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Bloodwork

rockstar3000

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Hey guys went for my annual checkup BP has been elevated for past 2 months 150/80 and dr prescribed me Telmisartan. My microalbumin is really concerning I know training can increase this seems crazy high! Thanks in advance to anyone who can look this over
 

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WhyIncision

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You got your answer from your doc. It can be related to your blood pressure.

Albumin in your urine isn't a good thing, and A LOT of atheletes/bodybuilders/ etc. will write it off due to their training or diets. It isn't normal to pass albumin through your urine, your body doesn't do this willingly. So if you see someone say, "it's because you eat hella protein bro." They're morons.

Keep taking the ACE inhibitor your doc gave you and get retested in 2-3 months.
 

pickapeck

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Your urine analysis does not match your blood work. I would have expected your serum albumin, creatinine, BUN and EGFR to be well off to match the urine. Wondering if there was some mix-up. I would expect the doc to order a retest.
 

rockstar3000

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Your urine analysis does not match your blood work. I would have expected your serum albumin, creatinine, BUN and EGFR to be well off to match the urine. Wondering if there was some mix-up. I would expect the doc to order a retest.

That’s what I’m hoping. All my values have always been in check except for cholesterol (run a keto diet most of the year)... Only recently have I had a issue with BP (2 months) which I think is due to my first run with hgh. I run trt all year and my bloods are always great . I am currently blasting 200 prop 400 tren 200 masteron 3 iu hgh and running superdrol. I have 4 weeks left but might call it quits until I get a re test. Health is more important than my summer beach body blast.
 
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Hey brother. You need to stop things now and get that blood pressure back to normal WITHOUT drugs. The fact that your microalbumin is really high in urine is a bad sign for your kidneys. Just because its high in urine does not mean that it should be high in blood either. It`s a protein, a very large molecule that should never pass through the glomerulus in kidneys. Think of orange juice pulp getting stuck in a strainer (albumin), and the juice runs through (water, sodium, etc into bladder as urine). Your strainer (glomerulus) is leaking. This indicates damage that is allowing this protein to leak into urine when it should not.

Damage could be from clearing all that superdrol or from the recent increase in BP. 25% of blood from heart goes straight to the kidneys, imagine cranking up the pressure to tiny capillaries in the kidneys? That can damage them as well, making them porous and leaking protein. Training should NEVER increase protein in urine.

When was the last time you gave blood? I would also suggest iron and copper as well. Your like me with higher rbc but low MCV, MCH.... Lots of RBC that are small.
 

parrajm

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Hey brother. You need to stop things now and get that blood pressure back to normal WITHOUT drugs. The fact that your microalbumin is really high in urine is a bad sign for your kidneys. Just because its high in urine does not mean that it should be high in blood either. It`s a protein, a very large molecule that should never pass through the glomerulus in kidneys. Think of orange juice pulp getting stuck in a strainer (albumin), and the juice runs through (water, sodium, etc into bladder as urine). Your strainer (glomerulus) is leaking. This indicates damage that is allowing this protein to leak into urine when it should not.

Damage could be from clearing all that superdrol or from the recent increase in BP. 25% of blood from heart goes straight to the kidneys, imagine cranking up the pressure to tiny capillaries in the kidneys? That can damage them as well, making them porous and leaking protein. Training should NEVER increase protein in urine.

When was the last time you gave blood? I would also suggest iron and copper as well. Your like me with higher rbc but low MCV, MCH.... Lots of RBC that are small.

Don't worry about how you get your BP down, just lower it. Changing it naturally could take months and that's months of increased kidney damage if you're able to lower it at all (many people can't). Take the drug, lower it while on the drug, then work with ur doc to peel it off.

Could you attach a picture of your EKG as well?

Also on the iron supplements, no need to take those. Your mcv is normal with a normal critical and elevated RBC count. You have plenty of O2 delivering capacity in that. Gettng more iron esp without evaluating your iron status isn't advisable and if ur doing fine on iron will likely only lead to GI upset and more money spent on supplements.

Aside from the albuminuria and ur BP, everything looks great. Just take your ARB (if I'm recalling correctly) and see how things look. It's the best drug class for htn with a wide pulse pressure.
 

needthepump

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You may want to consider a daily 81mg asprin with that high platelet and RBC count plus gear.
 
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needthepump

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The systolic ( 150) and the diastolic ( 80) are generally separated by about 40, hence the 120/80 average number. Your gap is 70! A wide pressure gap of over 45 can be indicative of narrowing of the arteries. A gap in pulse pressure is completely normal shortly after working out. But while resting, the pulse pressure gap should be around 40. Ace inhibitors can lower pulse pressure nicely.
 
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jbone

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Between your blood pressure, microalbumin, and egfr readings, you're kidneys are being taxed. Are you over weight, take any NAIDS, blood pressure meds?
 

rockstar3000

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Update

So decided to just do 140mg of test a week for the past month with 20mg proviron and 2iu hgh

Blood pressure is down from 140-150’s/80s to 127/78 for the past week.
 

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pickapeck

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Improved but stll concerning. Still pretty far out of range. Looks like the first set of results was not a fluke.
 

rockstar3000

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Improved but stll concerning. Still pretty far out of range. Looks like the first set of results was not a fluke.

Yeah deff still concerning my doctor keeps saying I’m fine and that the numbers will go back to normal...he is completely aware of what I use...do you think I should see a kidney specialist?
 

pickapeck

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Yeah deff still concerning my doctor keeps saying I’m fine and that the numbers will go back to normal...he is completely aware of what I use...do you think I should see a kidney specialist?

If it were me I would do 100 mg/w Test C for 8 weeks and then retest.
 

lif22

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Yeah deff still concerning my doctor keeps saying I’m fine and that the numbers will go back to normal...he is completely aware of what I use...do you think I should see a kidney specialist?

