialist,, Everything else is in check bp, bg , liver is good according to recent ultra sound, so besides this elevated cystatin c and lower Egfr ? I've got some reta on the way, lol , international order so its likely weeks away,,

 

[Photon]

Everything else is in check bp, bg , liver is good according to recent ultra sound, so besides this elevated cystatin c and lower Egfr ?

Thats the scariest part lol

 

[soltary]

kurt.havens and VigorousSteve discussed that in some people, Chinese GH can lead to poor kidney function due to added filters that are harmful.

I'm not saying that's what's happening to you, just your blood work reminds me of what they showed, and I thought it might be helpful for you.


View: https://youtu.be/EIgxbxzD7qY?si=g6flvrFSRAJbgoXk&t=5095

 

[Humble-Beast]

Glad ya got a nephrologist and numbers going in right direction bro.
I'm 45 and went into kidney failure (stage 5) a couple years ago. Nephrologist said he's never seen numbers go from that bad to this good.
In my case, it was mainly dehydration. I worked overnights and days for years, but couldn't really sleep after getting off in the morning after a shift, so I was chronically sleep deprived.
The week that I went into the hospital I was so nauseous I started vomiting, making the dehydration worse. I was so fkn tired I couldn't get out of bed for more than 5 min without needing to lay down again.
I know you were hydrated, so not exactly the same. But I will say, I had acute tubular necrosis from this, meaning the actual filtering units(nephron tubules) we're dead. They found granular and epithelial cells in urine, indicative of actual nephron damage/death.
BTW I'm an ex-heroin, crack, IV drug user that had no problems injecting all kids of fukn garbage into my body. I'm sure my kidneys didn't like the 20+years of "fuck you", but I'm thankful our bodies are resilient.
Hope this is encouraging bro, keep up the H20, astragalus, labs, appointments, ect. And keep us posted how it's going.

 

[Ateam2023]

Glad ya got a nephrologist and numbers going in right direction bro.
I'm 45 and went into kidney failure (stage 5) a couple years ago. Nephrologist said he's never seen numbers go from that bad to this good.
In my case, it was mainly dehydration. I worked overnights and days for years, but couldn't really sleep after getting off in the morning after a shift, so I was chronically sleep deprived.
The week that I went into the hospital I was so nauseous I started vomiting, making the dehydration worse. I was so fkn tired I couldn't get out of bed for more than 5 min without needing to lay down again.
I know you were hydrated, so not exactly the same. But I will say, I had acute tubular necrosis from this, meaning the actual filtering units(nephron tubules) we're dead. They found granular and epithelial cells in urine, indicative of actual nephron damage/death.
BTW I'm an ex-heroin, crack, IV drug user that had no problems injecting all kids of fukn garbage into my body. I'm sure my kidneys didn't like the 20+years of "fuck you", but I'm thankful our bodies are resilient.
Hope this is encouraging bro, keep up the H20, astragalus, labs, appointments, ect. And keep us posted how it's going.

thanks brother, i have upped everything, im currently taking 4.5 g of Astrgulus and have cut out a few unnecessary meds(currently) , water intake is substantial, still waiting on nephrologist though(my insurance is slow), that is good news though, What did you take to get your numbers so good? thanks for any information,,

 

[DECLAN]

Are you still on anything @Ateam2023? Did you disclose steroid use to nephrologist?

 

[Ateam2023]

Are you still on anything @Ateam2023? Did you disclose steroid use to nephrologist?

i haven't spoke to the nephrologist yet, i have dropped to a trt+ which is 200 mg test c and 100 mg of mast e, 5 ius hgh,, but i will talk candidly with the nephrologist because they need to know everything in order to get best possible diagnosis,,

 

[Humble-Beast]

thanks brother, i have upped everything, im currently taking 4.5 g of Astrgulus and have cut out a few unnecessary meds(currently) , water intake is substantial, still waiting on nephrologist though(my insurance is slow), that is good news though, What did you take to get your numbers so good? thanks for any information,,

Sounds like your on the right track.
I cut out pretty much any meds or supplements, and dropped my daily protein significantly, and drank almost 2 gallons of water everyday.
I wanted to make it as stress free and easy as possible for my kidneys to repair.
The high protein and all the supplements were extra work my kidneys had to do trying to filter, adding stress to an already fragile repair process. At least that was the thought.
Finished an 8 wk tren cycle recently and had bloods drawn. My EGFR was 115, so kidneys still looking good.

 

[Ateam2023]

Sounds like your on the right track.
I cut out pretty much any meds or supplements, and dropped my daily protein significantly, and drank almost 2 gallons of water everyday.
I wanted to make it as stress free and easy as possible for my kidneys to repair.
The high protein and all the supplements were extra work my kidneys had to do trying to filter, adding stress to an already fragile repair process. At least that was the thought.
Finished an 8 wk tren cycle recently and had bloods drawn. My EGFR was 115, so kidneys still looking good.

