Search results for query: hematocrit

  1. Dr Justin Saya MD

    Solution to infamous high HCT low ferritin dilemma

    ...that your MCV (mean corpuscular volume = “average size of RBCs”) is likely on the lower/smaller side...I would guess low to mid 80s. This smaller size means the RBCs essentially “take up less space” in the blood...the hematocrit is a measure of the solid fraction of blood (vs liquid fraction).
  2. Dr Justin Saya MD

    Beginning a new TRT chapter

    I’m impressed that you came back 2 years later to close the loop and update your thread. Very happy you are doing well seaexplorer!
  3. Dr Justin Saya MD

    Hematocrit drives Blood Viscosity- Does that Matter in Men on TRT? Effect of Altitude?

    Great post readalot! The non-linear relationship of hematocrit to blood viscosity is lost in the weeds to many (think 10% increase in hematocrit = 20% increase in blood viscosity). An astute researcher will also note that the slope of the blood viscosity curve starts increasing right around the...
  4. Dr Justin Saya MD

    Hematocrit levels

    True, though it’s not clotting that is the concern with higher hematocrit (erythrocytosis). Unfortunately many get lost in the weeds debating about clotting when this isn’t the reason to be cautious about higher hematocrit. There are other reasons...
  5. Dr Justin Saya MD

    New blood results - Need some help

    This is logical HealthMan and is the “tightrope walk” I refer to for some guys with TRT/hematocrit/iron levels.
  6. Dr Justin Saya MD

    I didn’t prepare well for Dr. Saya this time, really need some help.

    Yes sleep apnea will absolutely trash the adrenals (and the hematocrit issue is another clue to its possibility). This has worked well for many folks...
  7. Dr Justin Saya MD

    6 weeks in and not feeling better

    Your adrenals are suffering from lack of sleep, as evidenced by your relatively low DHEA. Your doc should run the 4 sample salivary cortisol next labs to see the pattern and levels of cortisol throughout the day. It is not uncommon with adrenal issues to have a paradoxical increase in cortisol...
  8. Dr Justin Saya MD

    My wife is thinking about HRT

    Hi Hamburgerchef! Checking a full thyroid is never a bad idea, at minimum a FT3 and FT4 for a little deeper look. Was she sick at time of labs? Could explain the high WBC and even inflammation can contribute to high platelets, but in the meantime she should take a baby apirin (81mg) a day to...
  9. Dr Justin Saya MD

    Foods That Impact Hematocrit Levels

    Indeed fellas the "blood thinning" associated with fish oil can reduce the viscosity of blood, but won't impact the hematocrit level directly.
  10. Dr Justin Saya MD

    5 months on trt with Universal Men's Clinic

    In most cases, aside from hemachromatosis, I'd have to agree here.
  11. Dr Justin Saya MD

    First Total and Free T Results: Help Me Understand

    ...HCT 17/49.9 despite total Testosterone only in the 400's. Specifically, I would be concerned about pre-existing sleep apnea driving that level up. Sleep apnea combined with going on TRT is the "double whammy" as I call it which causes some patient's hematocrit to skyrocket into risky territory.
  12. Dr Justin Saya MD

    Stopping NDT..

    ...NDT, both subjective and objective, more iron is possibly the missing piece there, but at the possible trade-off of stimulating further erythropoiesis. Since your screenname isn't attached to your chart ;-) , please remind me what your hemoglobin/hematocrit levels as well as MCV have been...
  13. Dr Justin Saya MD

    climbing hct

    Not to sound unsympathetic, but the elevated hematocrit (especially to the degree you've seen possibly high 50's or low 60's) is a SAFETY priority above and beyond current symptoms. If they told you at the blood center that your hemoglobin was 20.7, the hematocrit is typically approximately 3x...
  14. Dr Justin Saya MD

    Fish Oil and Hematocrit ?

    Fish oil will not lower the hematocrit measurement itself, but it does help reduce the viscosity of the blood...which is one of the concerns with higher hematocrit.
  15. Dr Justin Saya MD

    Dr. Chrisler gone, Defy booked, numbers off, now what?

    Stlstudent - my PA, Melissa, will be contacting you today via PM to obtain your info and to discuss. Also, staff will be arranging a therapeutic phlebotomy RX for you. Stand by.
  16. Dr Justin Saya MD

    Dr Crisler Now Says No Blood Donation is Needed When Hematocrit is High

    I've long disagreed with Rouzier's stance on estradiol and also this stance on increases in hematocrit. You wouldn't see me walking around for too long with a HCT > 52-53.
  17. Dr Justin Saya MD

    High hematocrit

    Your hemoglobin would equate to a hematocrit of around 51 (or 0.51 on your scale). Not very bad and you can see that the dehydration is likely contributing to a "false" increase of 2 points (0.2 on your scale) to your hematocrit. You're still upper normal and wouldn't hurt to donate a...
  18. Dr Justin Saya MD

    Should I Donate? Confusing Results

    Would really need to know Johann's Hemoglobin and Hematocrit to determine if he should donate or not. Hemochromatosis is, virtually by definition, an excess of iron in the body - so elevated iron in the presence of hemochromatosis is not surprising. However, an elevated hemoglobin and/or...
  19. Dr Justin Saya MD

    Completed first steps for Defy Medical

    ...donate blood any further for now with the low iron/ferritin. Hydrate well as it appears you may be a little dry based on hemoglobin:hematocrit ratio. Typically hematocrit should be 3x hemoglobin. Your hemoglobin is 16.5, so should correlate with a hematocrit of ~49.5...however your hematocrit...
  20. Dr Justin Saya MD

    Optimum HCG dosage...

    ...sleep apnea (talk to your PCP about a sleep study). I find it FAR too often that guys who continually struggle with elevations in hematocrit have MORE than one factor contributing (above and beyond TRT, as long as physiologically dosed). Most common other factors, in this order: obstructive...
  21. Dr Justin Saya MD

    55 and about to start TRT

    ...much "real estate" to work with back there and he tissue begins to scar over time). Finally, I've seen many more problems with increasing hematocrit (thicker blood) and persistently elevated estrogen (due to often too high of testosterone levels with the pellets). Just make sure they don't...

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