GP Blood Tests Back, 5 Abnormal

So my yearly physical came back and I got 5 abnormal results. My uro has a panel of bloodwork for me to do and am wondering if giving blood and/or halving my daily 17mg Sub Q test, would greatly help for some of the “abnormals” currently showing.

What’s the important one the uro will focus on? RBC Count is Normal but many are not, is that Normal RBCC the one he’ll put more weight on?

TEST REFERENCE RESULT INTERPRETATION
COMPLETE BLOOD COUNT
PANEL OF TESTS 15
HEMOGLOBIN 129 - 165 180.0 g/L HIGH
HEMATOCRIT 0.39 - 0.49 0.53 L/L HIGH
RED BLOOD CELL COUNT 4.2 - 5.8 5.3 x 1012/L NORMAL
MEAN CELL VOLUME (MCV) 80 - 98 100.0 fL HIGH
MEAN CELL HEMOGLOBIN (MCH) 24 - 33 34.0 pg HIGH
MEAN CELL HEMOGLOBIN CONCENTRATION 313 - 344 341.0 g/L NORMAL
RBC DISTRIBUTION WIDTH 12.5 - 17.3 15.0 % NORMAL
WHITE BLOOD CELL COUNT 3.2 - 9.4 8.5 x 10
9/L NORMAL
PLATELET COUNT 155 - 372 133.0 x 10*9/L LOW

Urine:
Your results are CLOUDY This is considered ABNORMAL.

HEMOGLOBIN 129 - 165 180.0 g/L HIGH
HEMATOCRIT 0.39 - 0.49 0.53 L/L HIGH
MEAN CELL VOLUME (MCV) 80 - 98 100.0 fL HIGH
MEAN CELL HEMOGLOBIN (MCH) 24 - 33 34.0 pg HIGH

PLATELET COUNT 155 - 372 133.0 x 10*9/L LOW
Urine:
Your results are CLOUDY This is considered ABNORMAL.

Am I gonna die, fam? By the way, I’ve always had low platelet count, decades before TRT.

What’s your serum ferritin? TIBC?

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Get a full iron panel, ferritin, folate, B12. Mine looked like yours and ended up needing to supplement iron for a while and b12 everyday.

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I supplement B12, yeah, a little high taking one pill a day. I’ll cut back:

VITAMIN B12 > 220 1091 pmol/L NORMAL
FERRITIN 18 - 543 43 ug/L NORMAL
SODIUM 136 - 146 144 mmol/L NORMAL
POTASSIUM 3.7 - 5.4 4.7 mmol/L NORMAL
CREATINE KINASE < 225 90 U/L NORMAL
ALANINE AMINOTRANSFERASE (ALT) < 46 28 U/L NORMAL
THYROID STIMULATING HORMONE (TSH) 0.35 - 5.00 1.50 mIU/L NORMAL
HEMOGLOBIN A1C (HB A1C) < 6.0 5.8 % NORMAL

Your ferritin sucks. Try some chelated iron, and maybe some folate. If you use methylfolate, be careful not to overdo it.

Okay but that won’t help my RBC or whatever it is the URO’s get worried about, right? What is it in my blood test that uro’s get concerned over?

It should, actually.

It helped my RBC

(edit: I didn’t realize the reference range was posted first and thought that was your level. Didn’t realize you’re actually above the reference range. The supplements below will likely raise your HCT)

I used:
Iron
Vitamin C 1000
L-lysine

Adding the L-lysine brought my ferritin up twice as fast as when I took iron & vit C alone.


No need to cut back on b12. You piss out any extra. I feel way better at the top of the range (1150) than when I was at 750.

Okay, so I’ll go donate blood and then… what time period would be MOST effective to later do my Uro’s blood panel so my numbers are lower. I’m okay with the following day. Sound good, optimal results the day after?

I hate when people post the reference ranges first (no offense). I’m sitting here thinking the first number you posted was your level.

Oh shoot, sorry man, I just COPY/PASTED.

Should I reevaluate what you suggested?

It’s not your fault. I should have caught that.

If you take iron and b12 you will raise HCT. If you are donating then that will further lower your ferritin (and HCT) so supplementing Iron, vit C and L-lysine at that point should be fine just keep an eye on your HCT. Maybe get bloods done 2 months after using iron just to see where your HCT is at. My HCT on 200mg/week is 47 so I’ve never had to worry about it. I was basically anemic pre-trt.

So my HIGH HEMATOCRIT of 53 is what the uro will be concerned most about. I only supplement the B12. Okay, I will donate blood and take Uro’s blood panel the day after.

HEMATOCRIT 0.53 L/L HIGH – -------------------- (0.39 - 0.49 )

Yeah many feel HCT over 52-ish is bad and will require you to donate and or drop your dose.

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So I’m low in iron but if I take those supplements my HCT will go higher. Man, talk about damned if I do, damned if I don’t! LOL
Let’s hope the blood letting works… * _ *

You may have to lower your dose to keep HCT in control. I don’t think by half though like you mentioned in the initial post. If you’re at 120/week try 100. I really don’t know enough about T amounts affecting HCT to really comment but I’m sure someone with similar issues can help. I think @hrdlvn may delt with this before. If I’m mistaken he’ll at least be able to tag someone that has.

Yeah, sucks for us when people living at higher altitudes have a much higher hct. By half I meant just in the interim before bloodwork to get over this speed bump that will make uro lower my dose. I feel FANTASTIC at 120mg, at 100, NOT SO MUCH!