pickle's picture
pickle
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+ 3 DHB, Provi, EQ Lipid Panel + Iron deficiency

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Stats: 5"7 190 pounds 11-12% BF

Blast: 450 Test E, 450 DHB, 565 EQ, 50mg Provi, 2iu GH, drol pulsed 2 weeks on/off

About 7 weeks in on the DHB and 9 weeks in on the EQ. Donated blood beginning of blast. Stopped pulsing drol a few weeks ago, wasnt feeling right.

Now on to the blood work. Total cholesterol is fine, HDL is very very low, LDL is fine. Never had cholesterol issues so this is new. Advice welcomed.

RBC is high, thanks EQ. Doctor says i have iron deficiency anemia and is recommending an endoscopy and colonoscopy to check for cancer and other issues that could be impacting iron absorption. Only seem to have iron deficiency issues when im blasting, when running trt dose it isnt as dramatic. I eat plenty of iron rich foods and my diet is clean.

Doctor had me on slowfe when we first noticed but we stopped to do another test to make sure last one wasnt a fluke.

Going to do an oil change this weekend (donate).

Any advice is welcome (stop blast, continue but do xyz, etc etc). Thanks guys.

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Dacky's picture

Hey buddy. Any update here? How are you feeling? What are the next steps with the docs?

pickle's picture

Hey Dacky, nothing significant to update. I stopped pinning the EQ and DHB, dropped test down to TRT dose. Dont feel any different, have actually felt fantastic this entire time. Endo and Colo scheduled for mid January. Going to request blood work again right before the procedure to see if iron deficiency got better since dropping and lowering compounds. Depending on test results i will either go through with procedure or cancel, will only cancel if numbers significantly improve (meaning cause was from gear). Will update as we get closer or if anything changes. Thanks for the concern brother!

giardap's picture

Flipped lipids is a side effect. You are in a good position with ldl not too high - it isn't pathological ya know.... your trig's are grand, total is lovely, so I wouldnt worry about that at all. It reverses after you stop your cycle, but you can improve speed by emptying the liver of glycogen with HIT/HIIT, dropping all carbs, taking niacin (flush) and plant sterols/stanols. Nothing to see here, yet at least.

As far as I see you dont necessarily need to donate yet unless you physically feel you should, RBCs are up yeah sure, tbe, but hema and hemo look good, so if anything the rbc's will help with the lower iron levels in getting O2 about the body.
However.... the RDW looks like it is linked with the anaemia diagnosis.....
So you gotta go with the doc on that and if it truly doesnt happen when off cycle then it is prudent to end the cycle.

pickle's picture

Thanks for chiming in giardap. Will get lipids checked again in about 8 weeks to makes sure they are back to normal.

Doctor mentioned donating could make the iron deficiency even worst, going to pass. My cardio is the best its ever been, stair master or incline at certain speeds used to gas me 3 months ago now i barely break a sweat.

My first bloods posted here back in July on just Test show the beginnings of the iron deficiency as well.
https://www.eroids.com/pics/first-time-posting-bloods-monthly-test

pickle's picture

Thanks Rusty, as of right now im leaning towards throwing in the towel until i get this figured out. Colo and endo scheduled for early next year. Want to rule out internal bleeding, celiac disease, and a few others that doc mentioned but i forgot. If i stop now it should give enough time to clear my system completely of all AAS other than my trt dose.

I was not getting blood work done that checked iron levels when i was completely off all gear for that 4 or 5 year period before TRT started, so not sure if i have always had this or if it developed recently. Only way to find out is to come off and see what happens.

Shitty part is i look fucking fantastic right now and i feel even better than i look.

Dacky's picture

That’s a new one. Are you sure your doc isn’t referring to vitamin d deficiency? Vitamin d deficiency is very common in people suffering from anaemia but is not causative as far as I know. Probably worth clarifying with your doc!

Dacky's picture

Yeah mate I think the cycle needs to be stopped and full disclosure with the docs must take place. It’s highly unlikely the aas use is contributing here but from my limited research it is possible and when it happens it’s pretty serious. Either way the blood work from ferritin through full iron work up, storage and saturation is not looking good here and it’s showing with the high RBC and RDW levels. A heamatologist should be consulted.

