Please help me interpret my labs....

[XstarchildX]

You have some serious erythrocytosis (very high red blood cell count) going on. I would not believe it's in isolation due too AAS-erythropoietin stimuli. I suspect there's a secondary cause-- hypoxia (uncontrolled sleep apnea), ect. Do you smoke cigarettes, or snort coke? I know that's a personal and bizarre question. Truth of the matter is coke can stimulate EPO. It's a transient rise meaning it'll fall in a period of time after it clears.

Next, have you dumped blood on a routine basis? You have some sort of deficiencies going on that may not be related to iron deficiency alone. In contrast, sole iron deficiency or possibly b6 deficiency, copper deficiency (if you're taking too much zinc), vitamin A deficiency. There's a few other causes of an elevated RDW-- low MCV/MCH. Generally speaking, iron deficiency is the more common diagnosis.

Nonetheless, your RBC are very concerning. Consider coming off and figuring out what's up with the aforementioned.

I would not hesitate to discuss this with your primary care provider. I would address this sooner than later.

Your E2 is fine. Don't overdo it with the A.I's.

Yeah your lipids, not horrible. It's the nature of the beast.

Edit: I would not donate any blood until you further have your deficiencies evaluated by your primary care provider.

Iron deficiency can very much induce thrombosis.

Stewie - I suspected iron deficiency as well given the fact that my blood work looked similar several months ago and iron and ferritin were indeed the culprit. The difference here is his RBC and hematocrit. Could you shed some light on why crit would be high, hemoglobin normal, and his overall cell size be so small? I know my crit was low when I was iron deficient. It's strange to me to see it above range when there's a mineral or vitamin deficiency.

Edit: holy crap at his RBC being 8.33! I first read it as 6.33 (which is still somewhat alarming), but over 8! That is definitely concerning.

 

[FrancisK]

You have some serious erythrocytosis (very high red blood cell count) going on. I would not believe it's in isolation due too AAS-erythropoietin stimuli. I suspect there's a secondary cause-- hypoxia (uncontrolled sleep apnea), ect. Do you smoke cigarettes, or snort coke? I know that's a personal and bizarre question. Truth of the matter is coke can stimulate EPO. It's a transient rise meaning it'll fall in a period of time after it clears.

Next, have you dumped blood on a routine basis? You have some sort of deficiencies going on that may not be related to iron deficiency alone. In contrast, sole iron deficiency or possibly b6 deficiency, copper deficiency (if you're taking too much zinc), vitamin A deficiency. There's a few other causes of an elevated RDW-- low MCV/MCH. Generally speaking, iron deficiency is the more common diagnosis.

Nonetheless, your RBC are very concerning. Consider coming off and figuring out what's up with the aforementioned.

I would not hesitate to discuss this with your primary care provider. I would address this sooner than later.

Your E2 is fine. Don't overdo it with the A.I's.

Yeah your lipids, not horrible. It's the nature of the beast.

Edit: I would not donate any blood until you further have your deficiencies evaluated by your primary care provider.

Iron deficiency can very much induce thrombosis.

Thank you for chiming in Stewie, no coke but I do smoke cigs and the iron deficiency runs in my family pretty severely I've always had that. I've never dumped blood before ever. You don't think I should go donate and re-test?

 

[xman280]

EKG will show arrhythmia, palpitations and abnormal work, Echo sees everything size wise.

Agree but my point is all that is premature considering the labs look about where they should be (or better) with the compounds he was using.

true....but i had the impression he was asking about his heart health....