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  1. #31
    Team Provo, Chem Moderator Provo82's Avatar
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    Hi Dr.Human was wondering if you could view the abnormalities in my bloodwork and tell me what you think. Ive been off cycle for 14 weeks dont think i plan on ever going back on. I recently added more healthy fat into my diet to try to get my hdl up which always seemed to be around 40. Well it worked but my ldl seems a touch high now. Here is the results.

    HDL-58
    LDL direct-107 HI
    LDL/HDL ratio 1.84 (normal)
    Triglycerides-58
    Total Cholesterol-169
    LIPOPROT.(LDL) direct 1387 hi

    Are these numbers anything to worry about? do i need medicine or to adjust me diet?

    Also

    my total testosterone was a low 261 is there a way to boost this with meds other than exogenous testosterone?

    thanks in advance

  2. #32
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Provo,

    I have no concerns with any of your cholesterol levels. I think they all look great, including your ldl and hdl.

    Your testosterone should be higher. I would shoot for 600-800 or higher. Outside of prescription meds, there are boosters like DHEA, Tribulus, etc. Meds do not always mean testosterone replacement. You can use Arimidex, Femara, HCG, etc to boost testosterone levels.

  3. #33
    Team Provo, Chem Moderator Provo82's Avatar
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    good to hear dr. tony! After posting i went and visited the physicians assistant at my drs office. he is treating the low test w 350 units of hcg 3 times per week along w 50 mgs of dhea daily. His logic seemed to make sense to me. Do you think 600-800 is a feasible goal. i dont know if youd find this interesting but somehow i actually have maintained a decent physique with such a low test level. im still lean w relatively deep quad separation and abs(not shredded but still) and im gaining strength every week i can only imagine how id feel with a level of 800. Sex drive ok but would like it much much higher lol. Thanks for being thorough and honest as always doctor t

  4. #34
    Team Provo, Chem Moderator Provo82's Avatar
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    alto btw not sure how relevant it is but i didnt fast before the blood test

  5. #35
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Quote Originally Posted by Provo82 View Post
    alto btw not sure how relevant it is but i didnt fast before the blood test
    Fasting really only effects triglyceride levels. So, no worries. And eating has absolutely no effect on Testosterone levels.

    In answer to your other post. 600-800 is feasible and attainable. I am not sure how feasible and attainable from just dhea and hcg. Give it a go. And no, not surprising that you have built a good physique with low T. It effects every guy differently. Looking at some very muscular young men, I would not expect it, but yet sometimes it's there.

    Good luck.

    DocT

  6. #36
    Team Provo, Chem Moderator Provo82's Avatar
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    Hey Doc what are your plans for competition this year? We need to get more people posting medical questions since your answers are so straightforward this could be a great place to learn for all of us. If theres anything i can do to help facillitate this please let me know.

  7. #37
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Hey Provo,

    How ya been? I am not 100% sure, but think I am going to do the NPC Coastal in GA this year. It's August 20th. We'll see.

  8. #38
    Team Provo, Chem Moderator Provo82's Avatar
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    i been good. been training natty with good gains! well see about a possible show in early 2012 for now just enjoying life training hard and not getting fat!

  9. #39
    RX MEMBER 8itup's Avatar
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    Hey Doc,
    Shoulder has been in pain for going on three weeks now. I'm not sure if its muscle pain or a rotator cuff? I can't lift my arm straight up as if I am raising my arm to ask a question. I have been doing my best not to do anything that makes it hurt thinking it would get better after two weeks but it's still about the same. Is there anything that would indicate if its just muscle repairing from lifting heavy or a rotator cuff?

  10. #40
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Quote Originally Posted by 8itup View Post
    Hey Doc,
    Shoulder has been in pain for going on three weeks now. I'm not sure if its muscle pain or a rotator cuff? I can't lift my arm straight up as if I am raising my arm to ask a question. I have been doing my best not to do anything that makes it hurt thinking it would get better after two weeks but it's still about the same. Is there anything that would indicate if its just muscle repairing from lifting heavy or a rotator cuff?
    8itup: If it's been 2 months, it sounds like more than a strain (or mild muscle damage) Could be a muscle tear or partial tear, or a rotator cuff tendonitis or tear. Is the pain in the front, back or side of the shoulder?

  11. #41
    RX MEMBER 8itup's Avatar
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    Quote Originally Posted by tonyhuman View Post
    8itup: If it's been 2 months, it sounds like more than a strain (or mild muscle damage) Could be a muscle tear or partial tear, or a rotator cuff tendonitis or tear. Is the pain in the front, back or side of the shoulder?
    It's on the top of side muscle Doc. It's been about 4 weeks now. I've not done any lifts that send a pain signal through it. My usual recover time when I lift heavy and drill deep into my muscles is 7 days to recover max. It's not getting worse just not better either.

  12. #42
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Quote Originally Posted by 8itup View Post
    It's on the top of side muscle Doc. It's been about 4 weeks now. I've not done any lifts that send a pain signal through it. My usual recover time when I lift heavy and drill deep into my muscles is 7 days to recover max. It's not getting worse just not better either.
    Location sounds like maybe sub-acromial bursitis, if I had to guess without an exam. If rest for 1 week with regular (2-3 times per day, whether it hurts or not) anti-inflammatory use doesnt heal it, then a coticosteroid injection could be in order.

  13. #43
    RX MEMBER 8itup's Avatar
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    Quote Originally Posted by tonyhuman View Post
    Location sounds like maybe sub-acromial bursitis, if I had to guess without an exam. If rest for 1 week with regular (2-3 times per day, whether it hurts or not) anti-inflammatory use doesnt heal it, then a coticosteroid injection could be in order.

    Ok, I'll go with 800mg Ibuprofen 3x per day for a week unless you think that's to much?

  14. #44
    Sports Medicine Physician Tony Human, DO CSCS's Avatar
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    Quote Originally Posted by 8itup View Post
    Ok, I'll go with 800mg Ibuprofen 3x per day for a week unless you think that's to much?
    Not at all. I prescribe it that way frequently, just beware...some have to take it with food or it will irritate the stomach.

  15. #45
    GameofInches
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    Dr. Human,

    I have a couple questions about your practice. Could I send you a PM or do you prefer it to be posted here?

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