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In the emergency room

RLTW<3>

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Sup guys. So question for ya. Outta no where my ALTs and ASTs jumped to high 200s and my CK level is 4,000. This isn’t new unfortunately. This has happened several times before. Civilian docs have told me it’s quite possible that this reoccurring rhabdo (each time I’ve had it, i HAVENT trained the day prior to it) can be related to my TBIs. Only new thing added to my cycle is I upped the dbol from 20mg for pre workout, to 40mg a day to bulk a bit. Been on it for a week now. Any thoughts or suggestions are appreciated.

Here’s what my cycle is in case you’re wondering
T400- 700mg wk (I’m on trt so blast and cruise)
Eq- 750mg wk
NPP- 100mg eod
Dbol 40mg ed

OKdXNJI.jpg
 

danieltx

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I have no clue on that stuff so I'll leave advice or diagnosis to the medical minds here - but definitely wishing you a speedy recovery.
 

RLTW<3>

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I have no clue on that stuff so I'll leave advice or diagnosis to the medical minds here - but definitely wishing you a speedy recovery.

Haha it’s all good man. I’m sure someone will step in. :)
 

MyNameIsJeff

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Sorry to hear that mate, get well soon.
I would think that only acute TBI would have an impact on rhabdo, not a history of past injuries. It could be some of the meds you take to treat the long-term consequences of TBI though. I don't know what you take if anything, but things like SSRI and anti-psychotics can play a role.

Also, impaired kindey function increases rhabdo risk, where has your eGFR been at lately? That's a hefty cycle which can compromise kidney function, even if blood pressure is controlled.

Other questions are: Take any statins? How are your potassium levels looking? See a nephrologist to make sure you get to the bottom of this.
 

G.I.Bro

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Sorry to hear that mate, get well soon.
I would think that only acute TBI would have an impact on rhabdo, not a history of past injuries. It could be some of the meds you take to treat the long-term consequences of TBI though. I don't know what you take if anything, but things like SSRI and anti-psychotics can play a role.

Also, impaired kindey function increases rhabdo risk, where has your eGFR been at lately? That's a hefty cycle which can compromise kidney function, even if blood pressure is controlled.

Other questions are: Take any statins? How are your potassium levels looking? See a nephrologist to make sure you get to the bottom of this.
I agree with this. I'm not trying to alarm you, but it sounds like your renal system is not functioning like it should be if your ck climbs and you get rhabdo like symptomology more than once. The liver enzymes climbing is usually secondary to the kidneys not filtering the blood properly. In other words, the ALT levels will climb following elevated cK. Your liver could be functioning normally. See a kidney specialist if one doesn't visit you in the ER. That is what I would be pushing for.
 
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RLTW<3>

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Sorry to hear that mate, get well soon.
I would think that only acute TBI would have an impact on rhabdo, not a history of past injuries. It could be some of the meds you take to treat the long-term consequences of TBI though. I don't know what you take if anything, but things like SSRI and anti-psychotics can play a role.

Also, impaired kindey function increases rhabdo risk, where has your eGFR been at lately? That's a hefty cycle which can compromise kidney function, even if blood pressure is controlled.

Other questions are: Take any statins? How are your potassium levels looking? See a nephrologist to make sure you get to the bottom of this.

So not likely with past HX of TBIs?
No SSRIs or Anti Psychotics (gives me SI)
Clonadine .2mg bid for anxiety
Prazosin 10mg bedtime ptsd nightmares
Tramadol 400mg a day

Potassium was 5.8
 

RLTW<3>

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I agree with this. I'm not trying to alarm you, but it sounds like your renal system is not functioning like it should be if your ck climbs and you get rahbdo like symptomology more than once. The liver enzymes climbing is usually secondary to the kidneys not filtering the blood properly. In other words, the ALT levels will climb following elevated cK. See a kidney specialist if one doesn't visit you in the ER.

Oh no alarm brotha. Therowdyranger and I both have fked up kidneys with reoccurring rhabdo outta no where. Never have been able to get an actual reason as to why. It’s never been after a workout or run. The few times my levels have jacked up have been after a normal past 24hrs. Freakin frustrating. Usually takes an overnight stay in the hospital for fluids then good to go. Definitely has the potential to be a career ender
 

Reload

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K+'s way high. Can lead to cardiac issues. Kidneys are compromised. Lets hope your not showing signs of end stage renal disease. This keeps happening you might be getting an AV fistula and require dialysis. Last thing you want to do is tax your kidneys with AAS. Have you told anyone that your on them? It's in your best interrest that you give them the whole picture.
 
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MyNameIsJeff

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So not likely with past HX of TBIs?
No SSRIs or Anti Psychotics (gives me SI)
Clonadine .2mg bid for anxiety
Prazosin 10mg bedtime ptsd nightmares
Tramadol 400mg a day

Potassium was 5.8

Seems unlikely that any of those meds would be responsible for toxicity induced rhabdo. But a specialist doctor needs to make that determination.

History of TBI may have an impact indirectly via e.g. hypopituitarism which would fuck with things like TSH, ACTH and ADH, which in turn could impact rhabdo risk. Needs to be checked by a doc.

But I still think that the culprit is more than likely compromised kidney function. I would come off everything now and cruise for a while at 150mg per week to then gauge where your kidneys are at and also to check for alternative causes mentioned above.
 
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RLTW<3>

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Seems unlikely that any of those meds would be responsible for toxicity induced rhabdo. But a specialist doctor needs to make that determination.

