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I have been on TRT for 28 years.  As with most people who are long-term folks, I've had issues with high red blood cell production for years.  I use therapeutic phlebotomies every two months to keep my crit in line.  But my ferritin has been low for many years.  I'm around 15 and just tired all the time.  I know hepcidin is involved in this process, and we don't yet know much about the mechanism.

Are there any other long-term people out there who have found a solution? 

Just in case anyone is wondering, my T levels w/ replacement are in the 500s.  I've never been a supra-guy.  I was diagnosed with hypopit in my 20s.