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Well darn. I made a mistake in reading the lab reports. My ferritin level is actually only 12. Iron serum is 38. This is after being on iron supplements for about three weeks. Still have a long way to go! (On a good note, the doctor's office said the low lymph% and lymph# is not of concern.)

I thought I would give an update after meeting with a different hematologist. Basically, doc said to continue taking iron supplements (recommended Slow Fe) and not do any blood donations for the time being. She said it was okay to continue TRT but just need to monitor blood work, as we all...

I understand. Thanks for the feedback.

Understood. I am in agreement. Just wanted to make sure I was clear on what you said. Truthfully, the hematologist got me a little concerned when he mentioned polycythemia. I can see now all I need to do is focus on getting ferritin up and watch hgb & hct. Thanks.

Are you saying because I donated so frequently that I run the risk of higher hemoglobin and hematocrit while supplementing with iron or that just by being on TRT and taking iron I need to watch for elevated levels. In other words, did the extensive donations cause issues for me on the recovery...

Thanks for the info. I think I need a new hematologist.

Thanks for the recommendation. Is it similar to Slow Fe? I have seen it in local pharmacies, but I'm not sure if its composition. I believe the Integra that I was prescribed is 125mg elemental iron with Vitamin C and Lysine. As has been mentioned here though, that may not be enough iron for...

I'll check it out. Should I be concerned at all about this, "polycythemia secondary to TRT" concern of the hematologist or focus primarily on getting ferritin levels back up?

My hope, when I made the appointment with the hematologist, was that he would recommend IV iron. I took the Integra iron on an empty stomach for the first week and it was quite harsh with indigestion. I have GERD already. I’ve been tolerating it better with food, but I know that impacts...

Thanks for the reply. It sounds like we are in agreement that the hematologist may be missing the mark somewhat by not wanting me to take iron supplements. The labs clearly show iron deficiency. I think the neurologist is more spot on in his assessment. He was definitely a keep it simple...

It is actually 125mg every 10 days (mistyped). Likely still too low, but with all I have had going on lately, I haven't been as motivated to keep up with schedule. Since the hematologist mentioned the possibility of polycthemia secondary to TRT, I also haven't wanted to take supplemental iron...

I missed typed. The dosage is actually 125mg every 10 days. (Cypionate) Probably still a little low in your view. I agree the protocol needs to be revisited. Years ago, I started with 400mg every 3 weeks; that didn't work well either. My last test level was around 400-500 serum a couple of...

Been on TRT for 5 years. (Age 48 years). Never had hemoglobin or hematocrit get outside of range, but would occasionally get close to upper limit at times. Started donating blood on an occasional basis (2-3 times per year) with no issues. Starting in January 2016, I thought I would be a good...