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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
balancing low ferritin levels and frequent donation.
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<blockquote data-quote="Concerned wife" data-source="post: 26528" data-attributes="member: 12457"><p><strong>My husband has the exact same issue</strong></p><p></p><p></p><p></p><p><strong>HOW ARE THINGS GOING FOR YOU? My husband has the exact same problem. Husband has been on TRT for years but about three years ago, developed the high RBCs, hgb and hct, which had never been a problem before. Switching to compounded cream didn't fix it, as we'd hoped. He has not had a therapeutic phlebotomy in almost a year but latest bloodwork indicates another is needed. </strong></p><p><strong></strong></p><p><strong>I am curious how high you all think numbers can get before someone is in stroke zone? From what I've read, 54 (his current HCT) is not ideal but I wouldn't think it was "dangerous" yet, though his doctor does want him to do a phlebotomy at these numbers. I've read that over 60 on HCT would be "dangerous." </strong></p><p><strong></strong></p><p><strong>Regarding ferritin, most doctors do not even get concerned about ferritin until it goes VERY VERY LOW. A couple of years ago, we asked for an iron panel. Ferritin was 15 and yet they said it was still nothing to be concerned about. Meanwhile, his thyroid is being affected and he's losing hair. </strong></p><p><strong></strong></p><p><strong>Labs several months ago showed that ferritin had only risen to 26, despite supplementing iron daily, eating more red meat and no phlebotomies. However, his blood iron is "great" because there are too many red blood cells! </strong></p><p><strong></strong></p><p><strong>I am concerned about how to maintain ferritin long-term, if this is the way things continue. His thyroid and other hormones need the iron stores to come up! </strong></p><p><strong></strong></p><p><strong>Also, does anyone know how to tell if the RBCs are truly TOO MANY versus MORE CONCENTRATED? I know dehydration can cause higher numbers, but how much higher? Could simple dehydration cause HGB of 18.5 and HCT of 54? </strong></p><p><strong></strong></p><p><strong>TRT dose is as low as it can go and still be of some benefit to him - numbers are NOT high in the T department, even with TRT. Interestingly, he used to have MUCH HIGHER T numbers and yet did not have this problem with the elevated RBCs, HGB and HCT. I have read myself silly, trying to find the cause of this -- why he didn't have a problem with it for years at higher TRT, but now he does. I know it tends to be more common as a man ages, but WHY? </strong></p><p><strong></strong></p><p><strong>Any input would be appreciated, thanks.</strong></p></blockquote><p></p>
[QUOTE="Concerned wife, post: 26528, member: 12457"] [b]My husband has the exact same issue[/b] [B]HOW ARE THINGS GOING FOR YOU? My husband has the exact same problem. Husband has been on TRT for years but about three years ago, developed the high RBCs, hgb and hct, which had never been a problem before. Switching to compounded cream didn't fix it, as we'd hoped. He has not had a therapeutic phlebotomy in almost a year but latest bloodwork indicates another is needed. I am curious how high you all think numbers can get before someone is in stroke zone? From what I've read, 54 (his current HCT) is not ideal but I wouldn't think it was "dangerous" yet, though his doctor does want him to do a phlebotomy at these numbers. I've read that over 60 on HCT would be "dangerous." Regarding ferritin, most doctors do not even get concerned about ferritin until it goes VERY VERY LOW. A couple of years ago, we asked for an iron panel. Ferritin was 15 and yet they said it was still nothing to be concerned about. Meanwhile, his thyroid is being affected and he's losing hair. Labs several months ago showed that ferritin had only risen to 26, despite supplementing iron daily, eating more red meat and no phlebotomies. However, his blood iron is "great" because there are too many red blood cells! I am concerned about how to maintain ferritin long-term, if this is the way things continue. His thyroid and other hormones need the iron stores to come up! Also, does anyone know how to tell if the RBCs are truly TOO MANY versus MORE CONCENTRATED? I know dehydration can cause higher numbers, but how much higher? Could simple dehydration cause HGB of 18.5 and HCT of 54? TRT dose is as low as it can go and still be of some benefit to him - numbers are NOT high in the T department, even with TRT. Interestingly, he used to have MUCH HIGHER T numbers and yet did not have this problem with the elevated RBCs, HGB and HCT. I have read myself silly, trying to find the cause of this -- why he didn't have a problem with it for years at higher TRT, but now he does. I know it tends to be more common as a man ages, but WHY? Any input would be appreciated, thanks.[/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
balancing low ferritin levels and frequent donation.
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