 What's up you guys rave to Rossi here and last week I posted a video of my recent HIV doctors visit It's my six-month follow-up visit that I do and I get my lab work done talk to my doctor Jake Ladstein ask any questions He'll let me know of any new updates or anything that I should know about and Yeah, it's pretty easy seamless as you guys saw for those of you who saw it and I decided I wanted to do something this time that I've never done before which is Actually go into my lab results my blood work results and my urinalysis So I think that would be really interesting and we can just break it down and kind of see what the results were and and also I announced in January that I had switched from My previous HIV medication, which was Genvoia to the new one Victarvi And so I've been taking Victarvi since January and this is the first time that I'm getting lab results Which kind of show me how my body is doing and how I took to the medicine Aside from what's shown in lab work There have been no side effects. I love it. It's great. It's one pill once a day Doesn't matter if I take it with food or drink It doesn't matter when I take it and I don't have any side effects. So here we go. Oh also Don't mind the apartment. This is my new home where I just moved. I'm super excited about it But as you can see Pretty empty at the moment. I don't have any I don't have any furniture for the living room. So it's literally just empty and So I'm gonna be working on that slowly. I know I haven't shown you guys the apartment yet I'm gonna do a little apartment tour so you guys can at least see my new digs and I'll probably have that posted. I'm gonna say next week at the latest. So stay tuned for that without further ado here is my labs so I'm kind of breaking it down into categories as it's as it's presented to me And these are the categories that I'm gonna go through and it's in order as it was listed for me on the website With the cd4 and the viral load being listed at the very end. So I'm just going in order through each category We're gonna start with the lipid panel and then do the cmp, which is the comprehensive metabolic panel Then we're going to the cbc, which is the complete blood count Then onto the complete urinalysis Then we're doing the fta abs, which is the fluorescent treponemol. I don't know if I'm saying that right antibody absorption Then we're doing the hemoglobin a1c Then the tsh then the lymphocyte subset panel five And then last but not least the hiv1 RNA quantitative or real-time pcr If you don't know what 90% of that means that's okay. Don't worry I'll sort of explain things as we go along if it's necessary. If not, it's whatever I'll cover the important stuff and explain that. Okay. So here we go starting with the lipid panel Lipids being another word for fat. This is going to be testing cholesterol and triglycerides. So my hdl cholesterol, which is good cholesterol Was 61 and the ideal range is greater than 40 milligrams per deciliter. So I definitely am in that range Good cholesterol Doing great triglycerides 44 ideal range is less than 150 milligrams per deciliter. Definitely in that as well And triglycerides is like how much fat is in the blood The ldl cholesterol typically known as bad cholesterol Was 131 optimal is actually less than 100. So Not optimal 100 to 129 is okay And I'm at 131 which is just outside of that range, which means I'm in the borderline high range That's unusual for me. I usually don't have an an issue at all with cholesterol So I'm wondering if the fact that I had that chips ahoy chocolate chip cookies Right before my blood test is skewing my results here So I'm not going to worry too much about that It's just slightly in the borderline high range And considering the fact that I had some chocolate chip cookies Not not not the best move on my part, but considering that I did that right before my blood test I'm going to assume that it's probably skewed. If not my diet's doing great I'm exercising a lot and I don't foresee that being a potential problem in the next six months Okay onto the next category the cmp, which is the comprehensive metabolic panel starting with glucose It's at 112 which is high The ideal range is 65 to 99 and I'm at 112 So again probably skewed by the fact that I had a bunch of sugary fatty delicious chocolate chip cookies Right before my blood test. Um, so I'm not going to worry about that either. That's usually not an issue Glucose is usually not an issue for me either. So I have a feeling that was skewed by some cookies Worth it. Maybe I don't know Um, urea nitrogen is a marker for liver and kidney function. Mine was 19 Ideal between 7 to 25 milligrams per deciliter creatinine is also a marker for kidney function So I want to talk about creatinine for a second because a lot of you are concerned about taking creatine because of the potential for it to raise your creatinine levels Which raised creatinine levels is used kind of as a marker to determine whether you have kidney issues But creatine can cause your creatinine levels to go up Which would be a false indicator of kidney issues. It's it's it's two separate things So that's why if you have seen one of my, um, doctor's