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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Hematocrit 57.5
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 148579" data-attributes="member: 12687"><p>Careful with that line of thinking Vince. You’re swinging the pendulum too far in the opposite direction from the practitioners and lay public whom mistakenly equate elevated HCT (erythrocytosis) to polycythemia vera. True increase in HCT <u>is not</u> polycythemia vera and should never be mistaken for same (with the latter carrying <u>more</u> risk, primarily due to the elevated platelets that you appropriately mention). However, one cannot extend that logic to the far extreme and make the conclusion (leap) that erythrocytosis itself (especially iatrogenic and not physiologic) is without risk. [USER=3]@Nelson Vergel[/USER] has posted a substantial amount of data (which is still only a portion of the data that exists) showing the flaws in that logic. Here’s a hint, which I’ve said many times previously, it’s not blood clotting we’re concerned about with elevated HCT (THAT is indeed platelets and/or clotting factors)...it is the other direct and indirect effects of the increased viscosity of the blood — blood pressure, shear forces on arterial walls over many years, etc.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 148579, member: 12687"] Careful with that line of thinking Vince. You’re swinging the pendulum too far in the opposite direction from the practitioners and lay public whom mistakenly equate elevated HCT (erythrocytosis) to polycythemia vera. True increase in HCT [U]is not[/U] polycythemia vera and should never be mistaken for same (with the latter carrying [U]more[/U] risk, primarily due to the elevated platelets that you appropriately mention). However, one cannot extend that logic to the far extreme and make the conclusion (leap) that erythrocytosis itself (especially iatrogenic and not physiologic) is without risk. [USER=3]@Nelson Vergel[/USER] has posted a substantial amount of data (which is still only a portion of the data that exists) showing the flaws in that logic. Here’s a hint, which I’ve said many times previously, it’s not blood clotting we’re concerned about with elevated HCT (THAT is indeed platelets and/or clotting factors)...it is the other direct and indirect effects of the increased viscosity of the blood — blood pressure, shear forces on arterial walls over many years, etc. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Hematocrit 57.5
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