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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Dr Neal Rouzien's Position on Hematocrit and Estradiol Management
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<blockquote data-quote="ecdysone" data-source="post: 27236" data-attributes="member: 12295"><p>I think you may be missing his premise. While the correlation of high hematocrit to cardiovascular risk is true, he would claim (and may be correct) that disease conditions causing high hematocrit also have the "added baggage" of elevated platelet levels and other clotting factors. If the elevation of hematocrit is solely due to erythocytosis (caused by testosterone administration) then significantly higher levels of hematocrit/hemoglobin may be perfectly safe. This phenomena might well explain why people living at high altitudes can safely tolerate hemoglobin levels >20 g/dL.</p><p></p><p>On the E2 issue, he is not claiming that levels >30-40 are not "elevated" but that they are of no consequence if testosterone levels are also higher. The test:E2 ratio is much more important than the actual values. Maybe a good model for this is young men where their E2 levels tend to peak at >45, but are accompanied with correspondingly higher testosterone levels.</p></blockquote><p></p>
[QUOTE="ecdysone, post: 27236, member: 12295"] I think you may be missing his premise. While the correlation of high hematocrit to cardiovascular risk is true, he would claim (and may be correct) that disease conditions causing high hematocrit also have the "added baggage" of elevated platelet levels and other clotting factors. If the elevation of hematocrit is solely due to erythocytosis (caused by testosterone administration) then significantly higher levels of hematocrit/hemoglobin may be perfectly safe. This phenomena might well explain why people living at high altitudes can safely tolerate hemoglobin levels >20 g/dL. On the E2 issue, he is not claiming that levels >30-40 are not "elevated" but that they are of no consequence if testosterone levels are also higher. The test:E2 ratio is much more important than the actual values. Maybe a good model for this is young men where their E2 levels tend to peak at >45, but are accompanied with correspondingly higher testosterone levels. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Dr Neal Rouzien's Position on Hematocrit and Estradiol Management
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