appointment videos in the past My doctor jay gladstein actually talks about that specifically and how the creatine is safe And um, it's fine. It's not gonna harm your kidneys But it has that potential to to raise that creatinine marker giving the impression that you have Some issues with your kidney, even if you don't Now the only time where it might be, um, more of a consideration or more of an issue Something you have to discuss with your doctor is you if you already have underlying kidney issues If not, my doctor's like don't worry about it. Cretin's fine. And just to let you know I take creatine every single day and have been doing it for years and years And my creatinine level is at 1.17 and the desired range is between 0.6 and 1.35 So i'm in that That good range. There's there's no issues there for me. Okay, moving on to e gfr Um, that's the estimated glomerul Estimated glomerular glomerular glom glomerular. I don't know Estimated glomerular filtration rate. And that's what i'm gonna go with Becca, can you tell me how that sprouts because I don't know maybe she'll probably let me know in the comments When it comes to like scientific stuff, Becca is really knowledgeable and she's a Long time friend of mine basically like family and she usually, um, will correct me in the um youtube comments after I post my video So Let me know bex. Uh, it's also a marker for kidney function. So mine was at 81 Desired is greater or equal to 60 milliliters per per minute per 1.73 Something too. I don't know what that means, but it's in the right range. So Uh, then we've got sodium 140 optimal range between 135 and 146 So i'm right in the middle and that is millimoles per liter What is a millimole you ask? I have no idea But I presume It's uh, not a mole. It's smaller than a mole And it's smaller than a mole by a thousand because of the mill I don't know if that's true, but i'm assuming because that's what it means Uh, and it sounds right. So i'm gonna go with it millimole. Love it again Becca Millimole if you want to explain that great cool because uh, yeah, that's my that's my best educated guess Then we have, um, potassium 4.1 was the result. We want it between 3.5 and 5.3 again millimoles per liter and, um, potassium is an electrolyte It's also an indicator for kidney disease high blood pressure and heart disease And we got chloride 105 we want it between 9 98 and 110 millimoles It's also an electrolyte indicator for kidney disease You're going to notice that a lot of these coming up now are all indicators for kidney disease They might be indicators for other things as well, but predominantly we're looking at kidney and liver function With all of these so, um, i'm not going to go into each one But i'll i'll let you know how what the results were for each carbon dioxide the measure of co2 co2 in my blood Make sure that's okay. That was at 24 needs to be between 20 and 32 Calcium 9.7 needs to be between 8.6 and 10.3 protein total 7.3 needs to be between 6.1 and 8.1 Albumin is 4.6 needs to be between 3.6 and 5.1 Globulin was 2.7 needs to be between 1.9 and 3.7 the albumin and globulin ratio was 1.7 It should be between 1 and 2.5 bilirubin bilirubin bil bilirubin Total 0.6 should be between 0.2 and 1.2 That's an indicator for liver function. Um, alkaline phosphatase 64 between needs to be between 40 and 115 and this is units per liter What is a unit? I ask. I don't know. All the other units are specific like Desiliter or millimole or that's that's the unit. This one just says unit per liter. What unit? How come it doesn't specify the unit? Why are we so ambiguous all of a sudden? I don't get it. Becca explain Anyway, that's an indicator for liver gallbladder or bones. Um, AST, which is Aspartate Aminotransferase 36 should be between 10 and 40 units per liter And then we have ALT alanine transaminase, which was 30 and it should be between 9 and 46 Moving on to the next category. This is our complete blood count CBC I'm not going to the specifics of each of these either because they're general indicators for our body's health It's just good to know that everything is in the right range that it should be at basically at this point My results are so good that I'm just going to say what they were testing for what the result was And if I don't say anything else, then you can know that it was in the proper range So we have the white blood cell count was 4.2 red blood cell count 5.2 1 hemoglobin 14.5 Hematocrit 14.2 MCV, which is the mean corpuscular volume Which I looked up is the size of red blood cells. That's interesting that they measure the size of your blood cells And that was at 81 The desired range is 80 to 100. So it's on the low end. So that means I have smaller red blood cells Interesting, right like who knew mch was mean corpuscular hemoglobin. Don't ask 27.8 mchc mean corpuscular hemoglobin concentration 34.4 Red cell distribution with 13 platelet count 299 mpv mean platelet volume 10.1 All of these are in the right range right where they need to be so my Complete blood count is looking great onto the next category We have the complete urinalysis Which is as you guessed it an analysis of my urine color Yellow should be yellow appearance