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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="madman" data-source="post: 278225" data-attributes="member: 13851"><p>This means nothing without knowing where your daily trough FT (24 hrs post-injection) sits.</p><p></p><p>175 mg T/week (25 mg T daily) is a fair dose.</p><p></p><p>Post up your trough TT, FT and estradiol and make sure to include your SHBG.</p><p></p><p>If you need to donate blood let alone every 3 months and you are still hitting a hematocrit 50% then your trough FT is most likely too high.</p><p></p><p>Even then the cut-off for hematocrit is 54%.</p><p></p><p>Most doctors in the know would recommend donating or reducing your weekly T-dose and bringing down your trough FT once you hit 54%.</p><p></p><p>Some will be more cautious and take measures once hematocrit hits 52%.</p><p></p><p>If you have no underlying cardiovascular/health issues are not experiencing any negative symptoms from a slightly elevated hematocrit then I would not be too concerned.</p><p></p><p>Downfall here is you are donating way too frequently to try and manage elevated hematocrit and there is a good chance you will crash your iron/ferritin which can open up another can of worms.</p><p></p><p>If you plan on being stuck on that donating too often merry go round then you need to keep an eye on your iron/ferritin!</p><p></p><p></p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/management-of-erythrocytosis-during-trt.28358/[/URL]</p><p></p><p></p><p><strong><em>post #3 (<strong>34:04-49:36)</strong></em></strong></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/new-perspectives-in-the-diagnosis-and-management-of-hypogonadism.28711/[/URL]</p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/i-am-on-week-5-6-anxiety-comes-and-goes.26229/page-2#post-240508[/URL]</p><p></p><p></p><p>[URL unfurl="true"]https://www.excelmale.com/threads/insights-on-testosterone-libido-premature-ejaculation-painful-sex-and-men%E2%80%99s-and-women%E2%80%99s-sexual-dysfunction.28380/#post-269507[/URL]</p></blockquote><p></p>
[QUOTE="madman, post: 278225, member: 13851"] This means nothing without knowing where your daily trough FT (24 hrs post-injection) sits. 175 mg T/week (25 mg T daily) is a fair dose. Post up your trough TT, FT and estradiol and make sure to include your SHBG. If you need to donate blood let alone every 3 months and you are still hitting a hematocrit 50% then your trough FT is most likely too high. Even then the cut-off for hematocrit is 54%. Most doctors in the know would recommend donating or reducing your weekly T-dose and bringing down your trough FT once you hit 54%. Some will be more cautious and take measures once hematocrit hits 52%. If you have no underlying cardiovascular/health issues are not experiencing any negative symptoms from a slightly elevated hematocrit then I would not be too concerned. Downfall here is you are donating way too frequently to try and manage elevated hematocrit and there is a good chance you will crash your iron/ferritin which can open up another can of worms. If you plan on being stuck on that donating too often merry go round then you need to keep an eye on your iron/ferritin! [URL unfurl="true"]https://www.excelmale.com/threads/management-of-erythrocytosis-during-trt.28358/[/URL] [B][I]post #3 ([B]34:04-49:36)[/B][/I][/B] [URL unfurl="true"]https://www.excelmale.com/threads/new-perspectives-in-the-diagnosis-and-management-of-hypogonadism.28711/[/URL] [URL unfurl="true"]https://www.excelmale.com/threads/i-am-on-week-5-6-anxiety-comes-and-goes.26229/page-2#post-240508[/URL] [URL unfurl="true"]https://www.excelmale.com/threads/insights-on-testosterone-libido-premature-ejaculation-painful-sex-and-men%E2%80%99s-and-women%E2%80%99s-sexual-dysfunction.28380/#post-269507[/URL] [/QUOTE]
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Ask The Urologist Anything (Dr Michael Rotman)
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