I do eat more protein than i "need"?? But its hard to not exceed my "daily protein " intake either just my day yo day diet, i guess i should start implementing a more moderate approach , less protein just seems the opposite of , but i get that could definitely be a problem for kidneys struggling to process a bunch of stuff "supplements included" ,,

 

[Humble-Beast]

i haven't spoke to the nephrologist yet, i have dropped to a trt+ which is 200 mg test c and 100 mg of mast e, 5 ius hgh,, but i will talk candidly with the nephrologist because they need to know everything in order to get best possible diagnosis,,

I wasn't convinced personally that disclosing ped use would make a difference in treatment, plus it would stick in my chart forever.
It took me 10 years to be able to get life insurance because of my history of IV drug use. Seriously, I tried at 5 and 7 yrs clean.
Not about to volunteer that info so the life insurance co can fuck my family over when I die. They could subpoena that shit.

 

[DECLAN]

Sounds like your on the right track.
I cut out pretty much any meds or supplements, and dropped my daily protein significantly, and drank almost 2 gallons of water everyday.
I wanted to make it as stress free and easy as possible for my kidneys to repair.
The high protein and all the supplements were extra work my kidneys had to do trying to filter, adding stress to an already fragile repair process. At least that was the thought.
Finished an 8 wk tren cycle recently and had bloods drawn. My EGFR was 115, so kidneys still looking good.

I guess your kidneys are resilient af lol. My bloodwork has gone bad this year, egfr dropped from 79 to 63 in a year, then to 55 in another 5 months; so not looking great. There’s a small amount of albumin in my urine too, which worries me more since it would really indicate kidney damage. I am getting another test in 3 weeks to confirm, then off to a nephrologist if the doc doesn’t like the results.

Sorry to hijack your thread, just sharing since we’re in the same boat.

I stopped everything now, to see if it’s just the test and mast causing the problem.

 

[Humble-Beast]

I guess your kidneys are resilient af lol. My bloodwork has gone bad this year, egfr dropped from 79 to 63 in a year, then to 55 in another 5 months; so not looking great. There’s a small amount of albumin in my urine too, which worries me more since it would really indicate kidney damage. I am getting another test in 3 weeks to confirm, then off to a nephrologist if the doc doesn’t like the results.

Sorry to hijack your thread, just sharing since we’re in the same boat.

I stopped everything now, to see if it’s just the test and mast causing the problem.

Don't freak out just yet, lol. Remember EGFR is based on creatinine, so cystatin C would be much more reliable for kidneys. Did you happen to check that?
And albumin in urine isn't great, but it can show up in small amounts from heavy physical exertion, like long distance runners piss blood/ albumin all the time and can happen from intense weight training too.
Your BP and fluid intake solid?

 

[Ateam2023]

I guess your kidneys are resilient af lol. My bloodwork has gone bad this year, egfr dropped from 79 to 63 in a year, then to 55 in another 5 months; so not looking great. There’s a small amount of albumin in my urine too, which worries me more since it would really indicate kidney damage. I am getting another test in 3 weeks to confirm, then off to a nephrologist if the doc doesn’t like the results.

Sorry to hijack your thread, just sharing since we’re in the same boat.

I stopped everything now, to see if it’s just the test and mast causing the problem.

your not hihacking anything brother, i welcome all information as dats points where we can bounce ideas etc off each other and get to the bottom of it , i cant stop the test as i am legit hypogonadal, so until i talk to the kidney specialist, I'm just gonna keep doing what I'm doing and stay diligent with my water astragulus etc

 

[DECLAN]

Don't freak out just yet, lol. Remember EGFR is based on creatinine, so cystatin C would be much more reliable for kidneys. Did you happen to check that?
And albumin in urine isn't great, but it can show up in small amounts from heavy physical exertion, like long distance runners piss blood/ albumin all the time and can happen from intense weight training too.
Your BP and fluid intake solid?

My bp is great, ranges from 105-130/65-80, it varies everyday of course depending on diet and cardio. I’m on telmisartan, hypertension runs in the family.

As I am also in Canada, cystasin c is a special test, I asked for it but doc said they don’t do it unless its a special order and that egfr/creatinine is sufficient.

I think my hydration is what messed up my values, I barely drink water especially in the cold weather, obviously I changed that and making sure I am getting at least 4 liters a day.

your not hihacking anything brother, i welcome all information as dats points where we can bounce ideas etc off each other and get to the bottom of it , i cant stop the test as i am legit hypogonadal, so until i talk to the kidney specialist, I'm just gonna keep doing what I'm doing and stay diligent with my water astragulus etc

I also incorporated astralagus, I was initially doing 3g a month before my test and it didn’t help so I added another 5g to make it 8g total, hopefully that’ll help.

Hopefully this is just the regular bodybuilder kidney scare, it’s funny because I don’t blast heavy at all. I sometimes even usually do 3 months without any aas at all.

 

[Ateam2023]

My bp is great, ranges from 105-130/65-80, it varies everyday of course depending on diet and cardio. I’m on telmisartan, hypertension runs in the family.

