Lab work should I be concerned?

Yes lowering the Test dose does include lowering it to Zero or to actual TRT. Hemochromatosis (homozygous and sometimes heterozygous carriers) plus AAS can be trouble. But some can do TRT plus regular phlebotomy.

Sadly, it doesn’t solve the problem for some.
 
Another anecdote, if I may, regarding hydration. I had labs pulled on a Friday, endo messaged me frantically to stop TRT as my HCT was 56. I told him to pull labs again on Wednesday before I stop. Donated Monday, went in for labs on Wednesday with 5 liters of water in me, HCT cams back at 47. So, I can’t tell you which was more impactful, but, 9 points in 4 days is absurd.
 
After much research, I've learned that nothing is set in stone to what works. So I'm adding natokinase, and baby aspirin. I will also be donating and going from there. I guess I'm in a guessing game as to what will work for me. But for now this is where I will start. Any continued advise is welcomed. I appreciate every single one of you for the information.
 
After much research, I've learned that nothing is set in stone to what works. So I'm adding natokinase, and baby aspirin. I will also be donating and going from there. I guess I'm in a guessing game as to what will work for me. But for now this is where I will start. Any continued advise is welcomed. I appreciate every single one of you for the information.
Good luck, sorry with all the experience and knowledge here, we can’t offer anything more definitive than anecdotal nonsense.
 
Another anecdote, if I may, regarding hydration. I had labs pulled on a Friday, endo messaged me frantically to stop TRT as my HCT was 56. I told him to pull labs again on Wednesday before I stop. Donated Monday, went in for labs on Wednesday with 5 liters of water in me, HCT cams back at 47. So, I can’t tell you which was more impactful, but, 9 points in 4 days is absurd.
Same lab? Method precision on modern Hct measurement is 1.5 to 2%. Can differ between labs.
 
Yessir, endo labs are done in house. I know, it’s almost not a believable result.
Make em show you the triplicates. They really should show triplicates but no one will ever press the matter.

That is a good example. I have submitted the same blood for repeats and gotten a spead of up to 2%. 9% swing with "hydration" is incredible. Thanks for sharing.
 
It's a direction to a solution either way. Any information is appreciated here.
This is all we can do. Remember most of what we do is a very unique niche. Most of what we employ now is just bro science done by bodybuilders and so called forum vets who practiced/experimented on themselves or their clients. Take telmisartan, it originally made popular for bodybuilding purposes by someone in Pro muscle.

You can hate all the gurus and fitness influencers now but all they do is regurgitate things that were practiced by hardcore gymbros in these forum boards since the 2000’s. I for one will combine what protocols used by guys who have been blasting since then and combine it with what sensible methods available nowadays.
 
This is all we can do. Remember most of what we do is a very unique niche. Most of what we employ now is just bro science done by bodybuilders and so called forum vets who practiced/experimented on themselves or their clients. Take telmisartan, it originally made popular for bodybuilding purposes by someone in Pro muscle.

You can hate all the gurus and fitness influencers now but all they do is regurgitate things that were practiced by hardcore gymbros in these forum boards since the 2000’s. I for one will combine what protocols used by guys who have been blasting since then and combine it with what sensible methods available nowadays.
That's exactly why I brought this to the board. Most of my research is through this reading peoples experiences and trying them myself. This includes how I run my gear and the vitamins I take. The fact I know anything about aas or how to take care of myself while on them I'll credit to people posting about their experiences in almost specifically this forum. When I say my appreciation is endless to the people on this board is almost literally an understatement.
 
I will echo @readalot 's opinion. Hematocrit is venturing out of my comfort zone too. With 500mg's of total gear you consider to be on cycle, correct?

You need an iron panel. Always do an iron panel (TSAT, serum iron, ferritin). And do check hsCRP.

Depending on your iron panel, you should consider doing a blood donation and/or dropping your androgen load down to a normal physiological range, ie. app. 750 ngdl at Tmax.

Seriously, I said check your iron and depending on your levels, try donations, on the first page of this discussion.

@DECLAN chelating is an option and IP6 does drop ferritin. You should also give apolactoferrin a try and if your issues seem to be persistent, above average, then checking your genes (HFE, TFR2, ...) for hemochromatosis makes sense. Less severe, heterozygous mutations in H63D, which isn't an official hemo diagnosis, can still push your ferritin to higher levels, especially if aas are in the picture. The cheapest 23andme test will give you all the info you need.
 
With a quick Google search I can only see that chelating is the removal of toxic metals from the body. But what do I use for the therapy?

That would be an option if you were found to have iron overload. First you would need the iron testing @Jin23 suggested.

In the meantime I am glad you are studying up on viscosity, hgb/hct, plasma viscosity, rbc deformability, etc since you dabble in AAS.

Low dose aspirin is a somewhat controversial choice but I am comfortable with the choice. It does appear to have benefits in addition to affecting platelet aggregation.


RBC deformability is another factor influencing whole blood viscosity. A whole new thread on hct/hgb/whole blood viscosity does seem in order.

Nattokinase is another wild card. Are you getting the fibrinolytic units claimed on the bottle? Supplement quality a crap shoot unless you test. Dosage, etc. I have been using 10k FU for a few months now (maybe haha).
 
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That would be an option if you were found to have iron overload. First you would need the iron testing @Jin23 suggested.

In the meantime I am glad you are studying up on viscosity, hgb/hct, plasma viscosity, rbc deformability, etc since you dabble in AAS.

Low dose aspirin is a somewhat controversial choice but I am comfortable with the choice. It does appear to have benefits in addition to affecting platelet aggregation.


RBC deformability is another factor influencing whole blood viscosity. A whole new thread on hct/hgb/whole blood viscosity does seem in order.

Nattokinase is another wild card. Are you getting the fibrinolytic units claimed on the bottle? Supplement quality a crap shoot unless you test. Dosage, etc. I have been using 10k FU for a few months now (maybe haha).
I'll be testing my iron after I donate. And I got 8k fu that'll start on Monday.
 
I'm surprised, given your gut issues ... What's your reasoning behind you being ok with it's use?
Tradeoff. Neither 325 mg/day nor 81 mg/day seem to exacerbate symptoms but I'll get a better look inside soon.

So far I've weighted the potential cardiovascular benefit more heavily than any gut hit for my personal objective function.

Actual net negative for low dose aspirin with IBD is murky from my understanding. What are your thoughts?





 
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