As a side note and educational piece the OP was going to donate because he beleived this was necessary due to high RBC but he had normal Hb and HCT. Blood donation would have made the anaemia worse and could have been dangerous in the end!

Edit: the other missing info here is his total test levels. If very low (bunk test maybe) and shut down from the other compounds then this could possibly present with anaemia - haematologist would again be best to consult here.

pickle's picture

Sorry for short response, on mobile and running errands. Test is gtg, same test used on all my other BW posts.

Dacky's picture

No worries so at least it’s not low test causing issues with your bone marrow response. I’ve PM’d Giardap and asked him to stop by and take a look here and his depth of knowledge here is super solid and he may have other perspectives.

pickle's picture

Thanks brother!

Gh0st's picture

That’s interesting you only have iron deficiency when running higher AAS. I was thinking maybe you have hemochromatosis, which if your doc hasn’t considered I would ask about with your ferritin low... Although your TIBC is high which isn’t typical of that, and more suggestive of chronic anemia. Any issues with your kidneys or liver?

While your total cholesterol is okay and your LDL is normal I did the math and your ratio is still higher than desired. It’s obviously temporary due to the AAS probably DHB as was mentioned below, but you could always try red yeast rice.

Owes a Review × 1
pickle's picture

Hemochromatosis from my understanding is an excess of iron in the blood. Low ferritin would indicate that i have low levels of iron in the blood right? Im still far from understanding all of this so please correct me if im wrong. Liver is fine, even running provi and drol levels were within range. Kidneys i believe were fine during last few bloods even consuming high amounts of protein.
Checking out red yeast rice.
I have colonoscopy and endoscopy scheduled for early next year.

Gh0st's picture

Disregard what I said my man sorry to confuse I was thinking of something else! Hemochromatosis is typically high ferritin, and oversaturation in the blood and/or tissues

Owes a Review × 1
PPGfreak's picture

Thought that source said to never tag them in a picture or they would remove you from there sell list..... maybe I’m wrong

pickle's picture

From my understanding it was only pics of gear and that BW was fine. Either way i deleted it, thanks for the reminder.

Dacky's picture

Let’s deal with the easy one first. Your Low HDL is typical for what’s becoming a common theme with DHB and given you’ve been pulsing drol this is no big surprise. My view is nothing to panick about and will revert back to normal once off cycle completely. The only “treatment” option available is very high doses of Niacin flush which most don’t handle well at the doses required but if you do then that is your best option.

Now your Hb and HCT is actually fine and with Hb on the low side. Your total RBC count is high a sis your RDW and this seems to me to be symptomatic of the Iron deficiency which clearly does require further investigation. Given you’ve been running orals I wonder what’s going on in your liver. My view is for you to get this properly assessed - better come clean on the AAS use. DO NOT donate blood as this will just skew any testing that needs to be done and you have no risk given your Hb and HCT are normal (low normal for Hb). I can’t see your total testosterone, SHBG, free testosterone and estrodial numbers in these labs but running these compounds should be improving your iron storage so this is very strange.

pickle's picture

Thanks Dacky, as always your advice is greatly appreciated. Noted on donating, will hold off. Last BW showed liver values were in range, blood was drawn during drol pulse as well.

Going to come off everything and drop down to my trt dose until i can get this figured out.

A friend told me his BW always showed iron deficiency when on cycle and when he came off it went back to normal. Have you ever heard of that before? Or is there any scientific explanation to back that up?

Dacky's picture

Yes don’t donate it will only make the anaemia worse. To answer your question I have never heard of AAS causing anaemia but I did find this one article - https://www.omicsonline.org/open-access/hemathologic-risk-of-anabolic-st...

Normally aas is a potential treatment option for anaemia.

I think you’re very wise to get off everything and back to your trt dose and get properly investigated. Good luck and keep us posted. +2 for getting blood work done. This is exactly why we do it!

pickle's picture

Dacky that was a great read thank you. Will keep you updated as this progresses.

pickle's picture

Thats what im leaning towards, thanks for the advice.