Blood Work Review TrT

whiterain

New member
Hello Folks,

Been on TRT for about 1.5 years now and havent been on anything else. Running 120 weekly. I dont donate blood ever and i think thats starting to show up in my Hemaglobin, also been struggling to get the HDL and LDL in line for some time but been slacking on all my fish oil ect over the last 6 months so that might be why. Appreciate any feedback.

1733172536314.png1733172565609.png
 
nothing raises any red flags in my opinion.

I wouldnt be concerned about your level of hemoglobin. Definitely watch for it trending up in the future however.

Lipids look fine but wouldn’t hurt to improve on. How much fat do you generally consume in your diet and are those made up of mostly saturated or unsaturated fats? I have found I can manipulate my lipids with dietary fats more than anything else.
 
nothing raises any red flags in my opinion.

I wouldnt be concerned about your level of hemoglobin. Definitely watch for it trending up in the future however.

Lipids look fine but wouldn’t hurt to improve on. How much fat do you generally consume in your diet and are those made up of mostly saturated or unsaturated fats? I have found I can manipulate my lipids with dietary fats more than anything else.
Really appreciate the response. I definitely could clean up the diet as most of my fat probably comes from junk or butter these days as i eat a lot of chicken. What changes do you make to your regular diet to help manipulate them?
 
Really appreciate the response. I definitely could clean up the diet as most of my fat probably comes from junk or butter these days as i eat a lot of chicken. What changes do you make to your regular diet to help manipulate them?
I generally eat a low fat diet on my training days. Depending on how much food im pushing at the time let's say 30-50g per day. Those fats are generally just trace fats from lean meats (chicken breast, white fish) I'm eating, my last meal of the day will have some sort of fats though, mainly to improve sleep quality. In this last meal I will choose between olive oil, nut butter or salmon depending on what I'm feeling like that day. Just make it match my macros.

My rest days include higher fats (currently around 110g per day). These fats consisting of unsaturated fats such as olive oil, avocados, nut butter, salmon and fish oil supplements.

I tend to stay away from a lot saturated fats which you'll find in animal products like meat, eggs (I do enjoy a few eggs a week and they do provide nutritional benefits however I personally don't eat too many as i'd like to get my fats from different sources), & dairy.

Everyone is different, however this approach has yielded the best results on my lipids profile.

Looking in to EFAs and focus on making those the choice for the majority of your dietary fats. If you want to bring your triglycerides down you can try lowering your total fat intake as well.
 
You look fine. How many days after injection were the bloods taken? You are at the very top of the range. Many docs would lower your dosage and get that number down into the high teens. They try to aim for the "middle" which is why I take bloods at 6 days after admin
 
Hello Folks,

Been on TRT for about 1.5 years now and havent been on anything else. Running 120 weekly. I dont donate blood ever and i think thats starting to show up in my Hemaglobin, also been struggling to get the HDL and LDL in line for some time but been slacking on all my fish oil ect over the last 6 months so that might be why. Appreciate any feedback.

View attachment 81402View attachment 81403
Nothing raises any red flags yet. Although testosterone is not liver toxic, it is very odd for more markers to be ordered that ALT. Your doctor should check at minimum your AST, ALT, ALP, and GGT to get an idea of how your liver is working as each one can lead down a different path. No need to dig deeper with liver blood work unless the doctor sees an issue, without an explanation, with those 4 markers - at least that is my opinion and I'm no doctor.
Your liver is connected to how well your body is working overall and other blood readings.

You are on the cusp of or just over a few blood markers but nothing scary - agree with @BanditNOLIMIT. I would have your blood work repeated in a month or two after working on your diet a little. No idea what your diet looks like but adding in a supplement or two may help. Make sure your trans fats and sugar is kept at minimum and simply drinking more water may be enough to get your numbers down a little.
Good luck - I wouldn't be concerned if I had blood word that came back the same. This is not medical advice and just the opinion of one person - your doctor should know best.
 
Nothing raises any red flags yet. Although testosterone is not liver toxic, it is very odd for more markers to be ordered that ALT. Your doctor should check at minimum your AST, ALT, ALP, and GGT to get an idea of how your liver is working as each one can lead down a different path. No need to dig deeper with liver blood work unless the doctor sees an issue, without an explanation, with those 4 markers - at least that is my opinion and I'm no doctor.
Your liver is connected to how well your body is working overall and other blood readings.

