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difficulty understanding these

Aug 15, 2004

I'm poz for 5 years with a vl 5000 and cd4 presently 770 (so they won't put me on meds yet - even though i experience unexplained loss of muscle).

I just got some labs back from my hematology. I have low RBC at 4.53, high MCV at 94.5, and high MCH at 32.2.

I did use anabolic steroids (200 mg testosterone and 200 mg deca per week) to counter my wasting some 5 months ago. But when testing my liver enzymes back then, they were in normal range, so I never thought it was a problem. Is there sometimes a delayed effect of steroids that can show up in blood work like this so many months later?

Or is this problem Anemia? My testosterone is also a little low - 400 - was 550 before I went on the anabolics. So maybe the lower test, and the Anemia-like numbers are a result of my body building back natural test levels?

Response from Dr. Holodniy

You don't indicate what your hemoglobin or hematocrit values are or if you are taking any other medications, but I don't find the values you present troubling at all. Anabolic steroids would probably not be contributing to low RBC or anemia. In fact there are lots of studies describing the use of anabolic steroids for the treatment of anemia.

when to restart meds?

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