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Hematocrit by itself is not an accurate score to predict risk of blood thickening. Basically any athlete training at high altitude, like in Colorado, will have high hematocrit. What you want to watch out for is the high platelet count to go along with it. Unfortunately most doctors do not understand this nuance, and will freak out, or even take a man off of testosterone to bring down the hematocrit. 

I typically give blood every 3 to 4 months or in a two month interval if I am stacking some anabolics along with the TRT – but it is only to avoid having these unpleasant discussions with doctors. You have to understand what their approach and protocol is. Even well seasoned TRT doctors from wellness clinics will have someone stop temporarily if hematocrit reaches a certain point. That’s why I just continue to give blood  regularly and the hematocrit usually goes up to around 49 or 51 at the time of donation and drops down to 46 -47.