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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Iron Deficiency Without Anemia – Common, Important, Neglected
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<blockquote data-quote="madman" data-source="post: 156809" data-attributes="member: 13851"><p>What is your trt protocol and where does your TT/FT levels sit?</p><p></p><p>What is your SHBG?</p><p></p><p>Do you suffer from sleep apnea as it can definitely contribute to/cause elevated rbc's/hemoglobin/hematocrit.</p><p></p><p>Being on trt and having sleep apnea would be a double whammy!</p><p></p><p>As you know use of exogenous testosterone will increase ones rbc's/hemoglobin/hematocrit levels within the 1st month of treatment and can continue to increase in the following months until levels peak at 9-12 months.</p><p></p><p>Not only are higher supra-physiological T levels thought to play a role but also higher TT/FT levels will have an impact.</p><p></p><p>Anytime one increases T dose an increase in rbc's/hemoglobin/hematocrit will follow.</p><p></p><p>In many cases most men on trt start donating blood well before this peak is reached to try</p><p>and maintain healthy levels but unfortunately many end up donating blood too frequently and end up crashing their ferritin which eventually will lead to iron deficiency.....top it off with the fact that many are already not taking in enough dietary or supplementary iron which eventually will become a recipe for disaster.</p><p></p><p>Even in cases where one is donating blood too often and at the same time taking in adequate iron whether through diet/supplementation they will still have issues with replenishing ferritin stores as it takes time to build them back up (3-6 months.....longer in some cases depending on severity of depletion).</p><p></p><p>Most men should not donate more than twice a year......some may be able to get away with 3 times/year max......otherwise you will end up crashing your ferritin and eventually develop iron deficiency.</p><p></p><p>The only ways to lower rbc's/hematocrit/hemoglobin when on trt is to lower T dose or donate.</p><p></p><p>The most sensible piece of advice would be to bring down your TT/FT levels into a descent range as many on trt are running higher levels than they truly need but at the same time you need to find the lowest TT/FT level you can run while reaping the positive benefits of T otherwise you will end up experiencing low-t symptoms again.</p><p></p><p>You definitely need to start supplementing iron to get your ferritin levels back in a healthy range so for you that would meant HALTING any further blood donations and seeing as your rbc's/hemoglobin/hematocrit are high you strongly need to consider lowering your T dose and looking into bringing down your TT/FT levels as it will bring down your rbc's/hemoglobin/hematocrit.....mind you I have no idea what dose of T you are on let alone where your TT/FT levels sit (so this may very well not be an option).</p><p></p><p></p><p></p><p></p><p></p><p><strong><span style="color: rgb(184, 49, 47)">"The development of <a href="https://labtestsonline.org/conditions/anemia" target="_blank">iron deficiency anemia</a> is a gradual process</span></strong><span style="color: rgb(184, 49, 47)">.</span><strong><span style="color: rgb(26, 188, 156)"> If your body is not taking in enough iron, your body first uses the iron that is stored in tissues (i.e., ferritin) and blood levels of ferritin will begin to decrease.</span></strong> <span style="color: rgb(26, 188, 156)"><strong>If not corrected, the stored iron begins to be depleted as it is used in the production of red blood cells.</strong></span> <strong><span style="color: rgb(184, 49, 47)">In the early stages of iron-deficiency, blood levels of iron can be normal </span><span style="color: rgb(26, 188, 156)">while stored iron, and therefore ferritin levels, will begin to decrease" </span></strong></p></blockquote><p></p>
[QUOTE="madman, post: 156809, member: 13851"] What is your trt protocol and where does your TT/FT levels sit? What is your SHBG? Do you suffer from sleep apnea as it can definitely contribute to/cause elevated rbc's/hemoglobin/hematocrit. Being on trt and having sleep apnea would be a double whammy! As you know use of exogenous testosterone will increase ones rbc's/hemoglobin/hematocrit levels within the 1st month of treatment and can continue to increase in the following months until levels peak at 9-12 months. Not only are higher supra-physiological T levels thought to play a role but also higher TT/FT levels will have an impact. Anytime one increases T dose an increase in rbc's/hemoglobin/hematocrit will follow. In many cases most men on trt start donating blood well before this peak is reached to try and maintain healthy levels but unfortunately many end up donating blood too frequently and end up crashing their ferritin which eventually will lead to iron deficiency.....top it off with the fact that many are already not taking in enough dietary or supplementary iron which eventually will become a recipe for disaster. Even in cases where one is donating blood too often and at the same time taking in adequate iron whether through diet/supplementation they will still have issues with replenishing ferritin stores as it takes time to build them back up (3-6 months.....longer in some cases depending on severity of depletion). Most men should not donate more than twice a year......some may be able to get away with 3 times/year max......otherwise you will end up crashing your ferritin and eventually develop iron deficiency. The only ways to lower rbc's/hematocrit/hemoglobin when on trt is to lower T dose or donate. The most sensible piece of advice would be to bring down your TT/FT levels into a descent range as many on trt are running higher levels than they truly need but at the same time you need to find the lowest TT/FT level you can run while reaping the positive benefits of T otherwise you will end up experiencing low-t symptoms again. You definitely need to start supplementing iron to get your ferritin levels back in a healthy range so for you that would meant HALTING any further blood donations and seeing as your rbc's/hemoglobin/hematocrit are high you strongly need to consider lowering your T dose and looking into bringing down your TT/FT levels as it will bring down your rbc's/hemoglobin/hematocrit.....mind you I have no idea what dose of T you are on let alone where your TT/FT levels sit (so this may very well not be an option). [B][COLOR=rgb(184, 49, 47)]"The development of [URL='https://labtestsonline.org/conditions/anemia']iron deficiency anemia[/URL] is a gradual process[/COLOR][/B][COLOR=rgb(184, 49, 47)].[/COLOR][B][COLOR=rgb(26, 188, 156)] If your body is not taking in enough iron, your body first uses the iron that is stored in tissues (i.e., ferritin) and blood levels of ferritin will begin to decrease.[/COLOR][/B] [COLOR=rgb(26, 188, 156)][B]If not corrected, the stored iron begins to be depleted as it is used in the production of red blood cells.[/B][/COLOR] [B][COLOR=rgb(184, 49, 47)]In the early stages of iron-deficiency, blood levels of iron can be normal [/COLOR][COLOR=rgb(26, 188, 156)]while stored iron, and therefore ferritin levels, will begin to decrease" [/COLOR][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Iron Deficiency Without Anemia – Common, Important, Neglected
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