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    Warning for Men on TRT: Low Ferritin is Bad

    That's right, not as much as phlebotomy.
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    Warning for Men on TRT: Low Ferritin is Bad

    So first we need to understand where serum ferritin originates. Ferritin comes in different types (isoforms) (adapted from my site): H-ferritin (Heavy chain, FTH1). “Heavy” but stores less iron. Typically stores 500–1,500 iron atoms. Heavy has a less stable ferrihydrite core which allows for...
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    Warning for Men on TRT: Low Ferritin is Bad

    hCG is just an LH stand-in. There is no mechanism for it to reduce hepcidin either directly or indirectly. "And your second: Can you clarify -- my understanding is that the high hematocrit on TRT is due to most iron being utilized for red blood cell production in lieu of being bound via...
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    Ferritin levels too low

    It's either something I wrote or something of mine someone added to Here is the whole protocol https://vorck.com/erythrocytosis.html Here is the trial version of Protocol 2: https://vorck.com/protocol-revision-apr2025.html
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    Help a guy to fine-tune his bimix dose

    Thanks so much FunkOdyssey! 8 units was good for 2 hours. Much appreciated. [The only curious thing was that it took 10 minutes to 'hit' even with massaging it around, but no matter.]
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    Help a guy to fine-tune his bimix dose

    I finally got bimix that works, I was getting a premix product and not a lyophilized product. It was probably inert from lack of refrigeration. I did 4 units of a 30mg Papaverine, 1mg Phentolamine per 1ml product. I got a chub for about 40 minutes. My "antidote" vial is on backorder so I want...
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    Bimix needle length question

    All of you, I want to thank you on this -- I ordered a lyophilized vial and THAT worked. It is clear to me that the bimix I was using before was probably dead on arrival from being a premixed product and not being refrigerated. Also, I used a half inch needle and put it to full depth and it...
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    Warning for Men on TRT: Low Ferritin is Bad

    I have written letters to their medical director and CEO on two different occasions. By their public posts and SEC Form 10-K it is clear they think their product is only for PV and hemochromatosis. Their tweets show they don't realize there are ANY other issues from low hepcidin. It makes me...
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    Warning for Men on TRT: Low Ferritin is Bad

    https://vorck.com/erythrocytosis.html The study is from 2014, the same year erythroferrone was discovered, which is the missing link here and the reason the connection between RBCs and hepcidin is vague in the link. Erythroferrone is produced by erythroblasts (immature RBCs) in response to...
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    WARNING: Do not believe Internet "gurus" proclaiming no need to manage hematocrit on TRT

    In ******** groups. TRT Community and Nelson's TRT FB group, Testosterone Replacement Therapy Discussion. Guys at 56 all the time, guys at 60 a few a month freaking out.
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    Warning for Men on TRT: Low Ferritin is Bad

    Wow that's fucked up. I am on ChatGPT 4.o and typed: "read this Fixing High Hemoglobin or Hematocrit and Low Ferritin While on TRT then I want to ask questions" "Tell me what causes low ferritin while on TRT and how to fix it." It gave completely wrong information, as it did to you. I then...
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    Warning for Men on TRT: Low Ferritin is Bad

    Remember that you need to train your AI model first. AI has NO IDEA that we cannot build ferritin on TRT, never mind why. It's why AI says dumb shit like take vitamin C. Consume heme iron (JFC NO THAT WILL NOT HELP, CLAUDE!!!!!). Everything it tells you to do will drive hemoglobin higher...
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    WARNING: Do not believe Internet "gurus" proclaiming no need to manage hematocrit on TRT

    The signal to noise ratio pollutes the whole discussion. I see SO MANY people comparing TRT to living at elevation. Except people at elevation STOP going up, because the mechanism of their erythrocytosis if activation of HIF1 and HIF2 which increase EPO but in TRT, Testosterone has a direct...
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    Iron Supplementation Protocol to Raise Ferritin FAST While on TRT: The Vorck Protocol

    IP6 and curcumin both chelate iron, so those will lower ferritin. I wonder if he had inflammation "fighting" his lowering. Lactoferrin will transport iron anywhere in parallel with transferrin, so that is neither here nor there. It's just more carrying capacity. Zinc isn't involved in the...
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    Iron Supplementation Protocol to Raise Ferritin FAST While on TRT: The Vorck Protocol