clear should be clear Uh specific gravity 1.029 in the good range and then my ph was six We want it to be between five and eight No abnormalities with my urine moving on to fta abs, which stands for fluorescent Traponemol antibody absorption Basically it checks for the presence of antibodies resulting from the bacteria that causes syphilis Which if you're an unaware is another sti now I was shown as being reactive because I had been diagnosed and treated for syphilis in the past This was years ago. I was treated therefore. I no longer have syphilis. However, it's one of those things where once you have it You'll always have the antibodies present in your body. So you'll always have a reactive result on this test So for me it was reactive It's showing the presence of those antibodies Even though I don't have syphilis the next category hemoglobin a1c. Basically that checks for your risk of diabetes and mine was at 5.1 as long as it's under 5.7 Percent then um, you're good to go no risk for diabetes Between 5.7 and 6.4 percent Then you have an increased risk of diabetes And greater than or equal to 6.5 percent is consistent with someone who has diabetes So all good there and then we've got tsh Which is thyroid stimulating hormone that affects a lot of things like weight loss weight gain growth A lot of things that was at 1.21 the optimal range is between 0.4 and 4.5 And then last but not least the last two categories are the ones that i'm sure you guys have been waiting for And the most anxious to hear about in my lab results We've got the first of the two the lymphocyte subset panel five. Here we are with the Percentage cd4 mine was at 34 percent the range that we want is between 30 and 61 percent So it's on the lower range and it's been on the lower range lower end of that range ever since my diagnosis I'm i'm not too sure that much about that number and what it means and if it's possible to raise it And that might be something that i ask in a future doctor's appointment But for now all I know is that it's in the desired range. So i'm okay with it And then my absolute cd4 count Is 565 the desired range again between 490 and 1740 Now for those of you who watched my recent video of the doctor's visit The doctor's assistant pointed out that for most people diagnosed with hiv Your cd4 count will rise about on average 300 more than when you were diagnosed So I was diagnosed with 169 as my cd4 count. So the average rise 300 would take me up to 469 So that would be kind of the expected even though the optimal range here is between 490 and 1740 If it's hovering around 469 It's to be expected because that's just the limitation of being diagnosed and how high it's going to climb So to know that mine's at that 565 like i'm happy with that. I would love it to go higher I know a lot of you guys your cd4 has has risen well beyond that But mine tends to hover between 400 and the most I've seen it was in the 800s And that was a once and it dropped right back down. So there you go And then the absolute lipo sites is at 1675 and the range would be between 850 and 3,900 So well within the range and last but not least the hiv 1 rna quantitative real-time pcr test It was shown as being less than 20 copies Aka undetectable And then there's another one right below it. This is less than 1.3 also not detected or undetectable And as a lot of you know, I've been undetectable for years at this point I want to say probably like four or five years. I've been undetectable I had one blip at that point and then I was undetectable before that as well But yeah, so undetectable means Untransmittable there's zero risk of me transmitting the virus to someone else I cannot infect anyone else with hiv while undetectable that needs to be reiterated So and as you guys can see my lab work has was was really great aside from the glucose and the little bit of raised Bad cholesterol that I had which I'm wondering was skewed by Me eating chocolate chip cookies right before my blood test Aside from that everything is spot on exactly where I want it to be. I don't have any weird side effects From the big tarvi so I can say now Um, assuredly that big tarvi is Has been and is really really really great for me. I've had zero noticeable side effects Zero noticeable impact on my body based on the blood test and the urinalysis So it's it's a great. It's a really great all-around medication And also those of you that have concerns and asked me about Taking supplementation for bodybuilding protein creatine as you can see zero Noticable negative effects on my body based on the blood panel and the urinalysis So I hope you guys found this useful. I hope it was informative. Let me know if you have questions Let me know if I got something totally wrong and you need to correct me in the comments below I'm always down to learn Becca. I'm sure I'll hear uh one or two or three things from you Most likely pronunciation and probably a couple other things as well, but um, yeah, I hope you guys enjoyed this Um, I want to keep doing this every six months every time I go to the doctor and get my lab results for you So you can also see my journey with that as well. All right guys. See you soon. Peace