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Author Topic: Latest labs...  (Read 1509 times)

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Offline mitch777

  • Member
  • Posts: 3,462
Latest labs...
« on: July 15, 2013, 05:43:12 PM »
Well, coming up on 31 years and have great numbers in some ways, others not so much.

VL-UD
CD4- 965
%- 39

Still having issues with some things.

Testosterone- (I'm on Androgel)

Total- 237
Free- 26.1
Bioavailable- 50.3

Related to being on Androgel- (the "lucky" 5% of us anyway) :(

Red Blood Count- 5.44 (range 4.0-5.2)
Hemoglobin- 18.1 (range 13.0-17.0)
Hematocrit- 51.0 (range 40.0-50.0)

Seems my body is absorbing the Androgel but even at a pretty low dose it is keeping my Red Blood Cell count too high. (not good)
My energy level improves with a higher dose of testosterone therapy but it comes with the added risk of cardio problems.
Will probably have to have some blood let on a regular basis to thin it out.
Not really sure of the risks involved in doing that on a regular basis.
Also have high cholesterol which has been untreated for about 2 years due to a strong reaction to statins in my muscles and joints.

Mixed bag. :) :(

31 years hiv+ (oct. 2013) with a curtsy.

Offline wolfter

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  • Posts: 4,460
Re: Latest labs...
« Reply #1 on: July 15, 2013, 11:37:59 PM »
Overall, these numbers look great.  What are the "mixed bag" emotions?  I'm probably being my usual dense self, but I don't see anything extraordinary about the lab results.

Wolfie
Complacency is the enemy.  ;)  Challenge yourself daily for maximum  return on investment.

Online BT65

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  • Member
  • Posts: 9,917
Re: Latest labs...
« Reply #2 on: July 16, 2013, 05:14:05 AM »
I've never heard about the dangers of high counts of red blood cells, just because I've never known anyone who has experienced this.  So, please educate me, what are the dangers?  I'd be really interested to know.  And the Androgel is causing this?
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline mitch777

  • Member
  • Posts: 3,462
Re: Latest labs...
« Reply #3 on: July 16, 2013, 11:09:19 AM »
I've never heard about the dangers of high counts of red blood cells, just because I've never known anyone who has experienced this.  So, please educate me, what are the dangers?  I'd be really interested to know.  And the Androgel is causing this?
Thanks for asking. Yes, Androgel is the culprit. Only about 5% of those who are on testosterone therapy (including injections) respond with a high red blood cell count.
I'm not much of one to speak "doctor talk" but the specific test they get very concerned about is the Hematocrit level. Anything above 50 puts one at a greater risk for heart attack or stroke. They say a high red blood cell count makes your blood thick.
From what I understand, red blood cells are formed in the marrow and stick around for 90-120 days before being replaced. By letting blood every 3 or 4 months it thins out your blood by reducing the red blood cell count. Done regularly it will keep the Hematocrit level in check but your marrow will be working harder to keep producing more blood cells.
Not too sure yet about the consequences of doing this.
Testosterone therapy reduces my fatigue in a significant way. I was on 10 grams of gel at one point and felt my best as far as fatigue. (still had fatigue but it was a boost) On 10 grams I think I got my total T level up to around 400. The results above were after being on 5 grams for 4 months. Less T, more fatigue.
The doc would like to see if I am able to get my T level to 350 and yet have the Hematocrit level not exceed 50.
Looks doubtful unless I do the blood letting thing on a regular basis.
Quality of life vs. risk comes into play on what to do next.
Another blood test next month (i'm now on 7.5 grams of T) will show what I will be facing as far as T and H levels. Will need to find out about the risks from a Hematologist I guess. (unless someone here has more knowledge)
Having untreated High Cholesterol, a smoker, HIV+ and being 54 years old already adds to cardiac risk.
I went off of Androgel for a week to get my baseline T. It was 119. :( And boy did I feel wiped! My "free" T level at this point was 9. (normal range- 46-224) :(
That's it in a nutshell. :)
31 years hiv+ (oct. 2013) with a curtsy.

Offline Fisher

  • Member
  • Posts: 276
Re: Latest labs...
« Reply #4 on: July 16, 2013, 06:22:53 PM »
Excellent news!
- fisher
07/14 CD 391 %20 VL UD
04/14 CD 486 %23 VL <20
11/13 CD 351 %21  VL <20
10/13 CD 390 %16  VL <20
06/13 CD 315 %19  VL  22
02/13 CD 396 %14  VL <20
12/12 CD 392 %13  VL 320
11/12 CD 428 %13  VL 1200
*Started Meds: Atripla
10/12 CD 427 %11  VL 139000 -- 09/12 CD 408 %13 VL 92928
09/11 CD 745 %27 VL CLOT -- 10/10 CD 863 %29 VL 2782
10/09 CD 597 %30 VL 2537 -- 05/08 CD 809 %28 VL 1504
04/07 CD 797 %25 VL 3558 -- 11/06 CD 720 %28 VL 1214
06/05 CD 731 %25 VL 1575 -- 12/04 CD 1176 %30 VL 1329
01/04 CD 959 %26 VL 1011 -- 11/03 CD 1000 %28 VL 1581
12/02 CD 748 %28 -- 10/01 CD 860 %25
08/00 CD 1022 %28 -- 04/99 CD 854 %27
11/98 CD 899 %28 -- 02/97 CD 1400 %37
11/96 CD 1325  VL <500 -- 09/96 Western Blot
05/83 04/98 - Monogamous Partner Being Negative
ARS - Los Angeles Dec '82

Online BT65

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Re: Latest labs...
« Reply #5 on: July 17, 2013, 05:41:53 PM »
Ah, I see.  Extra red blood cells=sludge.  Would you like me to express mail some leaches?  I really do hope everything turn out alright Mitch.
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline mitch777

  • Member
  • Posts: 3,462
Re: Latest labs...
« Reply #6 on: July 17, 2013, 06:00:57 PM »
Ah, I see.  Extra red blood cells=sludge.  Would you like me to express mail some leaches?  I really do hope everything turn out alright Mitch.
Lol Betty!
Um, no on the leach delivery. I drained our small pond this spring due to the discovery last year that it was full of them. What a mistake! Could have saved some copays. :)
Sludge. Beep beep......beep beep. :P
31 years hiv+ (oct. 2013) with a curtsy.

Offline aztecan

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  • Posts: 5,394
  • 29 years positive, 57 years a pain in the butt
Re: Latest labs...
« Reply #7 on: July 17, 2013, 07:09:37 PM »
Hey Mitch,

I have a friend who has hemochromatosis (sp?), which causes the same problem.

He has his blood drained, usually two pints, I think, every four to six weeks. He has been doing this for a while now.

I guess you can go on with this for a long time, but I have no data to back that up.

Hope you come up with a solution.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline mitch777

  • Member
  • Posts: 3,462
Re: Latest labs...
« Reply #8 on: July 18, 2013, 07:55:04 AM »
Hey Mitch,

I have a friend who has hemochromatosis (sp?), which causes the same problem.

He has his blood drained, usually two pints, I think, every four to six weeks. He has been doing this for a while now.

I guess you can go on with this for a long time, but I have no data to back that up.

Hope you come up with a solution.

HUGS,

Mark
Thanks Mark.
Two pints? Yikes! I think I'm feeling faint just hearing about it.
31 years hiv+ (oct. 2013) with a curtsy.

 


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