hepatitisb

[serenade]

i need help brothers,i am a medical doctor,just finished med school,in nigeria africa.i started bodybuilding two years ago and since then i have gone from weighing 132pounds to weighing 176pounds.until recently exactly 6 weeks i had this vague symtoms elevated body temperature,nausea etc,since malaria is endemic here i treated malaria,but i didnt feel any better.My graduation came and i did that still feeling sick ,even though i treated malaria.after that i noticed my urine turned intense and deep yellow and later my eyes followed.,i went for liver function tests ,full blood count and differentials and also did hep b screening which came out positive.
my lft results was something like this
total bilirubin 11g very high
ast-222
alp-171
alt-2390
total protein-8.9
alb-4.3

my full bld count showed pcv of 38 and white blood cell count of 6million,dont have the results of the others off the top of my head.
its been 3 weeks since then and i have lost a lot of weight i am now at 160pounds.

the jaundice is clearing,but very slowly i still feel tired ,i cant train ,slight body temperature.my question is that can i ever body build again?you know i am advised to take a low protein diet for now and little fats and oils?,all i am having is carbohydrate foods and plenty water?after i get out of this illness,can i still bombard the liver with the high protein diet that goes with body building?i really need help ,cause i hate my body now and i am very depressed..

 

[JZ1276]

you're a med dr and don't know the answer to this? Wait until you feel 100%, go get bloodwork again...if all is ok then go for it

 

[sparetire]

i was thinking that also about being a dr. First thing they teach you about diagnosing yourself is to have another doctor diagnose you (you being a doctor). Secondly, why are you asking ? about protein? That's obvious if you are really a doctor you should know that high protein diets put stress on your liver and kidneys.

But, with that being said, drink plenty of water, and get plenty of rest and hopefully you'll be back where you used to be. But, it's not hep c, so u should be back in the game soon.

 

[serenade]

yes i am a doctor and offcourse i do know that while i am recovering i should stay off protein.the big question i am asking is that when my liver enzymes come back to normal can i start bombarding the liver with protein?i have done a lot of studying and all i have is book knowledge and yes knowledge of assisting in treating some patients.I never treated a bodybuilder which in this case i am aspiring to be..lol!so even though i am a doctor,that doesnt mean i am a total body of knowledge.Not all patients are body builders and bombard thier bodies with high concentration of proteins.sp please i do need help and i am not arrogant to ask..

 

[CO B-man]

Same here. What do they teach in med school these days. LOL! You sound like you are on a mood swing from your crash.

 

[solidspine]

Try tyler Liver detox, and cranberry, juice,

and don't get too excited,

sounds like you have something not related to the gear, a touch of malaria and jaundice is pretty nasty and will take time and meds to clear up.

Then go back on your cycle.

Where do you live now? Because if it is in Africa, you need to move to California!

 

[lanky]

yes i am a doctor and offcourse i do know that while i am recovering i should stay off protein.the big question i am asking is that when my liver enzymes come back to normal can i start bombarding the liver with protein?i have done a lot of studying and all i have is book knowledge and yes knowledge of assisting in treating some patients.I never treated a bodybuilder which in this case i am aspiring to be..lol!so even though i am a doctor,that doesnt mean i am a total body of knowledge.Not all patients are body builders and bombard thier bodies with high concentration of proteins.sp please i do need help and i am not arrogant to ask..

hmmm.. first off,,,,congradulations on your recent life changing experience of becoming a doctor,,as for returning to a bodybuilding lifestyle with hep B,,,slowly incorporate physical activity as liver enzymes/jaundice return to normal and you start to feel better...yes to a low protein diet for now..you will need to be monitored for bloodwork CBC w/diff & hepatic panel,,it will let you know if your condition becomes chronic where pharmacological management may be needed. If you are currently practicing medicine notify your facility of your condition(they probably know something is going on from the color of your sclera and yellow skin)....It is nice to see you are not afraid to ask when you are unsure of something,,keep that in mind when you are orienting to a unit/floor/facility ...never be afraid to ask your preceptor or the one training you a question,,confidence will come in time,,no one comes out of medical education graduating as a MD or nurse an expert...Am i a doctor....No....do i work in healthcare..Yes

you are in for a few months of this,,be smart, do a little reading on the subject..Hep B is not a black and white subject like prescribing IVPB metronidazole after bowel surgery..best of luck

 

[mormussle]

maybe get some interferon???

 

[serenade]

some people here are so full of them selves.thank you solidspine and lanky,mrmuscle for giving some answers.i know about cranberry juice and liver detox.I am in africa ,nigeria to be exact.first of all,this things you mention are difficult to find and when found very expensive!

Well the yellow sclera is clearing up day by day little by little,I am dark skinned ,so the yellow tinge that is commom amonst white people is easily masked in my case.For now i am not working yet,i am looking for place ment to do my one year compulsory housemanship.SO basically i am at home,just resting,sleeping and trying to recuperate.I have lost so much weight ,because i totally have avoided protein as a whole,no meat,no chicken ,fish,milk and a whole host of protein foods.I take only carbohydrates and ,vegetables ,fruits and multivitamin ,then lots of fluid.With all the fluids i take i am nearly always dehydrated.Anyways i am feeling better and i should start lifting weights pretty soon.I am going for the blood test today.lfts and fbc with differentials.I WOULD UPDATE AS THE RESULT COME THROUGH.