    If you can build ferritin past 30, you can do my protocol generally. What concerns me is that you have a saturation of 94%. That's fasting I presume. I gotta ask. C282Y is a disorder of the pathway we use to build the ferritin, the BMP/SMAD pathway (there are two pathways, IL-6 and BMP/SMAD)...
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    First time with Trimix, my experience

    To ALL of you -- what do you mean when you say units of Trimix? Alprostadil (mcg/mL) - 10 to 30 Papaverine (mg/mL) - usually always 30 Phentolamine (mg/mL) - 1 or 2
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    Warning for Men on TRT: Low Ferritin is Bad

    Remember that using heme iron is the absolute worst way to raise ferritin on TRT. When you ran the Ferritin Protocol, how did you fare?
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    Bimix needle length question

    Both the Olympia Pharma product and the Belmar Product are premixed by those respective and separate pharmacies.
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    Bimix needle length question

    Compounded. I had a weaker bimix (pap 15 / phe .5 also compounded from Belmar pharmacy) before this one that also did not work but I had been using an 8mm syringe.
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    Bimix needle length question

    Hi gents, I have been injecting bimix (pap 30, phe 3) with a 1/2in (13mm) 29g needle and no amount has ever worked. In a consult with a uro I discovered the issue is because I am not reaching the cavernous tissue. My penile circumference is 6.5 in around is apparently the issue. I started with...
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    "Raising ferritin fast" protocol - no meat??

    Red meat would not help with ferritin levels IN A PERSON ON TRT. Let's step through this using the basics. Exogenous Testosterone --> erythropoietin increases 24/7 and does not cycle --> erythroferrone increases --> hepcidin decreases --> nothing binds to ferroportin --> ferritin cannot build...
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    Warning for Men on TRT: Low Ferritin is Bad

    Our objective is merely to "trick" or trigger the body's natural iron overdose mechanism into releasing a massive amount of hepcidin for 7 days. In order to accomplish this, we overwhelm the intestines with iron. Unfortunately, we need it all to sit there, triggering hepcidin release, not...
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    Warning for Men on TRT: Low Ferritin is Bad

    The worst case I have seen is someone dropping their ferritin within 2 weeks. The best was a few months. Almost nobody does second follow up testing after their protocol run. They usually do a ferritin test a few days afterward and then let it ride. I want to say when I did it a few times when I...
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    Lipids / Iron / Ferritin Labs

    Remember that because heme iron transport largely bypasses hepcidin, it will not be put into ferritin readily. Even women on no hormones who take heme iron end up with hemoglobins of 15 or 16 while ferritin languishes.
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    Lipids / Iron / Ferritin Labs

    He states: "It is very well established why this is a bad idea. Anemia of inflammation, also called anemia of chronic disease, results from ferritin trapping iron and making it unusable." As stated, this is well beyond profoundly misleading. This is raising ferritin with the inflammation...
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    Ferritin Levels beyond low...

    The explanation is one I always left off of my page actually because I just wanted how to raise without anyone getting bogged down. Like for example, restless leg is a known issue with low ferritin. But it can come from other things too. So my page was always "here's a how-to if you wanna." It...
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    Warning for Men on TRT: Low Ferritin is Bad

    BTW thanks for the mention! Here's the link for others. We specialize in TRT and all things blood. We have a lot of info on disorders most notably the two major forms of hemochromatosis as well, C282Y and H63D. https://www.********.com/groups/591473358577668
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    Warning for Men on TRT: Low Ferritin is Bad

    Your HCT should not have gone up more than one point on my protocol in a typical 7 day run. How much did yours go up?
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    Ferritin Levels beyond low...

    Not sure why nobody directed you to what people normally use. https://vorck.com/erythrocytosis.html#ferritin
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    Warning for Men on TRT: Low Ferritin is Bad

    Considering it's been in use for several years in various FB groups and some reps at Matrix and Defy use it, I would consider my existing protocol to be definitive actually. Did you not get good results on it? Edit to add in case someone still hasn't heard of it...
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    Combining tadalafil and sildenafil

    I see the research Pubmed study showed good results with 5 cialis / 50 viagra. Anyone every try 5/100? FWIW, neither one ever lowers my BP. (Not that I would expect them to, they lower pulmonary BP.)
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