High hematocrit but low iron and ferritin
- Thread starter Auggie68
- Start date
Vince
Super Moderator
How high does your HCT get?
Often the solution to this and many other issues is - lower your dose.
What is your current protocol/most recent labs?
Attachments
Should say it creeps higher IF I dont donate
I know you didn’t initially ask for protocol advice, but a change might be due.
Lower dose, more frequent injections.
May even allow you to both get in the 700-800s AND lower HCT.
madman
Super Moderator
What is your current trt protocol (dose T/injection frequency)?
Post labs and references ranges.
Again post labs with the reference ranges and assays used for TT/FT let alone where your SHBG sits.
Then we can break this down.
You state that you are only hitting a TT in the 500s which would definitely be trough levels (7 days post-injection) but regardless your TT/FT/e2 levels will be sky high post-injection (8-12 hrs) and remain high during the first few days only to be much lower by weeks end.
Not only will there be a big difference in the peak--->trough level when injecting once weekly but blood levels will not be as stable throughout the week which can result in a yo-yo effect that can have a negative impact on energy/mood/libido/erectile function/recovery.
Although TT is important to know you should be more concerned with where your FT sits as it is the active unbound fraction of testosterone responsible for the positive effects.
When it comes to FT unless you had it tested using the most accurate assay such as the gold standard Equilibrium Dialysis or Ultrafiltration then you have no idea where it truly sits.
Top it all off with the fact that although you stated you are only hitting a TT 500s on such protocol (200 mg T/week) that your SHBG will dictate where your FT sits.
Running too high TT/FT level will drive up your RBCs/hemoglobin/hematocrit let alone injecting higher doses once weekly.
Post labs and references ranges.
Again post labs with the reference ranges and assays used for TT/FT let alone where your SHBG sits.
Then we can break this down.
You state that you are only hitting a TT in the 500s which would definitely be trough levels (7 days post-injection) but regardless your TT/FT/e2 levels will be sky high post-injection (8-12 hrs) and remain high during the first few days only to be much lower by weeks end.
Not only will there be a big difference in the peak--->trough level when injecting once weekly but blood levels will not be as stable throughout the week which can result in a yo-yo effect that can have a negative impact on energy/mood/libido/erectile function/recovery.
Although TT is important to know you should be more concerned with where your FT sits as it is the active unbound fraction of testosterone responsible for the positive effects.
When it comes to FT unless you had it tested using the most accurate assay such as the gold standard Equilibrium Dialysis or Ultrafiltration then you have no idea where it truly sits.
Top it all off with the fact that although you stated you are only hitting a TT 500s on such protocol (200 mg T/week) that your SHBG will dictate where your FT sits.
Running too high TT/FT level will drive up your RBCs/hemoglobin/hematocrit let alone injecting higher doses once weekly.
madman
Super Moderator
Crashed ferritin/iron is a given when donating frequently and can result in a host of other negative issues.
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