AS for the person talking about interferon ,In this case it is not yet needed.Interferon should be used if i turn a chronic carrier of some sort..For now it is conservative treatment ,diet and vitamins.thanks anyways...

 

[Advisor_x]

Bro , get some Sam-e and B complex vitamin best thing for your liver

 

[lanky]

some people here are so full of them selves.thank you solidspine and lanky,mrmuscle for giving some answers.i know about cranberry juice and liver detox.I am in africa ,nigeria to be exact.first of all,this things you mention are difficult to find and when found very expensive!

Well the yellow sclera is clearing up day by day little by little,I am dark skinned ,so the yellow tinge that is commom amonst white people is easily masked in my case.For now i am not working yet,i am looking for place ment to do my one year compulsory housemanship.SO basically i am at home,just resting,sleeping and trying to recuperate.I have lost so much weight ,because i totally have avoided protein as a whole,no meat,no chicken ,fish,milk and a whole host of protein foods.I take only carbohydrates and ,vegetables ,fruits and multivitamin ,then lots of fluid.With all the fluids i take i am nearly always dehydrated.Anyways i am feeling better and i should start lifting weights pretty soon.I am going for the blood test today.lfts and fbc with differentials.I WOULD UPDATE AS THE RESULT COME THROUGH.

AS for the person talking about interferon ,In this case it is not yet needed.Interferon should be used if i turn a chronic carrier of some sort..For now it is conservative treatment ,diet and vitamins.thanks anyways...

glad to hear your jaundice is stable/decreasing..make sure to get a your levels of WBC segs and bands checked next bloodwork....how is your spleen.

 

[bigrand]

Just watch your ALT/AST levels over the years.
Stay away from the protein for now till your hep values return to semi-normal ranges.
Agree, IFNs arent neede now....but they may in the future, with some IL as well (just say 18 and 15, as i believe they are the ones that stim NK cell production, best against viral infected cells). Look hard at immunology, since this is a chronic infection and we are learnng new stuff about the I system ED, thats the route of the future.

 

[serenade]

Just watch your ALT/AST levels over the years.
Stay away from the protein for now till your hep values return to semi-normal ranges.
Agree, IFNs arent neede now....but they may in the future, with some IL as well (just say 18 and 15, as i believe they are the ones that stim NK cell production, best against viral infected cells). Look hard at immunology, since this is a chronic infection and we are learnng new stuff about the I system ED, thats the route of the future.

thank you.you are very kind.my test results should be out tomorrow afternoon.i would keep you guys updated.How soon after my liver enzymes level return to normal values can i start doing gear?i have done 2 mild cycles in the past and i have being of gear for 7months now.I was hoping to do my next cycle when i got hit with the hepatitis.Pls anybody with good knowledge can please chip in..

 

[bigrand]

We will have to wait and see, the only value you have in the normal range is your albumin, your ALT is through the roof.

Do not even consider orals at all, ever. I would worry about juicing later, now you need to focus on getting a healthy regemine/lifestyle that will keep your liver relatively healthy. Once that is done, then think about juicing, but you will need to make permanant supplement/diet/lifestlye changes....IMO. You need to get your ALT (moreso than AST) stable and keep it there.

Liver diseases hinders the livers ability to process protein, so dont go overboard on the intake.

 

[CO B-man]

some people here are so full of them selves.


Just remember there are a lot of kids and wierdos that come on here acting like they are pro this, doctor that, know all there is to know about everything or whatever. Whe you first get here you have to realize nobody knows you and they are trying to feel you out and what you really know.

You would be surprised how many kids that come here asking about there "friends" and not themselves and it does not take people here long to weed them out. If you dont like the answers you get at first just ignore them and understand that they dont know you. Check this out I am one of the following you tell me which one
1.) Pro Bodybuilder with years experience on bulking and cutting cycles with gear
2.) I am a pharmacist with access to anything I want
3.) I am a nutritionist
4.) I am an Engineer
5.) I am a Kinesiologist
6.) I am a high school student
7.) I am a college Student

I am in fact only one of them do you know which one by just reading this thread??


See what I mean!!

 

[lanky]

who knows,,,i could be a 12 year old girl..lol

 

[drrman]

first answer me this, you started on steroids and you only weighted 132 lbs??? WHAT THE FUCK???? do you really think you were ready for steroids at 132? i mean come on, unless you are 4'1" tall you just needed to fucking eat......you didn't need any steroids for sure

 

[serenade]

some people here have reading comprehension.Where is it written ,that i said i started gear at 132pounds.My God!off course not.I have done 2cycles and they where short cycles just 2weekers.Then i go off and do nolva and clomid for 4 weeks then went back on.JUST FOR 2WEEKS EACH.I gained 8 pounds in total that styaed.11 pounds initially but only 8 stayed.My God reading comprehension!

fOR THE PERSON THAT ANSWERED MY QUESTION THANK YOU.I know there is a problem with processing proteins in this problem i have ,but i want to know exactly how much i can take can i take the convential 1-1.5g per pound?

