What's wrong with numbers

[Ateam2023]

What does the markers in red mean? What can i do to get them normal? Thank you for help underthis

 

[lukiss96]

Not to scare you but to inform and possibly wake you up to do something about your lifestyle and diet mainly.

Egfr lower than 60 is a sign that your kidneys are not working properly, however it's still barely below, so the good news is that you can prevent further damage (if you fix your diet and choose a healthier lifestyle). The bad news is that kidneys don't recover so well, so your best bet is to prevent further damage and quit alcohol, reduce sodium intake to a minimum and drink more water, get your blood pressure in check.

Higher than normal creatinine is again linked to kidney issues. It is barely above but still need attention. Note that acute increase post workout is normal.

High sodium is possibly due to dehydration and kidney issues.


So, you have things to do. First learn a proper to diet and second drink more water. After that, lose weight as you have decent amount to shed. Get your blood pressure in check. Start a proper training program and avoid steroids (at least for now).

Time to take care of your health. Don't ignore the warning signs. Good luck.

 

[BigTomJ]

Not to scare you but to inform and possibly wake you up to do something about your lifestyle and diet mainly.

Egfr lower than 60 is a sign that your kidneys are not working properly, however it's still barely below, so the good news is that you can prevent further damage (if you fix your diet and choose a healthier lifestyle). The bad news is that kidneys don't recover so well, so your best bet is to prevent further damage and quit alcohol, reduce sodium intake to a minimum and drink more water, get your blood pressure in check.

Egfr is calculated from serum.creatinine levels and a couple other variables, including age, so this marker is very often skewed off of the reference ranges with trained individuals.

The reference range is determined from the average population, this doesn't mean to disregard certain markers, but to take that into consideration when considering the reference ranges.

Higher than normal creatinine is again linked to kidney issues. It is barely above but still need attention. Note that acute increase post workout is normal.

Creatinine is a measurement of the waste product from not only from the breakdown of muscle tissue from resistance training, but also a product of protein in our diet. For trained individuals who are following a high protein diet, these factors need to be taken into consideration when viewing bloodwork in regards to the reference ranges.

His is slightly elevated, which could be cause for concern in gen pop, but if he's following a high protein diet and training with proper intensity, it's very likely he will be chronically above the reference range.

High sodium is possibly due to dehydration and kidney issues.

Since his markers aren't too bad, I would not expect kidney issues. But agreed most likely cause for this tests results is due to dehydration.
Most people get their blood tests done in the morning, fasted, and very often do not get enough water in after waking from 7+ hours of no water intake as we sleep.

@Ateam2023

Next time you have bloodwork, make sure you are drinking enough after waking. Like 8-16oz at least

Time to take care of your health. Don't ignore the warning signs. Good luck.

This as well, take these results to your primary care doctor in the future as well and have them review it as well if you have any cause for concern.

That being said, I am not a medical professional, do not take my words as such.
With the disclaimer out of the way, your bloodwork looks very typical to me, and no great cause for alarm.
Up you're water intake and you'll be golden



@lukiss96 this post is not meant to refute or correct what you wrote, but only to expand on what you wrote for OPs information and consideration.

 

[Ateam2023]

thanks fellas appreciate it, i drink at least 80-100 oz of water daily but i am consuming at least 150-160 grams of protein followed by a intense workout regimen i also drank at least a quart of water before that blood test so i guess im at a loss idk and im sure you missed that i am slightly lower on the sodium level @lukiss96 thanks anyway for feedback

 

[Ateam2023]

i also do not drink alcohol or do drugs except for my trt/hgh program i take the right supplements including kidney/liver support supps i eat clean and hit my macros etc , so maybe its just because im "enhanced" slightly as the numbers aren't to bad i was just a little concerned about " any red markers" thanks for all the support i love this forum

 

[Eddie.]

Guys his sodium is low not high. His potassium is high enough to make him excrete much sodium. First things first, i think he's dehydrated af and electrolyte inbalanced. Also if he was drinking aside of the kidney markers his liver values would be off too

 

[buck]

The last guideline i saw for water was 1/2 oz per pound of body weight minimum. And if sweating etc more is needed. From the look it seems you are far from drinking enough water. Start drinking at least 50-100% more.

 

[Ateam2023]

Will do thanks @buck

 

[laclark89]

I would lower my sodium intake a bit.
Drink at least 1 gal water a day.
stop exageouns creatine intake.
Lower red meat consumption.

Also drink alot of water before blood work.
Try for 1 month I'd bet $20 it will fix most of that.