As I am also in Canada, cystasin c is a special test, I asked for it but doc said they don’t do it unless its a special order and that egfr/creatinine is sufficient.

I think my hydration is what messed up my values, I barely drink water especially in the cold weather, obviously I changed that and making sure I am getting at least 4 liters a day.



I also incorporated astralagus, I was initially doing 3g a month before my test and it didn’t help so I added another 5g to make it 8g total, hopefully that’ll help.

Hopefully this is just the regular bodybuilder kidney scare, it’s funny because I don’t blast heavy at all. I sometimes even usually do 3 months without any aas at all.

i had to cut the first mini blast ive done in like forever, cut it short because of this and a f up bicep tendon rupture, all t same time i get this plus i got hernia surgery in the mix , fml just when i get down to a decent bf where i can comfortably blast and cruise for a few more years , then these "obstacles" get thrown my way,, Well i will stay diligent and "adjust accordingly" ,, stay tuned ,lol

 

[Humble-Beast]

My bp is great, ranges from 105-130/65-80, it varies everyday of course depending on diet and cardio. I’m on telmisartan, hypertension runs in the family.

As I am also in Canada, cystasin c is a special test, I asked for it but doc said they don’t do it unless its a special order and that egfr/creatinine is sufficient.

I think my hydration is what messed up my values, I barely drink water especially in the cold weather, obviously I changed that and making sure I am getting at least 4 liters a day.



I also incorporated astralagus, I was initially doing 3g a month before my test and it didn’t help so I added another 5g to make it 8g total, hopefully that’ll help.

Hopefully this is just the regular bodybuilder kidney scare, it’s funny because I don’t blast heavy at all. I sometimes even usually do 3 months without any aas at all.

That's frustrating, WTF. It's a special test in the US as well, but I haven't had any pushback when I explain I need cystatin C because I workout (can't you tell), lol.
Blood pressure is fine, astragalus great, I take 4g/day.
The water tho bro, you know what you gotta do, lol. Being even mildly dehydrated will most certainly show higher creatinine and lower EGFR.. especially for bodybuilders. Keep us posted

 

[Ateam2023]

UPDATE,,, i called my insurance to check status of nephrologist referral, and apparently my pcp referred me "in house" to the nephrologist that is within the "network" meaning it is slower than usual, i knew something was amiss, i complained and now they are "expediting" the referral, no telling how much longer until i see this nephrologist,, What an ordeal,,

 

[Ateam2023]

UPDATE: Tl;dr
Saw the nephrologist today, I hate older dr because they are so "outdated" it seems, This one was especially "not versed at all with TRT, Ridiculous! Anyway we discussed all my supplements (i took them all in) He told me to shitcan the Hylyronic acid pills i have, And to Believe it or not not to take Milk Thistle at this time, Everything else was acceptable, He ordered some more urine samples and put me on 10 mg of Jardiance daily, we will pull more bloodwork in 4-6 weeks to see how the Jardiance is doing, He also said my numbers weren't that bad , but he was of old school where he "doesn't understand bb and the lifestyle" And then when Trt came into the convo , he started talking crazy, lol like Testosterone was the absolute probability of why i had ckd , but i merely asked him if he was "up to date on current Trt protocols " which he sheepishly denied , so we ended the conversation right there, , Anyway thats my latest kidney news,,

 

[Ateam2023]

Also i have had my pcp pull me a electrolytes&Acid-Base balance test, along with cmp, cbc, cystatin c , egfr and i think thats all, i have appointment for that bloodwork next week,,

 

[Photon]

UPDATE: Tl;dr
Saw the nephrologist today, I hate older dr because they are so "outdated" it seems, This one was especially "not versed at all with TRT, Ridiculous! Anyway we discussed all my supplements (i took them all in) He told me to shitcan the Hylyronic acid pills i have, And to Believe it or not not to take Milk Thistle at this time, Everything else was acceptable, He ordered some more urine samples and put me on 10 mg of Jardiance daily, we will pull more bloodwork in 4-6 weeks to see how the Jardiance is doing, He also said my numbers weren't that bad , but he was of old school where he "doesn't understand bb and the lifestyle" And then when Trt came into the convo , he started talking crazy, lol like Testosterone was the absolute probability of why i had ckd , but i merely asked him if he was "up to date on current Trt protocols " which he sheepishly denied , so we ended the conversation right there, , Anyway thats my latest kidney news,,

Also i have had my pcp pull me a electrolytes&Acid-Base balance test, along with cmp, cbc, cystatin c , egfr and i think thats all, i have appointment for that bloodwork next week,,

At least you are on Jardiance now.
I take it as preventive.

EGFR -- you could see if your PCP could order this instead -- EGFR calculated using Cycstatin C instead which most doctor's don't bothering calculating.

121022: eGFR Creatinine-Cystatin C Calculation

Labcorp test details for eGFR Creatinine-Cystatin C Calculation

www.labcorp.com