History of TBI may have an impact indirectly via e.g. hypopituitarism which would fuck with things like TSH, ACTH and ADH, which in turn could impact rhabdo risk. Needs to be checked by a doc.

But I still think that the culprit is more than likely compromised kidney function. I would come off everything now and cruise for a while at 150mg per week to then gauge where your kidneys are at and also to check for alternative causes mentioned above.

I really appreciate it the info man. So letting a DOD/VA doc know is outta the question. My insurance tho let’s me go see civilians. Do you, or anyone have a reputable doc that’s not gonna jump on the anti AAS kick and actually take into consideration EVERYTHING? Because I’ve had these elevations before when only on my 200mg TRT dose.
 

G.I.Bro

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K+'s way high. Can lead to cardiac issues. Kidneys are compromised. Lets hope your not showing signs of end stage renal disease. This keeps happening you might be getting an AV fistula and require dialysis. Last thing you want to do is tax your kidneys with AAS. Have you told anyone that your on them? It's in your best interrest that you give them the whole picture.
Every time I read the word fistula, I get an intense, visceral, cringe like response. Like spine tingling reaction from the word alone. I think it's from some medical literature I read on anal fistulas once. Mother fuck...
 
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Reload

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Every time I read the word fistula, I get an intense, visceral, cringe like response. Like spine tingling reaction from the word alone. I think it's from some medical literature in read on anal fistulas. Mother fuck...

Sorry...I'm around it all day long being an RN. + bruit & thrill.
 

Reload

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I really appreciate it the info man. So letting a DOD/VA doc know is outta the question. My insurance tho let’s me go see civilians. Do you, or anyone have a reputable doc that’s not gonna jump on the anti AAS kick and actually take into consideration EVERYTHING? Because I’ve had these elevations before when only on my 200mg TRT dose.

You need to setup an apt with a Nephrologist and I would let them know everything.
 

MyNameIsJeff

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I really appreciate it the info man. So letting a DOD/VA doc know is outta the question. My insurance tho let’s me go see civilians. Do you, or anyone have a reputable doc that’s not gonna jump on the anti AAS kick and actually take into consideration EVERYTHING? Because I’ve had these elevations before when only on my 200mg TRT dose.
I'm a Euro bro, so no clue. But if you post your rough location, then maybe another member can give you a pointer via PM.
 

RLTW<3>

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You need to setup an apt with a Nephrologist and I would let them know everything.
Yes that’s why I asked if anyone could refer me in my post to Jeff.
I'm a Euro bro, so no clue. But if you post your rough location, then maybe another member can give you a pointer via PM.
Good idea. I think I’ll repost my question then. Thanks again man
 

RLTW<3>

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So letting a DOD/VA doc know what I’m on is outta the question. My insurance tho let’s me go see civilians. Does anyone have a reputable doc that’s not gonna jump on the anti AAS kick and actually take into consideration EVERYTHING? Because I’ve had these levels when only on my 200mg trt dose. I’m willing to travel for it. Thanks guys!
 

TheRowdyRanger<3>

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Ok, so first off, as far as the AAS thing goes, dont worry about it. If you were taking heavy orals, maybe just from the interplay between liver and kidneys, but my kidney damage has actually IMPROVED as a result of the AAS allowing my kidneys to decrease the inflammation and heal properly after the inflammation died down. Scar tissue wont heal, that is what it is, but my progression has literally halted after getting my hormones back balanced, so I think that's a good indicator you dont need to have that part of the conversation out the gate. If no answers can be found quickly, that's a different story. Secondly, aside from your labs, you have NO symptoms indicating kidney failure my brother, thank god! I know it's scary seeing those lab results, but you dont have the edema, pH swings, swelling, distension, crazy skin irritations, changes in urine color or frequency, nonTBI nausea, anemia, or the big bad one cognitive decline. You are fatigued. I know we have talked about that, and I know you've mentioned some more pain in your lower extremities which can be from you cK levels hopefully. Have you noticed metallic tastes in your mouth or on your breath? In short, your labs are concerning, but not bad enough to be writing your will or looking for a donor lol, and the symptoms your having are pretty par for the course in your history, just maybe a bit more severe than normal, and can potentially be related to other issues going on at the same time.

Your in the right place. Stay on them, theres alot of tests they can do to figure out what's going on. We can figure this one out. I have an appointment with Renal tomorrow as a matter of fact, I'll get a general second opinion from my guy he is real good and probably remembers you from you coming with me to an appointment or two in the past. Your a long way from dialysis my brother. Your a fuckin ox, we both know this! Your strong, healthy, and on the mend, set backs will come up, but we just knock em down as they pop up and drive on. Ain't a fucking thing on this planet we cant figure out together and put in the dirt my brother, as many can testify!

PS
All this is just my experience, and knowledge of your history. I'm in no way discouraging you from doing anything and everything to address the issue, just merely trying to provide some reassurance and a sense of calm while we do all things possible.
 
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RLTW<3>

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Well I was discharged.... with my levels still elevated. I said to the doc I’ve never heard of someone being DXd with ck levels higher than 3,000. 3bags of fluids and the doc was confident my numbers would continue to trend down. Follow up with the clinic tomrw and have levels re checked. I would really like to get in with a solid nephrologist. Rowdyranger’s is at the VA in another state so I can’t use his. Any suggestions are greatly appreciated.
 

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