posted Thu, 05/14/2026 - 08:51
964
+ 3 Blood work day
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Have some work to do I don’t like some of these levels
Mid cycle 500mg Test E every M/F 35mg Anavar ED AI on hand not needed yet (pharmqo/pharmacom test E and pharmaqo ANAVAR)
List of supplements
Fish Oil (NutraHarmony Triple Strength Omega-3) — 2 softgels daily
* TUDCA (Totaria TUDCA) — 1 capsule daily
* Qunol Blood Pressure Support — 2 capsules daily (split AM/PM)
* Citrus Bergamot (Nutricost) — 2 capsules daily
* Cycle Support w/NAC— 4 capsules daily (AM / PM with meals)
| Marker | Change | Meaning |
|---|---|---|
| HDL | 41 → 25 | Significant drop. One of the more concerning changes since low HDL reduces cardiovascular protection. Anavar is well known for crushing HDL. |
| LDL | 137 → 181 | Major increase. Higher atherogenic cholesterol burden. |
| ApoB | → 156 | Most important cardiovascular marker here. High-risk territory and confirms increased plaque-forming particles. |
| Total Cholesterol | 200 → 226 | Overall worsening, mainly driven by the LDL increase. |
| Triglycerides | 120 → 100 | Slight improvement. Not a major concern currently. |
| Hematocrit | 49.7 → 50.45 | Mild increase. Not alarming yet but trending upward. |
| Hemoglobin | 17.0 → 17.1 | Stable/high-normal. |
| Creatinine | 0.98 → 1.13 | Slight increase. Could be from muscle mass, hard training, dehydration, or high protein intake. Not severe currently. |
| Estradiol | 64.7 | Elevated but expected on 500 mg testosterone. Mainly matters if symptoms are present. |
| SHBG | 12.2 | Suppressed, expected from androgens/orals. |
| Total Testosterone | >1500 | Expected on cycle. Actual value is likely much higher than assay limit. |
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you didnt put down brand of test e that would help people
pharmqo/pharmacom test E and pharmaqo ANAVAR
Thanks for sharing
Love rythm, love the convenience, love the painless blood draw.
Please, let’s take blood from the vein with a company that offers more biomarkers. It’s pricey, but superpower is definitely worth it. More accurate reads, more biomarkers, the whole nine yards.
In terms of supplements/peps/meds to stack to help with cholesterol, I’ll list a few, just recommendations at the end of the day:
Supplements:
Red Yeast Rice 1800mg
Berberbine 1500mg (split into 3 doses)
Citrus Bergamot (1200mg)
CoQ10 (200mg)
MAV Nutrition Fish Oil (3600mg)
Peptide:
Retatrutide (2mg-4mg 1x per week)
Tesamorelin (2mg daily)
Medication:
Ezetimbe (10mg)
Fiber Intake:
Psyllium Husk (10 grams)
Other than that, anavar is usually what causes the most damage to lipids, so drop the dose or drop it entirely. Keep the test the same and increase injection frequency, or slightly lower the dose.
Hope this helps my brotha! Onward and upward!
Supplement recs are good, but fyi RYR isn't legally allowed to contain any monacolin K, which is the chemical component almost chemically identical to lovastatin. If it did, they'd have to be regulated in the same way as statins. Some of them do contain it to varying degress, but they don't list how much. You're better off pharmacologically and financially getting a cheap script from telyrx for a low dose of the real thing.
"RYR isn't legally allowed to contain any monacolin K"
Well Ill be damned, I did not know that. Is there any point in taking RYR then?
IMO, no. Some of them do contain it, but they’re not allowed to advertise it as such. This means you have no way of knowing if the brand you’re buying contains zero monacolin K, or shit loads. You’re 100% better off getting a standardised dose of an actual statin. Generics are pennies with insurance.
I personally take it, really good at keeping my blood pressure in check and I saw a 20% reduction in my LDL/ApoB. Works well for me, just not good long term.
100% agree with this, ezetimbe is the first line approach if you don’t want to mess with statins!
Solid that you're reading your own panel and already planning to drop the orals that's the right instinct and most guys would argue with it. Couple things the thread hasn't really pushed on that I'd want you to actually look at:
Your BP is the number nobody's talking about. 133–136 / 78–82 daily average is stage 1 hypertension. On cycle, with hematocrit creeping up, ApoB at 156, HDL at 25, and LDL 181 that BP is doing real damage in the background while everyone's focused on lipids. Lipids are the headline, BP is the silent one. If you only fix one thing this month, fixing BP probably has more impact on your actual cardiac risk than the lipid moves will.
