Might your hematocrit and hemoglobin climb when TRT is initiated? Yes, it might. Can that be brought under control with a phlebotomy? Yes, it can. Is there any way to know - when starting TRT - if that will happen to you? No, there isn't. Unfortunately. Keep in mind that many men find their levels settle after an initial rise.
All therapeutic interventions come with associated side-effects. This is part of the baggage that some men on androgen replacement have to deal with. But it can be dealt with. Are the benefits of balanced hormones worth the associated problems?