Bloodwork Interpretation? Safest Dosage? Minimizing Risk?

Hey there,
Quick Background: 200 lbs, 21 y/o, 7% bf, on TRT prescribed by a doctor (144mg/week), have run one test blast @ 300 mg/week for 8 weeks and one Primobolan blast/cruise @ 200 mg/week alongside TRT (for 6 weeks to see how I react to the compound). @theleangentleman on Instagram if you’d like to see my current physique. I eat extremely healthily (less than 12g sat fat/day, moderate carb, high protein, moderate fat, 4500 calories/day ‘lean bulk’). I used to compete in D1 track and XC but switched over to bodybuilding after a knee injury.

Anyways, I recently got my blood test results back:
WBC 5.9x10^3/u (3.4-10.8)
RBC 4.89x10^6/u (4.14-5.80)
Hemoglobin 15.5 g/dL (13.0-17.7)
Hematocrit 45.2% (37.5-51.0)
MCV 92 fL (79-97)
MCH 31.7 pg (26.6-33.0)
MCHC 34.3 g/dL (31.5-35.7)
RDW 13.8 % (12.3-15.4)
Platelets 143 L x10E3/u (150-450)
Neutrophils 70 % Not Estab.
Lymphs 19 % Not Estab.
Monocytes 9 % Not Estab.
Eos 2 % Not Estab.
Basos 0 % Not Estab.
Neutrophils (Absolute) 4.1x10^3/u (1.4-7.0)
L Lymphs (Absolute) 1.1 x10^3/u (0.7-3.1)
L Monocytes(Absolute) 0.5x10^3/u (0.1-0.9)
L Eos (Absolute) 0.1x10^3/u (0.0-0.4)
L Baso (Absolute) 0.0x10^3/u (0.0-0.2)
L Immature Granulocytes 0 % Not Estab.
Immature Grans (Abs) 0.0x10E3/u (0.0-0.1)
Glucose 86 mg/dL (65-99)
BUN 24 H mg/dL (6-20)
Creatinine 0.92 mg/dL (0.76-1.27)
BUN/Creatinine Ratio 26 H (9-20)
Sodium 137 mmol/L (134-144)
Potassium 4.5 mmol/L (3.5-5.2)
Chloride 99 mmol/L (96-106)
Carbon Dioxide, Total 25 mmol/L (20-29)
Calcium 9.4 mg/dL (8.7-10.2)
Protein, Total 6.4 g/dL (6.0-8.5)
Albumin 4.6 g/dL (3.5-5.5)
Globulin, Total 1.8 g/dL (1.5-4.5)
A/G Ratio 2.6 H (1.2-2.2)
Bilirubin, Total 0.6 mg/dL (0.0-1.2)
Alkaline Phosphatase 117 IU/L (39-117)
AST (SGOT) 55 H IU/L (0-40)
ALT (SGPT) 57 H IU/L (0-44)
Cholesterol, Total 159 mg/dL 100-199
Triglycerides 46 mg/dL (0-149)
HDL Cholesterol 35 L mg/dL (>39)
VLDL Cholesterol Cal 9 mg/dL (5-40)
LDL Cholesterol Calc 115 H mg/dL (0-99)
Chol/HDL Ratio 4.5 ratio (0.0-5.0)
Testosterone, Serum 791ng/dL (264-916)
Free Testosterone(Direct) 41.1 H pg/mL (9.3-26.5)
DHEA-Sulfate 227.8 ug/dL (164.3-530.5)
TSH 3.090 uIU/mL (0.450-4.500)
Prostate Specific Ag, Serum 0.6ng/mL (0.0-4.0)

This test was taken 4 weeks after ending my 6 week Primobolan blast/cruise and being back on TRT. Anyways, I have a few questions for some people more experienced than me.
I’m hoping someone could clarify these questions:

  1. Is there anything seriously wrong with my bloodwork? How do I interpret the flagged results? I know Primobolan was likely still affecting my bloodwork to a degree, does it seem to have caused any harm to my kidneys?

If you saw my last post: https://t-nation.com/t/hypertrophic-cardiomyopathy-hcm/263502. To sum it up:
I am super concerned that I have HCM or LVM, despite being very physically fit and healthy and young, I often get very winded when lifting in the gym. I get numbness of my fingers when I lay down or wake up from sleep (all indicators of poor blood flow). I go hard af in the gym (to failure on every set) and train for 3 to 4 hours a day. I’m super dedicated to bodybuilding and would be extremely upset if I did indeed have this condition. Apparently HCM is either caused by your genetics (I don’t have anyone in my family with it) or could be caused by lifting too much and elevating blood pressure to the point where it puts too much stress on the heart, which in turn, becomes more muscular to combat the added stress. Since this post I have entirely restructured my training routine. (30 mins cardio every morning, 2.5 hours tops in the gym). …Back to the point:

  1. If I were to blast again, how long should I wait? What is the absolute safest/healthiest dosing to go about the dosing if my goal is to add more lean tissue while trying to minimize the possibility of worsening/developing HCM or LVM (only using test and primo). Anecdotally, would lower doses run over a longer time be healthier than simply blasting moderate doses for shorter periods of time? I understand the best thing to do is avoid adding anabolics to TRT altogether. But I’ve also learned that there are ways to minimize risk.

Thanks a lot if you made it this far.

3 posts were merged into an existing topic: Hypertrophic Cardiomyopathy (HCM)