 

[drrman]

some people here have reading comprehension.Where is it written ,that i said i started gear at 132pounds.My God!off course not.I have done 2cycles and they where short cycles just 2weekers.Then i go off and do nolva and clomid for 4 weeks then went back on.JUST FOR 2WEEKS EACH.I gained 8 pounds in total that styaed.11 pounds initially but only 8 stayed.My God reading comprehension!

fOR THE PERSON THAT ANSWERED MY QUESTION THANK YOU.I know there is a problem with processing proteins in this problem i have ,but i want to know exactly how much i can take can i take the convential 1-1.5g per pound?

OH OH , im sorry, you were 150lbs at 5'10".....not what i would call impressive to say the least.....and you said you did a 2 week cycle? does this post refresh your memory?

http://www.elitefitness.com/forum/showpost.php?p=4302238&postcount=1

and this post
http://www.elitefitness.com/forum/showpost.php?p=4078997&postcount=1

i mean how many times can you get malaria for real? maybe you should forget about doing steroids and worry about staying disease free...... whats the deal here bro? and you also said in there you were going to be a model?

I think my reading comprehension is just fine........i think you need to learn how to train and eat before worrying about steroids every again

and before you jump back, you posted on the ANABOLIC board, maybe you should go to the nutrition board

 

[serenade]

drr man.really,i dont do this back and forth things with people,but i really do think you have a problem.I think its so unbecoming of a man to have such diva tendencies ,but i digress.first of all ,that cycle was cut short.I had issues with health at that time and at the end lost all i gained from it.I wonder what country you come from,because you show a very high level of ignorance in your post.I stay in west africa and if you are conversant with things in that region you would know that malaria is endemic here.People have it like water!But again you have shown very little knowledge.
Yes,i did get the modelling contract and i made a great deal of money out of it ,if you read those threads you would see that i was in my final year at the time ,but i diferred ,hence that is why i am just finishing.Again ,i wonder why i am explaining this to you.Some people have a lot of time on their hands ,i must say.wow!.Again i do think you have reading comprehension!AGAIN for the record,most people from where i am dont have the kind of access to the nutrition you guys have over there ,so you hardly see people that are bigger than me at the weight i first juiced..But again,it shows you measure people by the standards of your country and your country alone which is very low!

 

[drrman]

man you really told me off didn't you.......you are a "doctor" you proclaim and are asking general questions on an anabolic board and you are only 150lbs after two cycles of steroids and 5'10".......i need not say anything more!!!
oh yeh, and a model to boot! models in the USA at 5'10" weight about the same as you EXCEPT they are female and THEY do NOT use steroids......enuff said

guess i just don't think with those stats you should say you are a bodybuilder......

 

[CO B-man]

man you really told me off didn't you.......you are a "doctor" you proclaim and are asking general questions on an anabolic board and you are only 150lbs after two cycles of steroids and 5'10".......i need not say anything more!!!
oh yeh, and a model to boot! models in the USA at 5'10" weight about the same as you EXCEPT they are female and THEY do NOT use steroids......enuff said

guess i just don't think with those stats you should say you are a bodybuilder......

Funny!


God bless America. Land that I love........

 

[bigrand]

hmmm.. first off,,,,congradulations on your recent life changing experience of becoming a doctor,,as for returning to a bodybuilding lifestyle with hep B,,,slowly incorporate physical activity as liver enzymes/jaundice return to normal and you start to feel better...yes to a low protein diet for now..you will need to be monitored for bloodwork CBC w/diff & hepatic panel,,it will let you know if your condition becomes chronic where pharmacological management may be needed. If you are currently practicing medicine notify your facility of your condition(they probably know something is going on from the color of your sclera and yellow skin)....It is nice to see you are not afraid to ask when you are unsure of something,,keep that in mind when you are orienting to a unit/floor/facility ...never be afraid to ask your preceptor or the one training you a question,,confidence will come in time,,no one comes out of medical education graduating as a MD or nurse an expert...Am i a doctor....No....do i work in healthcare..Yes

you are in for a few months of this,,be smart, do a little reading on the subject..Hep B is not a black and white subject like prescribing IVPB metronidazole after bowel surgery..best of luck

Not even dealing with metron post bowel surgery is cut and dry.....after you stop the metron, you have to worry about Clostridium difficile over colonizing and causing pseudomembranous colitis, which could kill that ass.
Probiotics are great post anti-b therapy for this reason, you want the good bacteria to colonize, not C diff.

I do agree with some of the other guys, if you just got through medschool, you should know about eating protein with a fucked off liver....i mean your ALT is in the thousands when it should hover around 45, and you are worried about when you can slam protein and juice? You overall health and your liver are more important than looking good bro, really. Im not even in medschool yet.....these are things that premed students should know, actually its common sense, livertransplant lists are long, so worry about yours and not getting swole. Basic patho would tell you not to high protein with liver disease (best to cut it out totally for now).

In my opinion, I would say stay away from juice for now, for awhile.