I don‘t understand the fear about slightly elevated hematocrit levels on TRT. Testosterone induces erythocytosis and not polycythemia. It is only the latter that inceases the risk of blood clots.
Can anybody show me a study that concludes that slightly elevated hematocrits below (<60) alone, so in the measured absence of other variables such as hypertension, polycythemia, insuline resistance, etc, leads to cardiovascular disease or other serious health issues?
The key point is that the health reasons why your RBC content is higher matter. Is it causes by something sinister like sleep apnea or polycythemia, or is it instead caused by testosterone or living at higher altitudes? You can’t just look at a blood marker without context and make a general assumption, but this is exactly what researchers, doctors and as a result the general public are doing more and more.
if you ‘feel better’ giving blood and you don’t have low iron, go ahead…but I would not let my RBC levels determine the course of my TRT treatment.