High Hematocrit

Unmasking Risks: Prevalence of Erythrocytosis Among Men on T-Therapy Across Different Formulations

Sep 17

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* The study population included men with (i) early morning total testosterone (TT) using LCMS, (ii) free T (FT) measured using equilibrium dialysis, and (iii) who were started on TTH. * Men using intramuscular or topical testosterone face a...

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Rusfertide Decreases Need for Therapeutic Phlebotomy in Polycythemia Vera

Sep 06

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New Treatment Could End the Phlebotomy Cycle for Men with High Hematocrit If you're a man on testosterone replacement therapy (TRT) who's been told you need regular blood draws to manage your hematocrit levels, a breakthrough treatment currently...

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Learn Quickly About Testosterone Deficiency and Its Treatments

Aug 14

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I hope you enjoy this part 1. Yes, it is almost 2 hours long but I concentrated everything I know so that you do not have to read for hours. What is low testosterone (hypogonadism) and how is it diagnosed? Low testosterone, or hypogonadism...

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427-Page Illustrated Book: Beyond Testosterone

Jul 28

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I am very pleased to announce that I finally finished my full color 427-page booK: Nelson Vergel's "Beyond Testosterone: The Illustrated Guide" and the associated free online resource at Excelmale.com serve as comprehensive guides to...

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How to Lower High Hematocrit Caused by Testosterone Replacement Therapy (TRT)

Jul 23

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High Hematocrit Caused by Testosterone Replacement Therapy By Nelson Vergel, B.S.Ch.E., M.B.A. High hematocrit occurs when there is an excessive production of red blood cells. High hematocrit can cause the blood to become very viscous or...

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Understanding Testosterone Replacement Therapy and Managing Side Effects

Jul 22

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13 min summary podcast: Introduction Hello everybody, Nelson Vergel here with ExcelMail.com. ExcelMail.com is a four-year-old forum, online site, with more than 14,000 members. Some of them are doctors, pharmacists, dietitians, exercise...

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Can Certain Blood Pressure Medications Decrease Hematocrit?

Jul 17

ARBs, or Angiotensin II Receptor Blockers, are a class of medications primarily used to treat high blood pressure (hypertension). They also play a role in managing heart failure and protecting kidney function, particularly in patients with...

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How U.S. Blood Banks Handle Therapeutic Phlebotomy for Men on Testosterone Replacement Therapy (TRT)

Jul 15

How U.S. Blood Banks Handle Therapeutic Phlebotomy for Men on Testosterone Replacement Therapy (TRT) Blood centers have had to adapt their policies because the polycythemia/erythrocytosis that often accompanies TRT creates both medical need...

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Testosterone Replacement Clinical Guide from ExcelMale.com

Jul 15

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ExcelMale.com Quick Guide: DIAGNOSIS OF HYPOGONADISM: Symptoms and signs suggestive of testosterone deficiency in men: A. More specific symptoms and signs • Incomplete or delayed sexual development, eunuchoidism • Reduced sexual desire...

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New Zealand does not let me give blood to decrease high hematocrit on TRT

Jul 12

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Hi Guys Blood lab turned me away for having Haemoglobin of 198. Apparently the limit is 185(Here in New Zealand) I am currently on 80mg(split twice a week 40+40)of test cyp deep IM. Have been on this for 4 months and going well. Can't do and...

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Iron Supplementation Protocol to Raise Ferritin FAST While on TRT: The Vorck Protocol

Jul 12

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The Vorck Protocol Summary Background: The protocol was developed by a TRT user since 2001 who had difficulty recovering ferritin levels after blood donations. After conducting personal research and consulting with a hematologist in May 2021, he...

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Elevated Hematocrit from Testosterone Therapy vs High-Altitude Adaptation: A Comparative Analysis

Jun 22

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From this thread: WARNING: Do not believe Internet "gurus" proclaiming no need to manage hematocrit on TRT - Excel Male TRT Forum Underlying Physiological Mechanisms Testosterone Replacement Therapy (TRT) and Erythrocytosis: Exogenous...

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TRT Hormone Predictor Widget

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038