Red blood cells

[Detroit_TRT]

Ok, so let me start by saying I have thalassemia minor which is a type of anemia.
Currently I’m taking test cyp 500 per week, deca 300 per week and Anadrol 75 mg per day. On week 3 of that. I did some labs on Wednesday and my red blood cells are a mess.

https://imgur.com/a/cAoW0dH

MCV
Mean corpuscular volume (MCV) is a measurement of the average size of RBCs.

MCH
Mean corpuscular hemoglobin (MCH) is a calculation of the average amount of oxygen-carrying hemoglobin inside a red blood cell.

So what I get out of this is that because my hemoglobin is so low (anemia) I’m not getting the full benefit of my gear? If I raise my iron, will I see better results? Don’t get me wrong, I do see results and I’m getting compliments in the gym, but nowhere near what I thought I’d get from total test if 1672 and free 558.

Thoughts? Even if you don’t know the exact answer I’d love to hear any thoughts on this.

Thank you!

 

[HeathGT]

Detroit TRT" pid='80091' dateline='1579980801:

Ok, so let me start by saying I have thalassemia minor which is a type of anemia.
Currently I’m taking test cyp 500 per week, deca 300 per week and Anadrol 75 mg per day. On week 3 of that. I did some labs on Wednesday and my red blood cells are a mess.

https://imgur.com/a/cAoW0dH

MCV
Mean corpuscular volume (MCV) is a measurement of the average size of RBCs.

MCH
Mean corpuscular hemoglobin (MCH) is a calculation of the average amount of oxygen-carrying hemoglobin inside a red blood cell.

So what I get out of this is that because my hemoglobin is so low (anemia) I’m not getting the full benefit of my gear? If I raise my iron, will I see better results? Don’t get me wrong, I do see results and I’m getting compliments in the gym, but nowhere near what I thought I’d get from total test if 1672 and free 558.

Thoughts? Even if you don’t know the exact answer I’d love to hear any thoughts on this.

Thank you!

Wait a minute… Total Test is only 1672 on 500mg per week?

 

[Colonial Labs]

Total test should be higher on 500mg Test.

 

[Detroit_TRT]

I’m also a hyper excreter. It comes and goes quick. I should do every other day shots instead of 2 a week.

 

[Dexter]

The problem is you’re not really all that low as far as hemoglobin and hematocrit.

Obviously a microcytosis, probably morphology issues with your rbcs caused the red cell distribution width to elevate. It would be interesting to see a manual differential performed, probably hypochromic, tear drop, target cells, maybe some basophilic stipiling, a general anisocytosis. In other words your rbcs probably don’t function all that well at carrying oxygen and are probably eliminated by the spleen sooner then the normal 120 day lifespan of a typical rbc.

Platelet count is a little high as well.

Iron supplementation wouldn’t be recommended unless you have low ferritin levels as too much Iron is bad for your organs. Those of us that frequently donate or remove blood because of high hct from AAS need to supplement as we force our body to keep making rbcs at a faster rate drawing from our stored iron(ferritin).

You’re taking everything you should to bump up your rbcs, but your genetic disease produces defective rbcs. I don’t think having a lower hgb/hct is gonna effect your gains in the gym, this isn’t really an aerobic activity as far a gaining muscle.

 

[Detroit_TRT]

Dexter" pid='80133' dateline='1580001386:

The problem is you’re not really all that low as far as hemoglobin and hematocrit.

Obviously a microcytosis, probably morphology issues with your rbcs caused the red cell distribution width to elevate. It would be interesting to see a manual differential performed, probably hypochromic, tear drop, target cells, maybe some basophilic stipiling, a general anisocytosis. In other words your rbcs probably don’t function all that well at carrying oxygen and are probably eliminated by the spleen sooner then the normal 120 day lifespan of a typical rbc.

Platelet count is a little high as well.

Iron supplementation wouldn’t be recommended unless you have low ferritin levels as too much Iron is bad for your organs. Those of us that frequently donate or remove blood because of high hct from AAS need to supplement as we force our body to keep making rbcs at a faster rate drawing from our stored iron(ferritin).