Sleep at 6 hours on 12-hour shifts is not a side issue, it's part of the lipid picture. Chronic short sleep raises BP, raises CRP, worsens insulin sensitivity, and tanks HDL all the things showing up on your panel. You can run the cleanest diet in the world and you won't out-train 6 hours on shift work long term. I know "sleep more" is the most annoying advice on the internet but it's genuinely one of the levers here, especially with the BP reading.
Oscar's call on Lp(a) is the right one and I'd push it harder. Your pre-cycle LDL was already 137 with HDL 41 that's not "the cycle did this," that's baseline genetic dyslipidemia that the cycle is amplifying. Lp is a one-time test (it's basically fixed for life) and if it comes back elevated, that reframes your whole risk picture and your future cycling decisions. Worth $40 and a blood draw.
On dropping the var and retesting in a month good plan, but consider:
• HDL is the slowest to recover off orals, 4 weeks might still look ugly
• ApoB will move faster, that's your better short-term marker for whether the change worked
• Recheck BP at home in the meantime, not just at retest
The thing I'd actually push you toward: with ApoB 156, BP in stage 1, low HDL, and a pre-cycle lipid panel that was already pointing in the wrong direction, you're at the point where a real doctor visit pays off more than another forum thread. Not a "stop doing this" doctor a TRT/men's-health clinic that's PED-aware. They can run Lp, apo isoform, maybe a CAC scan if your risk score warrants it, and have the statin/ezetimibe conversation properly. Oscar's right that Rosuva + Zetia is the standard combo for exactly this picture, but the dosing and whether to start now vs. after retest is a doctor call, not a forum call. Marek, Defy, or similar be honest about the cycle, they've seen it.
Stack-wise you're actually pretty dialed: TUDCA on orals (good), citrus bergamot (one of the few supps with real lipid data, keep it), NAC, fish oil that's a reasonable harm-reduction stack. Nothing dumb in there. The Qunol BP support is mostly CoQ10 + a few extras, fine but not going to move 135/80 meaningfully on its own.
One honest thing: "getting old sucks" yeah, but the lipid picture you've got isn't really an age thing, it's a "my baseline was already borderline and orals exposed it" thing. That's actually useful information about your body. It means future cycles, orals are probably off the table for you specifically, and injectables-only with tight lipid monitoring is the lane. Better to learn that at this panel than at a worse one.
Good luck brother. Drop the var, get the Lp, check BP daily, book the doctor visit before the retest not after.
Damn well thought out and said brother. Maybe ER is coming around!
Yes sir thanks for the insight- !!
I do check BP daily sometimes great some times not so great - first thing I dropped with the high BP was the 3 five hour energy drink a day and the coffee
done with orals from now on just sticking to Injecting for future cycles
Plan to see primary care when done with cycle get full work up before I get back on cycle
Will does tests every month until I see progress on lipids
Yes sleep is very important but not enough time in a day anymore I plan to prioritize it on rest days
Good on you my man ! It's hard to put yourself out there and be receptive to critism.
How is the caffeine intake now ?
How much sodium are you consuming ?
What are you potassium levels ?
What's your water intake daily ?
Don't worry man bp is easy to deal with !
Caffeine intake is very low. Don’t have the weekly average yet.
Potassium weekly average based off my calorie tracker is about 1000 mg daily
And sodium about 4500 mg
I’ve been trying to drink at least a gallon a gallon, a half a day of water sometimes more sometimes less
Okay brother this is actually really useful info, and there's good news: your BP problem is mostly an electrolyte problem, and that's the easiest thing on your whole panel to fix.
Let me show you what you just told us:
Sodium: 4500mg/day that's about 2x the general recommendation (2300mg) and roughly 3x what's recommended for someone with elevated BP (1500mg). On cycle, with the water retention androgens already cause, you're stacking on top of that.
Potassium: 1000mg/day target is 3500–4700mg. You're at roughly 20–25% of where you should be.
Sodium:potassium ratio: 4.5:1 should be closer to 1:2 the other direction. So you're inverted by almost 10x from optimal.
The sodium:potassium ratio is actually a better predictor of BP and cardiac mortality than sodium alone in most of the recent literature. You don't necessarily have to slash sodium hard you have to flood potassium and the ratio fixes itself.
Swap your table salt for a potassium-based salt (NoSalt, Nu-Salt, LoSalt, or Lite Salt which is 50/50). Use it the same way you'd use regular salt. This single change can move you from 1000mg potassium to 2500–3000mg without changing what you eat.
Add potassium-dense foods, daily: potatoes (a medium baked potato is 900mg), bananas (420mg), avocado (700mg per fruit), spinach, beans, salmon, yogurt. One baked potato a day basically solves your deficit.
