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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Anemic with very low BP's since starting trt gel
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<blockquote data-quote="Systemlord" data-source="post: 277368" data-attributes="member: 15832"><p>I'm starting to wonder if iron deficiency was your original issue that lead you to being placed on TRT.</p><p></p><p>TRT can cause ferritin levels to decline in some individuals. If you're on TRT, and you can't maintain normal ferritin, it’s because TRT increases EPO which increased erythroferrone, lowering hepcidin and ferroportin lets iron release from hepatocytes and therefore ferritin doesn't rise.</p><p></p><p>The obvious solution is to supplement iron.</p><p></p><p>I would check ferritin, MCV, MCH, MCHC and iron saturation.</p><p></p><p></p><p>I experienced the same symptoms for the first 2.5 years on TRT, at which point my ferritin levels were 24, stopped TRT for a couple of months at which point ferritin recovered, started TRT again and ferritin declined to 24 for a second time.</p><p></p><p>This is when my endocrinologist recommended iron supplementation.</p></blockquote><p></p>
[QUOTE="Systemlord, post: 277368, member: 15832"] I'm starting to wonder if iron deficiency was your original issue that lead you to being placed on TRT. TRT can cause ferritin levels to decline in some individuals. If you're on TRT, and you can't maintain normal ferritin, it’s because TRT increases EPO which increased erythroferrone, lowering hepcidin and ferroportin lets iron release from hepatocytes and therefore ferritin doesn't rise. The obvious solution is to supplement iron. I would check ferritin, MCV, MCH, MCHC and iron saturation. I experienced the same symptoms for the first 2.5 years on TRT, at which point my ferritin levels were 24, stopped TRT for a couple of months at which point ferritin recovered, started TRT again and ferritin declined to 24 for a second time. This is when my endocrinologist recommended iron supplementation. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Anemic with very low BP's since starting trt gel
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