Enless u training like a freaking beast like big tom said, rabdo status lol.

 

[Eddie.]

I would lower my sodium intake a bit.
Drink at least 1 gal water a day.
stop exageouns creatine intake.
Lower red meat consumption.

Also drink alot of water before blood work.
Try for 1 month I'd bet $20 it will fix most of that.

Enless u training like a freaking beast like big tom said, rabdo status lol.

A cpk would be helpful on this but it seems quite hard to get rabdo, you have to overdo it for a long time, right?

I'm curious though, what makes you think he needs to lower the sodium intake? Is there a possibility the sodium test refers to a total concentration and not in blood serum? Most cases with yanked kidneys need to lower or cut off entirely sodium but his numbers at sodium marker are showing the opposite. My ex has a kidney failure, creatinine was always above 3-4 and diastolic BP over 10, doctor said zero salt and low potassium. After a decade she finally hit a 15 creatinine, 25 HCT and passed out. She's on dialysis since then. While on dialysis foods doesn't matter much but she has to drink water as little as possible. It's a pretty fucked up situation to be in.

 

[laclark89]

A cpk would be helpful on this but it seems quite hard to get rabdo, you have to overdo it for a long time, right?

I'm curious though, what makes you think he needs to lower the sodium intake? Is there a possibility the sodium test refers to a total concentration and not in blood serum? Most cases with yanked kidneys need to lower or cut off entirely sodium but his numbers at sodium marker are showing the opposite. My ex has a kidney failure, creatinine was always above 3-4 and diastolic BP over 10, doctor said zero salt and low potassium. After a decade she finally hit a 15 creatinine, 25 HCT and passed out. She's on dialysis since then. While on dialysis foods doesn't matter much but she has to drink water as little as possible. It's a pretty fucked up situation to be in.

I'm no expert, just a bro with a little experience
And knowledge. The time frame on rabdo I was not sure but from quick read it said somthing like 12 hrs - 5 days? Mabe it builds up over time or from just one time injury. Mabe someone more knowledge will chime in.

I did carnivore an high protien diets my kidney where not in good shape after that my dr said my kidneys were not filtering good 1 worse than the other. Got on gear an regular diet my kidneys were perfect lol.

I'm my little brain low salt and water sounds dangerous but u shes are working with a team of drs. So I'll bow down to that in ur circumstances.

I pray she lives a long an happy life as possible.

 

[BigTomJ]

For additional reference, even as a natural my creatinine has never once been in range and I did bloodwork fairly frequently pre peds in an attempt to self correct low t with lifestyle and supplemental changes.
As a result my egfr was frequently slightly out of range as well.

I've historically followed a high intensity training regimen.

Again not a medical professional, not medical advice, just anecdote from a gym bro.

 

[buzzingonaas]

In your next round of bloodwork I’d order a cyastatin-c with calculated eGFR just to be safe. But like a lot of others said, this looks to be skewed based on hydration or electrolyte mismanagement so don’t lose any sleep over it. Keep eating healthy, stay hydrated, and when the time comes for bloodwork, order that cyastatin c

 

[Ateam2023]

thanks bro's i really appreciate the honest opinions and will take note

 

[petefox]

Don't lift for 3 days prior and drink way more water. I'm seeing a lot of this around, done it myself but I stay hydrated and get in electrolytes with my water intake.

 

[Ateam2023]

where do you get your electrolytes with your water? i take a hydration electrolytes i add to my water i usually drink intra workout and sometimes during the day on non workout days i also drink at least 80+ oz plain water each day , could i still be dehydrated?

 

[Ateam2023]

how exactly does one tell if they are dehydrated? My urine is clear etc

 

[laclark89]

I good phlebotomist will tell u if u ask.

And if u feel thirsty u probably are all ready dehrdrated. Also muscle and stomach cramps

 

[petefox]

how exactly does one tell if they are dehydrated? My urine is clear etc

Clear is an indicator of being hyperhydrated, careful as mineral/electrolyte excretion is high. Having pale yellow urine is fine, that's what my doc tells me when they take a sample.

where do you get your electrolytes with your water? i take a hydration electrolytes i add to my water i usually drink intra workout and sometimes during the day on non workout days i also drink at least 80+ oz plain water each day , could i still be dehydrated?

I use primarily LMNT, kind of pricey but no sugar and tastes good on its own. I'm looking for something that adds phosphorous, might go back to adding trace mineral liquid for that.

 

[buzzingonaas]

I second LMNT