Drop sodium to 2500–3000mg, not zero. You're on cycle, training hard, sweating you do need sodium. The goal is the ratio, not zero salt. Easy wins: cut processed/packaged foods, restaurant meals, sauces, deli meat, and pre-made protein bars/shakes which are usually loaded with sodium you don't notice.
Magnesium 400mg/day Mag glycinate at night, helps BP, helps sleep (which you also need), helps with the cramping you might be getting on var. Cheap, no downside.
Water at a gallon to a gallon and a half is fine, don't push past that. More water doesn't lower BP and over-hydration on low potassium can actually make things worse.
Caffeine before noon, hard cutoff at 1pm you said yours is low, that's good. The reason this matters isn't really BP (caffeine's BP effect is small and tolerates fast), it's sleep latency. You're already at 6 hours, you can't afford caffeine cutting into sleep quality on top of that.
Realistic timeline: if you fix the potassium/sodium ratio this week, you'll see BP move within 2–3 weeks. Not might will. This is the most reliably responsive intervention in all of cardiology. Recheck BP daily, same time, same arm, sitting for 5 min first.
On telmisartan as a backup: that it's the move if diet doesn't get you there, and it's actually the preferred ARB for guys on cycle because it has some PPAR-gamma activity that helps with lipids and insulin sensitivity too basically a bonus. But hyperkalemia warning is real, especially if you're now also flooding potassium through diet. If you end up on it, your doc will want a basic metabolic panel to check K+ at baseline and again at 2–4 weeks. Don't self-prescribe an ARB while also megadosing potassium without that check.
Order of operations I'd actually do:
This week: swap salt, add a potato or avocado daily, magnesium glycinate 400mg before bed
Daily BP log, same time, same arm
2 weeks in: if BP is trending down (it will be), keep going
4 weeks in: retest bloods as planned, by this point Lp(a) result is back, you've got data on whether dropping the var moved ApoB, and you'll know if BP needs pharmacology or not
If BP is still >130/80 after the electrolyte fix at 4 weeks, that's when telmisartan conversation with a doctor happens and at that point your K+ is repleted so the hyperkalemia risk window is the introduction of the drug, not your baseline
You're in good shape on this one, way more fixable than the lipid side. Knock the BP out first it's the fastest win and it buys you breathing room on the rest.
Fr sent. I'd like to talk a bit if possible.
Fr accepted. Sure absolutely my man !
Thanks for the help!! That’s a lot to take in!!
brother look at that APoB. Consider dropping the var and adding things like ezetimibe or citrus bergamot to help reduce plaque buildup
Yes currently taking citrus bergamot— I did see the ApoB did not like it plan to drop the orals for now and get bloods agian in a month
What’s your cholesterol look like off cycle? Hows your daily blood pressure? Anavar kills my HDL too, and that LDL is high.
I’m sure someone with more experience will chime in but I’d consider Rosuvastatin @ 20mg/day. Maybe even Ezetimibe @ 10mg/day on top. Just a suggestion, I’m no expert. I’d do some research and try to fix lipids if it was me. Get that ApoB in range.
Before cycle cholesterol 200 hdl 41 ldl 137-
Daily Bp overall average is about 133–136 / 78–82. based on my health app linked to BP monitor
Before cycle cholesterol 200 hdl 41 ldl 137-
Daily Bp overall average is about 133–136 / 78–82. based on my health app linked to BP monitor
So sounds like your high LDL is potentially genetic, exacerbated by AAS use currently. I’d check your Lipoprotein A next bloodwork to confirm. That just means you’ll have to be extra cautious for your heart health always. Orals might not be in the cards for you. How long have you been on the Anavar? Probably best to drop it.
Look into Rosuvastatin and/or ezetimibe to get that ApoB in range.
Only a few weeks on anavar just enough to fuck up my levels I guess- getting old sucks!! Yeah dropping them will retest in a month see if it levels out
I feel your pain. I have lipid issues similar to yours and I’ve been telling my GP for a few years I was gonna out diet & cardio my bad markers. Now I’ve done that and in the best shape of my life and lipids haven’t moved lol. Gonna finally give in and let her put me on Rosuvastatin next yearly visit.
And that is assuming diet and cardio is on point. Both of those play a big part in lipids as well. But some people genetically just have shitty lipids even before AAS usage.
Diet is good clean 1800-2500 cal a day 160 to 200grams protein daily
cardio 30min every other day - plan to up that -
Sleep sucks work 12 hr days if I want to hit gym daily I get 6hrs a night