My kidney values are always out of whack. BUN/Creatinine etc.. Albumin is usually ok. I would get on the product that Palumbo reps called Kidney Stuff. It works man. Every time i use this stuff for a few weeks and go in for a test my values are in range. Without it they are always out of range. Always stop working out 2-3 days before test and load up on water and drop protein down big time.

Kidneys are not something to play with. One they go they are gone!
He has the best price on it. Not cheap
davepalumbo.com
 

01dragonslayer

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Telmisartan is the name of a drug that isn’t in the lexicon of most bodybuilders. The majority of steroid users have no idea what telmisartan is or what it does. But they should. It could very well be one of the most important drugs available to steroid-using bodybuilders who are concerned about their health.

The mass media does a great job of sensationalizing all sorts of negative side effects they would like to attribute to anabolic steroids. Unfortunately, they tend to exaggerate, overstate, and even make up dubious side effects primarily in an attempt to demonize the muscle-building drugs. These rare or non-existent side effects tend to be hyped up in the media while the common side effects tend to be ignored.

There are a few steroid side effects that affect practically all steroid users. These include things like increased estradiol levels (via the conversion of testosterone to estrogen when using aromatizable steroids) and things like anabolic steroid induced hypogonadism aka ASIH (via the suppressive effects of exogenous steroids on the body’s natural production of testosterone).

There are established medical therapies that can readily treat these problems e.g. aromatase inhibitors like Arimidex for elevated estrogen and selective estrogen receptor modulators (SERMs) like Clomid and Nolvadex for ASIH.

Drugs like Arimidex, Clomid and Nolvadex are already commonplace in the bodybuilder’s pharmaceutical toolkit. Where does anti-hypertension medication telmisartan come into play?

A third adverse side effect affecting most steroid users comes involves involves increased cardiovascular risk. An occasional steroid cycle may only cause transient changes in blood lipid values (e.g. triglycerides, HDL cholesterol, etc.) and blood pressure readings. However, the current patterns of steroid use are such that increasing numbers of users are doing multiple cycles per year for several years or even decades. Some bodybuilders are even using steroids continuously (or cruising on supraphysiological dosages of testosterone e.g. 200-400mg/week) for the same extended periods of time. This type of chronic steroid use could lead to more long-term problems.

It’s not so much that steroids cause people to develop cardiovascular disease. Many men already have risk factors and/or may develop problems as they get older, with or without steroids, due to genetics and/or other lifestyle factors unrelated to steroids. But if any of these factors are present, bodybuilding dosages of steroids generally only make matters worse.

High blood pressure (hypertension) is one such cardiovascular risk factors that already affects a huge percentage of the population. The U.S. Centers for Disease Control (CDC) estimates that one out of every three American adults suffers from hypertension with systolic readings greater than 140. Another one out of three has prehypertension levels of between 120 and 140. Normal systolic blood pressure is 120 or less.

This means that tens of millions of Americans at at increased risk for heart attack, stroke and serious cardiovascular incidents due to prehypertension and hypertension. No rational person will suggest that steroids are behind this major health problem. Even though steroids are not the boogeyman they are made out to be, they often add additional risk. Bodybuilders with such pre-existing health risks should appreciate the importance of reducing or at least controlling and managing this risk factor before using steroids.

Telmisartan (brand name Micardis) is an angiotensin II receptor antagonist (angiotensin receptor blocker, ARB) used in the management of hypertension. It may not be the most popular anti-hypertension drug currently prescribed. Doctors may prefer to prescribe other drugs such as lisinopril (brand names Prinivil and Zestril) from the angiotensin-converting enzyme (ACE) inhibitor cateogry; metoprolol (brand name Lopressor) from the beta blocker category; or even losartan (brand name Cozaar) from the same ARB category as telmisartan. However, telmisartan may be the best choice for steroid users particularly those with prehypertension or borderline high blood pressure.

Steroid expert Bill Roberts has advocated the use of a daily once-per-day dosage of 20 to 40mg to reduce the risk of atherosclerosis, cardiovascular disease and/or stroke in steroid-using bodybuilders with prehypertension. This can also lead to improvements in HDL cholesterol levels, insulin sensitivity, mitochondrial activity, endothelial function and cognitive function.

Animal models have also shown that telmisartan reduces left ventricular hypertrophy (LVH) and reduces visceral fat. This should be of particular interest to bodybuilders. LVH is an adaptive response to intense weight training whose effects are amplified by steroid use. LVH is generally benign in highly trained athletes but it is associated with decreased cardiac function particularly as an athlete ages. Reductions in visceral fat are also associated with decrease cardiovascular risk.

A fascinating thing about telmisartan is that it can have performance-enhancing effects well beyond the health-promoting benefits. It is rumored that professional cyclists have been using telmisartan for many years to enhance endurance. Telmisartan’s pharmacological effect of PPAR-delta activation can significantly increase muscular endurance via increased oxidative capacity of type II muscle fibers. But most importantly, it is not included as a banned substance on doping control lists. For the purpose of improving endurance and also reducing visceral fat, Roberts has suggested a dosage of 80-160mg/day.

Some bodybuilders will see telmisartan (and high blood pressure drugs in general) as a drug solely aimed at harm reduction. If it doesn’t build muscle, why bother. These are likely the same bodybuilders who don’t even bother understanding the need for PCT. For the rest of us who use steroids but are interested in maintaining optimal health, telmisartan could be a wonderful drug to minimize the risk of cardiovascular disease, stroke and heart attacks, particular while using steroids, especially if we are one of the hundreds of millions of individuals suffering from prehypertension of high blood pressure.
 

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