Power Red or whole blood donation for high hematocrit ?

Buy Lab Tests Online

JohnPierson

New Member
I made a Power Red donation one day before my Doctor's appointment to receive my testosterone supply.
My doctor tests my hemoglobin every 10 weeks when I go in. I always worry I won't be given my testosterone if I test high. My doctor won't administer if I score is near 18g/dl.

My hemoglobin level tested 18.2 at the red cross site before the power red donation.
The very next day at my doctor's office it tested 18 on first finger prick and 17.8 on repeated test.

I am a 75 year old man and I have been on TRT for four or five years.
My hemoglobin levels have increased from the beginning at 16 to usually low 17's recently.

My question, what happened that the power red donation did not reduce my Hgb?
Should I be donating whole blood instead?
 
Defy Medical TRT clinic doctor

Systemlord

Member
My doctor tests my hemoglobin every 10 weeks when I go in. I always worry I won't be given my testosterone if I test high. My doctor won't administer if I score is near 18g/dl.
This doctor of yours is wound up too tight and seems to have the potential for overreacting. High hematocrit by itself in the short term is benign (unless you have heart issues) which allows you time to make course corrections.

I would make sure you drink plenty of water within 24 hours of your blood tests.

My doctor won't administer if I score is near 18g/dl.
Why aren’t you self-administering your injections at home?
 
Last edited:

Systemlord

Member
My question, what happened that the power red donation did not reduce my Hgb?
I get phlebotomies every month and on two separate occasions my hemoglobin was virtually unchanged. I don”t have an explanation. I also supplement 140 mg iron daily.

No, I don’t think you should get a double red power donation unless you absolutely need one because you risk crashing your ferritin levels with repeated phlebotomies.
 

readalot

Member
My question, what happened that the power red donation did not reduce my Hgb?
Should I be donating whole blood instead?

"Double red" RBC apheresis will remove twice the number of RBCs as a typical 1 unit donation. But it does come with the tradeoff that your plasma, platelets, WBCs is being pumped back in along with "healthy" dose of plasticizer from the tubing/bags made from PVC.

My hemoglobin level tested 18.2 at the red cross site before the power red donation.
The very next day at my doctor's office it tested 18 on first finger prick and 17.8 on repeated test.

Perform a more accurate CBC panel using venous blood draw before and after the double red. Finger prick has poorer precision (capillary sample).

See fig 2 in this paper and a good read:


1667830994294.png
 
Last edited:

JohnPierson

New Member
This doctor of yours is wound up too tight and seems to have the potential for overreacting. High hematocrit by itself in the short term is benign (unless you have heart issues) which allows you time to make course corrections.

I would make sure you drink plenty of water within 24 hours of your blood tests.


Why aren’t you self-administering your injections at home?
I am administering at home. I receive a vial and supplies at the doctor's office.
 

JohnPierson

New Member
"Double red" RBC apheresis will remove twice the number of RBCs as a typical 1 unit donation. But it does come with the tradeoff that your plasma, platelets, WBCs is being pumped back in along with "healthy" dose of plasticizer from the tubing/bags made from PVC.



Perform a more accurate CBC panel using venous blood draw before and after the double red. Finger prick has much poor precision (capillary sample).

See fig 2 in this paper and a good read:


View attachment 26596
"Double red" RBC apheresis will remove twice the number of RBCs as a typical 1 unit donation. But it does come with the tradeoff that your plasma, platelets, WBCs is being pumped back in along with "healthy" dose of plasticizer from the tubing/bags made from PVC.



Perform a more accurate CBC panel using venous blood draw before and after the double red. Finger prick has poorer precision (capillary sample).

See fig 2 in this paper and a good read:


View attachment 26596

The variability of fingerstick measurements was demonstrated in my doctors office when back to back fingersticks resulted in different results. However, I have to deal with their results as my doctor insists on them. I get a CBC panel three or four times a year as well. My results are mid 17 to 18g/dl.
Still want to know if I would be better off with the standard blood donation.
My iron levels are fine.
 
I can't find the study now but absent iron stores a capillary stick will show much higher HG than a venous test. I find this shocking you had the same level the next day as Power Red is definitely thins the blood since it's a whopping 400mg iron loss, this might be because you do not weigh enough for the machine to extract that many RBCs. Maybe whole blood would be better. It pulled me one time from 18.6 to 14.4 and I felt that.
 

Gman86

Member
I can't find the study now but absent iron stores a capillary stick will show much higher HG than a venous test. I find this shocking you had the same level the next day as Power Red is definitely thins the blood since it's a whopping 400mg iron loss, this might be because you do not weigh enough for the machine to extract that many RBCs. Maybe whole blood would be better. It pulled me one time from 18.6 to 14.4 and I felt that.
Wow a whole blood donation dropped ur HGB from 18.6 to 14.4?
 

ajax31

Member
Wow a whole blood donation dropped ur HGB from 18.6 to 14.4?
Yes, but those drops are only temporary. After two weeks you’re back to 50% or more of your pre-donation hemoglobin level. Of course if you aggressively continue to donate for years the average hemoglobin declines long term.

That was my experience donating while not on TRT.

Guys on exogenous testosterone have a different set of problems- high hemoglobin / hematocrit and low ferritin, the latter of which will be exacerbated by donating blood.
 
@Gman86

I'm sorry I should have clarified that was Power Red, and no you don't bounce back from that big of an iron loss is a short period of time but you have to really try to limit iron supplementation or you will bounce back if your erythrocytosis is pretty bad. To avoid what @ajax31 is stating you have to avoid almost 95% iron and take chelating agents a lot of guys do this and are not symptomatic walking around or even working out with little iron lol. Tumeric gummies are a big chelating agent for me and I take them at night but still have to have an iron rich breakfast (beef bacon, beet juice) in the morning to get the day going.
 

Nelson Vergel

Founder, ExcelMale.com

 
Buy Lab Tests Online

Sponsors

bodybuilder test discounted labs
Defy Medical Telemedicine hormones
Discounted lab tests
TRT in UK Balance my hormones
Testosterone books nelson vergel
Free Testosterone Book
Register on ExcelMale.com
Trimix HCG Offer Excelmale
Thumos USA men's mentoring and coaching
Testosterone TRT HRT Doctor Near Me

Online statistics

Members online
4
Guests online
8
Total visitors
12

Latest posts

Top