You’re taking everything you should to bump up your rbcs, but your genetic disease produces defective rbcs. I don’t think having a lower hgb/hct is gonna effect your gains in the gym, this isn’t really an aerobic activity as far a gaining muscle.

---

Wow! Thank you for that reply. I appreciate your knowledge and help! With those numbers am I in any health danger? Generally without the anadrol and blast doses of test and deca, my RBC tests have been in the normal range. I’m wondering if these numbers indicate that I should drop the anadrol at least? Or should I finish out the two more weeks I had planned? Or, is the anadrol assisting in the RBC production and a tually beneficial to my overall health? Is there any way to help my body be more efficient with transporting oxygen? I didn’t test ferritin this time, but will run it in two weeks. Typically I’ve been at the low normal range.
Thank you again for your help!
Dexter" pid='80133' dateline='1580001386:

The problem is you’re not really all that low as far as hemoglobin and hematocrit.

Obviously a microcytosis, probably morphology issues with your rbcs caused the red cell distribution width to elevate. It would be interesting to see a manual differential performed, probably hypochromic, tear drop, target cells, maybe some basophilic stipiling, a general anisocytosis. In other words your rbcs probably don’t function all that well at carrying oxygen and are probably eliminated by the spleen sooner then the normal 120 day lifespan of a typical rbc.

Platelet count is a little high as well.

Iron supplementation wouldn’t be recommended unless you have low ferritin levels as too much Iron is bad for your organs. Those of us that frequently donate or remove blood because of high hct from AAS need to supplement as we force our body to keep making rbcs at a faster rate drawing from our stored iron(ferritin).

You’re taking everything you should to bump up your rbcs, but your genetic disease produces defective rbcs. I don’t think having a lower hgb/hct is gonna effect your gains in the gym, this isn’t really an aerobic activity as far a gaining muscle.

 

[Detroit_TRT]

Thank you for your reply! You clearly have a lot of knowledge on this!
I’m going to run a total Iron and ferritin tomorrow morning. If low then I’ll supplement of course. I do notice that my cardio has been suffering. When I do heavy weight lower reps more rest btw sets, I’m musch stronger than pre blast. But, when superseding or higher reps I do notice a difference in what I can do be what I was expecting. My hope of course is that I’m low in ferritin and then supplementing would possibly help in the transport of oxygen. Or am I confused? Is there anything I can do with this disease to optimize what I’m working with?
Again, thank you for your in depth answer and help! Are any of these test results indicative of me being in any great danger? Or is it just the thalassemia minor rearing it’s ugly head?
Dexter" pid='80133' dateline='1580001386:

The problem is you’re not really all that low as far as hemoglobin and hematocrit.

Obviously a microcytosis, probably morphology issues with your rbcs caused the red cell distribution width to elevate. It would be interesting to see a manual differential performed, probably hypochromic, tear drop, target cells, maybe some basophilic stipiling, a general anisocytosis. In other words your rbcs probably don’t function all that well at carrying oxygen and are probably eliminated by the spleen sooner then the normal 120 day lifespan of a typical rbc.

Platelet count is a little high as well.

Iron supplementation wouldn’t be recommended unless you have low ferritin levels as too much Iron is bad for your organs. Those of us that frequently donate or remove blood because of high hct from AAS need to supplement as we force our body to keep making rbcs at a faster rate drawing from our stored iron(ferritin).

You’re taking everything you should to bump up your rbcs, but your genetic disease produces defective rbcs. I don’t think having a lower hgb/hct is gonna effect your gains in the gym, this isn’t really an aerobic activity as far a gaining muscle.

 

[Dexter]

I don’t know if you’ve seen a hematologist or had your thalassemia minor evaluated. I’m not sure how you were diagnosed, if it was just based on red cell indices and microscopic morphology of rbcs or you had gene analysis to classify yourself as the less severe form of thalassemia.

One thing is for certain, there’s nothing you can do about the microcytic, hypochromic and poikilocytosis(general misshapen rbcs) and the effect that this has on your ability to carry oxygen, the genetic defect creates a hemoglobin that isn’t able to carry as much oxygen. The problem with taking iron is that if you’re iron levels are already high then you run the risk if organ damage.