You are on the cusp of or just over a few blood markers but nothing scary - agree with @BanditNOLIMIT. I would have your blood work repeated in a month or two after working on your diet a little. No idea what your diet looks like but adding in a supplement or two may help. Make sure your trans fats and sugar is kept at minimum and simply drinking more water may be enough to get your numbers down a little.
Good luck - I wouldn't be concerned if I had blood word that came back the same. This is not medical advice and just the opinion of one person - your doctor should know best.
What are the ideal supplements to take while on trt
Thank you
 
What are the ideal supplements to take while on trt
Thank you
TRT is easier to deal with then a person who blasts and cruises. I will try to find a post I made before which was based on protection on a budget. I don't wait for an issue to crop up and then take something to help it - I think prevention is better than a cure.
That post covers off the basics and a lot can be obtained from food/what is sitting in your kitchen. Many people spend as much on supplements as they do (or close to) what they spend on PED's. Especially if you are sore a lot - joints, injuries etc. and want to help your joints and increase your collagen and help create a cushion for joints.
Otherwise, I will list the ones I consider essential even if you just stay on TRT. I have to search and will edit this post when I find it.
 
TRT is easier to deal with then a person who blasts and cruises. I will try to find a post I made before which was based on protection on a budget. I don't wait for an issue to crop up and then take something to help it - I think prevention is better than a cure.
That post covers off the basics and a lot can be obtained from food/what is sitting in your kitchen. Many people spend as much on supplements as they do (or close to) what they spend on PED's. Especially if you are sore a lot - joints, injuries etc. and want to help your joints and increase your collagen and help create a cushion for joints.
Otherwise, I will list the ones I consider essential even if you just stay on TRT. I have to search and will edit this post when I find it.
Thank you sir
 
@Quap555 - this is a post I made before: https://www.canadianbrawn.com/threads/protection-on-a-budget.11983/#post-274575

Keeping cost in mind considering our PM, and not using high doses of test (only) - this won't cover all the supplements I prefer but if you want to keep the overall amount within reason the following are some of the supplements I like:
1. Fish oil - Carleson's is my favourite but it more expensive. You can find other brands that have decent EPA and DHA content. Fish oil helps thin your blood, is great for your blood pressure, inflammation (helps with pain) and may help balance out your lipids.
2. Nigella Sativa / Black Seed Oil - known as the wonder herb and works very well for many, as good as some script meds, for blood pressure. I prefer Life Extensions brand and a bottle is not expensive. It is also known to have antioxidant properties and anti-inflammatory properties.
3. NAC - if money is an option, for your liver health and an antioxidant, this is less expensive than SAMe. I won't get into SAMe due to the cost but if you do use it the Vitacost brand out of the US is very reasonable. There is also conflicting evidence NAC may help protect your kidneys against some toxins.
4. Astragalus - good for the kidneys, a great adaptogen for dealing with stress, and good for the immune system. A NOW brand bottle at Vitacost was around $7 dollars.
5. Melatonin - one of the strongest antioxidants and outperformed NAC and high dose vitamin E for liver toxicity. Some people are worried about taking it long term and then stopping and your body not producing natural melatonin but I have never experienced this. It isn't expensive and I prefer the dual action 10 mg pills - they are delayed release to take at night. Half is released right away and the other hours later.
6. You can go to any grocery store and buy fresh ginger. Cut off a chunk, peel it, and eat it. In studies, fresh offered more benefits than powdered but powdered ginger you may have in the kitchen is good too. It is known as an excellent anti-inflammatory and again protects the liver from toxic substances. In the health section you can find multiple studies I posted for most of these products.
7. Extra virgin olive oil - good for heart health and a healthy source of fats. You probably have some in the kitchen now. Many people take a tablespoon a day but someone posted a recent study showing less had more benefits than a tablespoon. I would have to read it again but you will find it in the health section.
8. If you have a well and quality water - drinking adequate amounts help the body filter out toxins and can help with higher hemocrit and hemoglobin.
9. Curcumin is more expensive than turmeric but turmeric contains a fair amount of curcumin in it. If you want to save money, take a tablespoon of turmeric, you need piperine as the oral bioavailability is low and black pepper is loaded with piperine. Black pepper is also an antioxidant/anti-inflammatory and was referred to as the perfect food by monks(their words/not mine). I add in 10-12 pepper corns to the mix, and mix in a few teaspoons of extra virgin olive oil to clump it all up so it can fit on a spoon. Turmeric stains everything including your teeth so I try to throw it back and wash it down with water quickly. This is not a requirement but it can help with BP, is great for inflammation, and a general antioxidant. I say not a requirement because you may already be using ginger and fish oil.

We can all get carried away with so many supplements and there are many more I like but don't take all the time - I cycle them for months and then change. If you have a good diet you should get adequate amounts of vitamin C, E, etc. from your diet.
Not sure if you like avocados but they have a fair amount of calories, healthy fats, and have been proven to protect your liver. If I appear to have an emphasis on liver that is because I tried so many supplements as I had a liver issue previously. Regardless, I eat an avocado a day for overall health.

