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Your HCT and HBG are at the high end of normal but it sounds like you were at the high end of normal prior to starting HRT too. They usually give folks at clot risk anti thrombotics, regardless of the source. Your cardiac issues put you at a higher risk of a clot. Stay hydrated, take the meds and talk to your docs about if you should reduce the T at least temporarily. I am not a doc, nor have I been there, but I have worked in the medical field for a long time. Be careful, you really need to get this sorted out and taken care of properly.