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He doesn't sound concerned.  Your feeling fine is a good indicator.  However, it seems you must have a high hematocrit (polycythemia) if he is even suggesting donating blood (phlebotomy).


I asked you more questions.  Can you please answer them so that I may attempt to better help you?  How is your blood pressure?  Do you check it regularly?


Having a suboptimal EF, then "seeing if phlebotomy helps" is a highly suspect care plan.  I'm assuming there is more to the story.  See if what helps?  You say you feel fine.  What does he intend to do, have you donate blood and then see if the Echo improves?  That's suspect in and of itself, but again, I think there's more to the story.  If you are unable to provide further information, then I simply can not help you.


I recommend you buy a home BP cuff.


Also, if you have labs, then posting them will be helpful.


TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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