Your not taking orals or harsh injectables so you can pick and choose but two of the best things you can do for yourself is control inflammation and keep your glutathione high. NAC/SAMe will do this if your glutathione is depleted. Do not take oral glutathione - the oral bioavailability is terrible.
Last comment - one of the better products (opinion) is Genuine Health Greens Detox. You take a scoop a day and mix it or just wash it down. If you didn't want to take any of the aforementioned items, this is a product that contains a lot of 'superfoods' if there is such a thing' and some other great supplements like phosphatidyl choline which is an amazing liver product. Probably the closest study to humans on liver health, albeit cruel, was done with baboons. Turned them all into alcoholics and half were given a choline rich diet and all those baboons lived, the rest developed cirrhosis and died. It is the most abundant supplement in the mix if I recall correct.
Sorry for the long write up but it really is a personal choice depending on how much protection you feel you need and can afford.
Hope this helps and is opinion based only.
 
@Quap555 - this is a post I made before: https://www.canadianbrawn.com/threads/protection-on-a-budget.11983/#post-274575

Keeping cost in mind considering our PM, and not using high doses of test (only) - this won't cover all the supplements I prefer but if you want to keep the overall amount within reason the following are some of the supplements I like:
1. Fish oil - Carleson's is my favourite but it more expensive. You can find other brands that have decent EPA and DHA content. Fish oil helps thin your blood, is great for your blood pressure, inflammation (helps with pain) and may help balance out your lipids.
2. Nigella Sativa / Black Seed Oil - known as the wonder herb and works very well for many, as good as some script meds, for blood pressure. I prefer Life Extensions brand and a bottle is not expensive. It is also known to have antioxidant properties and anti-inflammatory properties.
3. NAC - if money is an option, for your liver health and an antioxidant, this is less expensive than SAMe. I won't get into SAMe due to the cost but if you do use it the Vitacost brand out of the US is very reasonable. There is also conflicting evidence NAC may help protect your kidneys against some toxins.
4. Astragalus - good for the kidneys, a great adaptogen for dealing with stress, and good for the immune system. A NOW brand bottle at Vitacost was around $7 dollars.
5. Melatonin - one of the strongest antioxidants and outperformed NAC and high dose vitamin E for liver toxicity. Some people are worried about taking it long term and then stopping and your body not producing natural melatonin but I have never experienced this. It isn't expensive and I prefer the dual action 10 mg pills - they are delayed release to take at night. Half is released right away and the other hours later.
6. You can go to any grocery store and buy fresh ginger. Cut off a chunk, peel it, and eat it. In studies, fresh offered more benefits than powdered but powdered ginger you may have in the kitchen is good too. It is known as an excellent anti-inflammatory and again protects the liver from toxic substances. In the health section you can find multiple studies I posted for most of these products.
7. Extra virgin olive oil - good for heart health and a healthy source of fats. You probably have some in the kitchen now. Many people take a tablespoon a day but someone posted a recent study showing less had more benefits than a tablespoon. I would have to read it again but you will find it in the health section.
8. If you have a well and quality water - drinking adequate amounts help the body filter out toxins and can help with higher hemocrit and hemoglobin.
9. Curcumin is more expensive than turmeric but turmeric contains a fair amount of curcumin in it. If you want to save money, take a tablespoon of turmeric, you need piperine as the oral bioavailability is low and black pepper is loaded with piperine. Black pepper is also an antioxidant/anti-inflammatory and was referred to as the perfect food by monks(their words/not mine). I add in 10-12 pepper corns to the mix, and mix in a few teaspoons of extra virgin olive oil to clump it all up so it can fit on a spoon. Turmeric stains everything including your teeth so I try to throw it back and wash it down with water quickly. This is not a requirement but it can help with BP, is great for inflammation, and a general antioxidant. I say not a requirement because you may already be using ginger and fish oil.

We can all get carried away with so many supplements and there are many more I like but don't take all the time - I cycle them for months and then change. If you have a good diet you should get adequate amounts of vitamin C, E, etc. from your diet.
Not sure if you like avocados but they have a fair amount of calories, healthy fats, and have been proven to protect your liver. If I appear to have an emphasis on liver that is because I tried so many supplements as I had a liver issue previously. Regardless, I eat an avocado a day for overall health.

Your not taking orals or harsh injectables so you can pick and choose but two of the best things you can do for yourself is control inflammation and keep your glutathione high. NAC/SAMe will do this if your glutathione is depleted. Do not take oral glutathione - the oral bioavailability is terrible.
Last comment - one of the better products (opinion) is Genuine Health Greens Detox. You take a scoop a day and mix it or just wash it down. If you didn't want to take any of the aforementioned items, this is a product that contains a lot of 'superfoods' if there is such a thing' and some other great supplements like phosphatidyl choline which is an amazing liver product. Probably the closest study to humans on liver health, albeit cruel, was done with baboons. Turned them all into alcoholics and half were given a choline rich diet and all those baboons lived, the rest developed cirrhosis and died. It is the most abundant supplement in the mix if I recall correct.
Sorry for the long write up but it really is a personal choice depending on how much protection you feel you need and can afford.
Hope this helps and is opinion based only.
This plus your PM has helped me a lot, I added coq10
 
Top