ExcelMale
Menu
Home
What's new
Latest activity
Forums
New posts
Search forums
What's new
New posts
Latest activity
Videos
Lab Tests
Doctor Finder
Buy Books
About Us
Men’s Health Coaching
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Navigation
Install the app
Install
More options
Contact us
Close Menu
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Hematocrit drives Blood Viscosity- Does that Matter in Men on TRT? Effect of Altitude?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="tareload" data-source="post: 142735"><p>Hi ExcelMale folks, I wanted to start off by expressing my gratitude for this site, all of the amazing work that has been put in to make this place such a great source of information. I would expect no less from a chemical engineer <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />.</p><p></p><p>I've been following this "debate" about how to properly manage TRT users and hematocrit levels and am really shocked. I'm not going to link to the videos or podcasts that have surfaced recently in this post directly but the debates corresponding to this concept have been covered here at ExcelMale.</p><p></p><p style="margin-left: 20px"><a href="https://www.excelmale.com/forum/threads/high-t-and-high-red-blood-count-q.18042" target="_blank">> High T and High red blood count Q</a></p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px"><a href="https://www.excelmale.com/forum/threads/should-we-be-managing-estradiol-and-hematocrit-in-men-on-testosterone-replacement.10592/post-71197" target="_blank">> Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?</a></p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px"><a href="https://www.excelmale.com/forum/threads/dr-neal-rouziens-position-on-hematocrit-and-estradiol-management.5625/post-27226" target="_blank">> Dr Neal Rouzien's Position on Hematocrit and Estradiol Management</a></p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px"><a href="https://www.excelmale.com/forum/threads/new-data-on-why-some-men-don%E2%80%99t-need-phlebotomy-w-dr-john-crisler.9772/post-63801" target="_blank">> New Data On Why Some Men Don’t Need Phlebotomy w/ Dr. John Crisler</a></p> <p style="margin-left: 20px"></p><p>The community at ExcelMale is very fortunate to have Nelson (a chemical engineer who understand fluid dynamics) and Dr. Saya who has a remarkable mind. His discussion in the above link is spot on.</p><p></p><p>I actually listened to a recent podcast where the host suggested a Hct level of 55% is optimal, but didn't fully disclose what the objective function was. It's an important clarification: longevity/performance/what? What worries me about the recommendations I've listened to is that some poor fellow is going to use this advice and think an Hct level in the mid 50s is perfectly reasonable and nothing should be done to correct this. Again, depending on this person's objective function (i.e., a competitive athlete) maybe they shouldn't do anything in the short term to maximize athletic performance. But for the vast majority of folks looking for functional longevity and compression of morbidity, the medical literature is quite clear a corrective action should be taken. In this thread I'll share some literature, resources to help inform TRT users and demonstrate that elevated Hct is not benign.</p><p></p><p>I can't think of a better way to think about this topic that what Dr. Saya states many times that it's about "balance" as you are trying to juggle a host of feedback loops and physiological responses. Don't screw yourself up and think that long term elevation of hematocrit is no big deal. I hope you enjoy the reading material so you can make an informed decision about your health. You are taking a healthy step forward to correct hormonal deficiency so don't then take a step back when it comes to your heart and ignoring elevated Hct.</p><p></p><p>Here's a recent review article that discusses the vascular remodeling response to increased blood viscosity. The first question you should ask yourself before reading this is: if increased blood viscosity is of no concern then why have mammals evolved to possess this response? More to come...</p><p></p><p><a href="https://journals.sagepub.com/doi/full/10.1177/1753944715591450" target="_blank">The systemic vascular resistance response: a cardiovascular response modulating blood viscosity with implications for primary hypertension and certain anemias</a></p></blockquote><p></p>
[QUOTE="tareload, post: 142735"] Hi ExcelMale folks, I wanted to start off by expressing my gratitude for this site, all of the amazing work that has been put in to make this place such a great source of information. I would expect no less from a chemical engineer :). I've been following this "debate" about how to properly manage TRT users and hematocrit levels and am really shocked. I'm not going to link to the videos or podcasts that have surfaced recently in this post directly but the debates corresponding to this concept have been covered here at ExcelMale. [INDENT][URL='https://www.excelmale.com/forum/threads/high-t-and-high-red-blood-count-q.18042']> High T and High red blood count Q[/URL][/INDENT] [INDENT][/INDENT] [INDENT][URL='https://www.excelmale.com/forum/threads/should-we-be-managing-estradiol-and-hematocrit-in-men-on-testosterone-replacement.10592/post-71197']> Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?[/URL][/INDENT] [INDENT][/INDENT] [INDENT][URL='https://www.excelmale.com/forum/threads/dr-neal-rouziens-position-on-hematocrit-and-estradiol-management.5625/post-27226']> Dr Neal Rouzien's Position on Hematocrit and Estradiol Management[/URL][/INDENT] [INDENT][/INDENT] [INDENT][URL='https://www.excelmale.com/forum/threads/new-data-on-why-some-men-don%E2%80%99t-need-phlebotomy-w-dr-john-crisler.9772/post-63801']> New Data On Why Some Men Don’t Need Phlebotomy w/ Dr. John Crisler[/URL][/INDENT] [INDENT][/INDENT] The community at ExcelMale is very fortunate to have Nelson (a chemical engineer who understand fluid dynamics) and Dr. Saya who has a remarkable mind. His discussion in the above link is spot on. I actually listened to a recent podcast where the host suggested a Hct level of 55% is optimal, but didn't fully disclose what the objective function was. It's an important clarification: longevity/performance/what? What worries me about the recommendations I've listened to is that some poor fellow is going to use this advice and think an Hct level in the mid 50s is perfectly reasonable and nothing should be done to correct this. Again, depending on this person's objective function (i.e., a competitive athlete) maybe they shouldn't do anything in the short term to maximize athletic performance. But for the vast majority of folks looking for functional longevity and compression of morbidity, the medical literature is quite clear a corrective action should be taken. In this thread I'll share some literature, resources to help inform TRT users and demonstrate that elevated Hct is not benign. I can't think of a better way to think about this topic that what Dr. Saya states many times that it's about "balance" as you are trying to juggle a host of feedback loops and physiological responses. Don't screw yourself up and think that long term elevation of hematocrit is no big deal. I hope you enjoy the reading material so you can make an informed decision about your health. You are taking a healthy step forward to correct hormonal deficiency so don't then take a step back when it comes to your heart and ignoring elevated Hct. Here's a recent review article that discusses the vascular remodeling response to increased blood viscosity. The first question you should ask yourself before reading this is: if increased blood viscosity is of no concern then why have mammals evolved to possess this response? More to come... [URL='https://journals.sagepub.com/doi/full/10.1177/1753944715591450']The systemic vascular resistance response: a cardiovascular response modulating blood viscosity with implications for primary hypertension and certain anemias[/URL] [/QUOTE]
Insert quotes…
Verification
Post reply
Share this page
Facebook
Twitter
Reddit
Pinterest
Tumblr
WhatsApp
Email
Share
Link
Sponsors
Forums
Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Hematocrit drives Blood Viscosity- Does that Matter in Men on TRT? Effect of Altitude?
This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register.
By continuing to use this site, you are consenting to our use of cookies.
Accept
Learn more…
Top