High Hematacrit

What is your hematocrit, as of last measurement? What is your last testosterone panel? Twice-weekly dosing is not going to lower your hematocrit/hemoglobin. Donation, phlebotomy is your course of action.
 
Last Hematacrit was 54. I am caught in a catch 22 situation. I have been donating to keep it in the high 40's. But I have low ferritin. This is a result of taking Nexium daily for GERD. The low stomach acid inhibits the absorption of iron. So if I donate, the ferritin tanks, if I don't , high Hematacrit.
 
Here is some evidence that the boost in hematocrit and hemoglobin that presents in some men becomes less of a problem at the 18 month mark of therapy. How long have you been on TRT?
 
Last Hematacrit was 54. I am caught in a catch 22 situation. I have been donating to keep it in the high 40's. But I have low ferritin. This is a result of taking Nexium daily for GERD. The low stomach acid inhibits the absorption of iron. So if I donate, the ferritin tanks, if I don't , high Hematacrit.

As a former user of PPIs are you aware of how those muck up your nitric oxide and are related to ED...just mentioning it.
 
Thanks for the comment. Endoscopic exam showed damage and pre cancerous tissue in the esophagus due to acid reflux. So I have no choice, control acid reflux or have throat cancer.
 
3+ years. High Hematacrit has always been an issue. Originally treated by donating but the low ferritin is clouding the issue.

Keep donating and take an iron supplement. Do monthly or so labs for ferritin (the test is cheap) and I think you'll be pleasantly surprised.
 
Thanks for the comment. Endoscopic exam showed damage and pre cancerous tissue in the esophagus due to acid reflux. So I have no choice, control acid reflux or have throat cancer.

I know how bad GERD is and how effective PPIs are, it's a real pain to live with. I went to chewing on 3000mg (3 x 1000) Tums and am doing OK in that regard. Good Luck!
 
As a former user of PPIs are you aware of how those muck up your nitric oxide and are related to ED...just mentioning it.

Vince, I've been a long time user of ppi's, and know the N.O. problems it causes but how do you get around not using them without the acid discomfort ?
 
I use the 1000mg Tums Ultra, when I need it, I chew on three of those. Typically I might take two during the days if I get that sore stomach reflux feeling. It's at a point I can deal with it. Part I hate most is the constricted swallowing, hard to swallow feeling.
 

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⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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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

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