Cheers for posting these brother, this is exactly what I wanted to see.
So your ApoB/ApoA1 ratio at 1.78 is bad mate. Optimal for us is below 0.60, even general population target is under 0.90. You're sitting at double the high risk threshold.
Working backwards from that ratio, your ApoA1 is around 0.67 g/L (1.19 / 1.78). Ref range starts at 1.10, and for enhanced athletes anything below 0.90 is the "stop the oral now" line. You're well under that.
Your ApoB at 1.19 g/L is also above optimal (target under 0.90 for primary prevention). The lab ref of 1.70 is pretty generous honestly.
Since you said you're not sure about the risk of the ratio, here's the simple way to think about it. ApoB counts the "bad" particles floating around that can clog your arteries. ApoA1 counts the "good" particles that clean them out. The ratio is basically bad guys vs good guys. At 1.78 you've got nearly twice as many bad particles as good ones. You want that flipped the other way, ideally 0.60 or lower where the good guys outnumber the bad by almost 2 to 1.
Your Tbol crashed the good guys (ApoA1) while the bad guys (ApoB) stayed high. That's the double hit orals give you.
evolutionary.org has a solid write-up on how steroids affect cholesterol and what to do about it if you want the full picture: https://www.evolutionary.org.org/blog/cholesterol-on-steroids
Their marker guide also flags ApoA1 below 0.90 g/L as the "discontinue oral AAS immediately" threshold. You're at 0.67.
My call: drop the Tbol completely. You've got Test and Mast still running, that's plenty for a cut. The oral was nice for fullness but your lipids are copping it too hard.
Your supplement stack is already solid for lipid recovery:
- Citrus Bergamot 1000mg (good for lowering ApoB)
- Fish Oil 4500mg (solid dose)
- Psyllium Husk (binds bile acids, helps clear LDL particles)
Two things worth adding:
- Berberine 500mg 2x/day with meals. Helps with LDL particle count and insulin sensitivity
- Niacin extended-release 500mg/day, work up to 1000mg. This one specifically raises ApoA1 which is what you need most right now
Give it 6-8 weeks off the Tbol then retest. You want that ratio back under 0.80 before thinking about another oral. Your ApoA1 should bounce back well once it's out of the equation.
Agree with
@LevButlerov, drop it and ride out the cut on oils only.