This is something that needs to be looked at by an expert. Honestly there’s nothing they can probably do and they would probably freak out if they knew you were using AAS with your condition.

 

[Detroit_TRT]

I was diagnosed with the minor trait back when I was a baby. My dad has it as well. It’s never given me any issues really except off values on labs. Once the doc knows I have thalassemia minor they say ok then your fine. I just wondered if by using the anadrol or any steroid really to increase your RBC that maybe the added production would for lack of a better word “supplement” for the RBC that are dying too early. Is the high platelet a concern? Maybe donating platelets would be a good idea after my cycle?
Dexter" pid='80181' dateline='1580063629:

I don’t know if you’ve seen a hematologist or had your thalassemia minor evaluated. I’m not sure how you were diagnosed, if it was just based on red cell indices and microscopic morphology of rbcs or you had gene analysis to classify yourself as the less severe form of thalassemia.

One thing is for certain, there’s nothing you can do about the microcytic, hypochromic and poikilocytosis(general misshapen rbcs) and the effect that this has on your ability to carry oxygen, the genetic defect creates a hemoglobin that isn’t able to carry as much oxygen. The problem with taking iron is that if you’re iron levels are already high then you run the risk if organ damage.

This is something that needs to be looked at by an expert. Honestly there’s nothing they can probably do and they would probably freak out if they knew you were using AAS with your condition.

 

[Dexter]

Detroit TRT" pid='80187' dateline='1580068185:

I was diagnosed with the minor trait back when I was a baby. My dad has it as well. It’s never given me any issues really except off values on labs. Once the doc knows I have thalassemia minor they say ok then your fine. I just wondered if by using the anadrol or any steroid really to increase your RBC that maybe the added production would for lack of a better word “supplement” for the RBC that are dying too early. Is the high platelet a concern? Maybe donating platelets would be a good idea after my cycle?

Donating platelets is a waste of time because your body quickly replaces platelets, usually with in 3 days. We produce 25ml of packed rbcs per day, 125ml of plasma per day. So drawing off blood, plasma or platelets doesn’t fix a problem for long if there is an excess.

You said it yourself you don’t really notice too many side effects of this disorder, it’s just your labs are outside of normal range, which for me isn’t the biggest deal. Lots of people freak out if they’re not in normal range and think they’re gonna die. Our bodies have a huge range they can operate in, we only operate at 65% of our true capacity.

I will say this, since your on AAS you need to keep an eye on your labs since you have a blood disorder. Aside from that, just use your head and back off if you run into problems.

 

[Detroit_TRT]

Thank you. Great points. How did you get all of this knowledge? I really appreciate your help as it’s tight to get a straight answer out of any Dr’s as soon as the hear AAS.
I’m going to run labs once a month while blasting to make sure I’m ok.

Thank you again!
Dexter" pid='80233' dateline='1580099794:

Detroit TRT" pid='80187' dateline='1580068185:

I was diagnosed with the minor trait back when I was a baby. My dad has it as well. It’s never given me any issues really except off values on labs. Once the doc knows I have thalassemia minor they say ok then your fine. I just wondered if by using the anadrol or any steroid really to increase your RBC that maybe the added production would for lack of a better word “supplement” for the RBC that are dying too early. Is the high platelet a concern? Maybe donating platelets would be a good idea after my cycle?

Donating platelets is a waste of time because your body quickly replaces platelets, usually with in 3 days. We produce 25ml of packed rbcs per day, 125ml of plasma per day. So drawing off blood, plasma or platelets doesn’t fix a problem for long if there is an excess.

You said it yourself you don’t really notice too many side effects of this disorder, it’s just your labs are outside of normal range, which for me isn’t the biggest deal. Lots of people freak out if they’re not in normal range and think they’re gonna die. Our bodies have a huge range they can operate in, we only operate at 65% of our true capacity.

I will say this, since your on AAS you need to keep an eye on your labs since you have a blood disorder. Aside from that, just use your head and back off if you run into problems.

 

[Dexter]

I’ve worked as a hospital medical lab technologist for 25 years, spent a lot of time in blood banking, hematology, chemistry, and a little microbiology.