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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Receiving Treatment For Rhabdomyolysis, Normal Renal Function. Stopped Medication. Prevent It?

I am currently receiving treatment for rhabdomyolysis , with improved AST/ALT/LDH, but my CPK remains 0000, even after 4 days of intensive IVF; renal function is normal. We are not sure why I developed rhabdo in the first place and the CPK is not improving, in spite of resolved symptoms. I exercise daily, but recently increased my weight training only incrementally (3 days prior to admission), I follow a low-carb (Paleo) diet, and take multiple supplements, including a pre-workout protein/fruit smoothie, Ripped Freak, and phentermine , a post-workout creatine water drink, wheatgrass tablets, l- arginine tablets, B-12 tabs, and i use a daily testosterone 5gram gel with levels wnl. I have stopped all of my medications/supplements, except the daily testosterone gel. Any ideas what could have caused this and how I can prevent it from happening again?
Thu, 10 Oct 2013
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Addiction Medicine Specialist 's  Response
Hi,

I did some research to find out what could have caused the rhabdomyolysis and is preventing the CPK levels from going down. While heavy physical exercise is a possible cause, I do not consider it likely as you increased your weight training gradually. However, I found some reports of rhabdomyolysis in sportspersons/ body builders who had been using phentermine with testosterone or only testosterone. I feel these two may have contributed to the muscle break down and it is possible that the continued use of testosterone is preventing a fall in CPK levels. Please bring this to the notice of your doctor so that he can advise you regarding continued use of testosterone.

Hope this helps you. Best wishes.
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Receiving Treatment For Rhabdomyolysis, Normal Renal Function. Stopped Medication. Prevent It?

Hi, I did some research to find out what could have caused the rhabdomyolysis and is preventing the CPK levels from going down. While heavy physical exercise is a possible cause, I do not consider it likely as you increased your weight training gradually. However, I found some reports of rhabdomyolysis in sportspersons/ body builders who had been using phentermine with testosterone or only testosterone. I feel these two may have contributed to the muscle break down and it is possible that the continued use of testosterone is preventing a fall in CPK levels. Please bring this to the notice of your doctor so that he can advise you regarding continued use of testosterone. Hope this helps you. Best wishes.