Expert Answered Advice on my Cylcle

[Tomek_Anabolek]

I have to be honest with you´i already added the NPP, and i feel great

 

[Sam Bjorn]

I have to be honest with you´i already added the NPP, and i feel great

Hi. Alright, let’s go through what you sent.

Unfortunately, there isn’t much from the full list here, but it’s better than nothing.

Let’s start with the lipid panel. As we can see, things aren’t looking very good here. HDL is low and LDL is elevated, which is common when using androgens. Your excess weight combined with androgens probably isn’t helping the situation.

I’d suggest starting pitavastatin 1 mg or another statin. Pitavastatin is one of the best in terms of its side-effect profile. Even though your LDL is only slightly elevated, anyone using steroids is in a higher-risk group, which means LDL cholesterol is recommended to be kept at lower levels, such as 55–70 mg/dl.

 

[Sam Bjorn]

Now let’s look at your hormones.

1. Prolactin. Did you abstain from sex for 24 hours, as I mentioned earlier when I sent you the list of blood tests? In any case, I’d retest it rather than immediately rushing to take cabergoline if you say you’re feeling great.
2. As for estradiol, I’d recommend lowering it to at least 50–60 pg/ml, but the thing is that the level we’re seeing may be quite inaccurate because laboratories usually measure estradiol using a method that isn’t the most precise. If you don’t have any complaints such as decreased libido, low mood, or gynecomastia, you can leave it as it is for now. If you have Primo on hand, that should help with this.

 

[Sam Bjorn]

The good news is that even on fairly high doses of steroids, your hematocrit is good (not elevated), which overall reduces the risk of cardiovascular complications.

Leukocytes and neutrophils are only slightly elevated. I assume you may have been a little sick this autumn, but I don’t see anything concerning.

But there are no other blood tests here, so overall I can’t really comment on anything else.

 

[Tomek_Anabolek]

Now let’s look at your hormones.

1. Prolactin. Did you abstain from sex for 24 hours, as I mentioned earlier when I sent you the list of blood tests? In any case, I’d retest it rather than immediately rushing to take cabergoline if you say you’re feeling great.
2. As for estradiol, I’d recommend lowering it to at least 50–60 pg/ml, but the thing is that the level we’re seeing may be quite inaccurate because laboratories usually measure estradiol using a method that isn’t the most precise. If you don’t have any complaints such as decreased libido, low mood, or gynecomastia, you can leave it as it is for now. If you have Primo on hand, that should help with this.

View attachment 6839

Well i could fuck all the time to be honest. My mood is stable almost all the time happy with my life and in a good mood on some days after a heavy training i feel a bit mental exhausted but after 20 mins i get my ass up cook some food , eat it and im back on 100%
My breast is actually getting every day better in shape. i dont have any complaints like sensitive nipples or anything else

 

[Tomek_Anabolek]

Hi. Alright, let’s go through what you sent.

Unfortunately, there isn’t much from the full list here, but it’s better than nothing.

Let’s start with the lipid panel. As we can see, things aren’t looking very good here. HDL is low and LDL is elevated, which is common when using androgens. Your excess weight combined with androgens probably isn’t helping the situation.

I’d suggest starting pitavastatin 1 mg or another statin. Pitavastatin is one of the best in terms of its side-effect profile. Even though your LDL is only slightly elevated, anyone using steroids is in a higher-risk group, which means LDL cholesterol is recommended to be kept at lower levels, such as 55–70 mg/dl.

View attachment 6838

check that.
ill try to get the other Parameters Asap and renew the once i did

 

[Tomek_Anabolek]

The good news is that even on fairly high doses of steroids, your hematocrit is good (not elevated), which overall reduces the risk of cardiovascular complications.

Leukocytes and neutrophils are only slightly elevated. I assume you may have been a little sick this autumn, but I don’t see anything concerning.

But there are no other blood tests here, so overall I can’t really comment on anything else.

View attachment 6840

crazy that you can see this through this, yes i was like 2-3 weeks before i started the cycle ill for about 1 week

 

[Sam Bjorn]

Well i could fuck all the time to be honest. My mood is stable almost all the time happy with my life and in a good mood on some days after a heavy training i feel a bit mental exhausted but after 20 mins i get my ass up cook some food , eat it and im back on 100%
My breast is actually getting every day better in shape. i dont have any complaints like sensitive nipples or anything else

Okay, in that case I wouldn’t take any action at this stage. If you notice your mood changing or your libido dropping significantly, then you should retest estradiol and prolactin and compare the results. But right now, I wouldn’t mess with anything if everything feels great. Sometimes a perfect number on a blood test doesn’t reflect the actual outcome at all. Just keep an eye on those two markers.

As for lipids, in your case you could try using only ezetimibe for now and then see how things go, because as you lose weight, your lipids should improve on their own. But I wouldn’t just leave it in God’s hands right now.

 

[Sam Bjorn]

crazy that you can see this through this, yes i was like 2-3 weeks before i started the cycle ill for about 1 week

Well, it’s not hard to figure out because your white blood cell count is slightly elevated, along with a small increase in absolute neutrophils.
It could actually have been anything, but this is often seen after a recent illness. How long ago were you sick? You first posted here at the very end of August.

 

[Tomek_Anabolek]

Well, it’s not hard to figure out because your white blood cell count is slightly elevated, along with a small increase in absolute neutrophils.
It could actually have been anything, but this is often seen after a recent illness. How long ago were you sick? You first posted here at the very end of August.

I think it was somewhere end of july and I was Sick for Like 1 week

 

[Sam Bjorn]

In that case, with your next blood test, it would also make sense to check your white blood cell count and neutrophils and see whether they have decreased.

What I would do now: add ezetimibe 10 mg per day and, after 4 weeks, get blood tests for:

• estradiol
• prolactin
• complete blood count (including neutrophils and white blood cells)
• LDL
• HDL
• ApoB
• Apolipoprotein A
• homocysteine
• and, if possible, the other tests that were on the list. If you can’t include all of them, then include at least some of them.

The most important thing for us right now while using steroids is to take cardiovascular risks into account. This includes hematocrit (it will be included in the complete blood count, but judging by everything, you shouldn’t have any problems with it), homocysteine, and a full lipid profile, which really needs to be monitored more closely in your case.

And of course, we’d be happy if you post your progress here as photos and changes in body weight in kg. Although considering your cycle, your weight may not change that much because the androgen load is quite high, and even despite using reta, your weight may come down slowly.