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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Is it true that an elevated hematocrit level on TRT does not require blood donation?
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<blockquote data-quote="BigTex" data-source="post: 270628" data-attributes="member: 43589"><p>First off,<strong> thank you very much for taking the time to reply doctor.</strong> With all due respect, I use the same lab every time (Quest) and am certainly not close to being dehydrated. I drink at minimum 1 gal of water/day and have for years. I absolutely have no symptoms including headache, fatigue, blurred vision and/or paresthesias. Not even when I had a HCT of ~59%. I might expect some fatigue since I take metoprolol, telmisartan, rhGH and Mk677.</p><p></p><p>Here is my September testing. I am doing 55mg of test undeconoate every 5 days, sub-q.</p><p>PLATELET COUNT 281 Reference Range: 140-400 Thousand/uL</p><p>RED BLOOD CELL COUNT 5.66 Reference Range: 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 16.8 Reference Range: 13.2-17.1 g/dL</p><p>HEMATOCRIT 50.4 H Reference Range: 38.5-50.0 %</p><p></p><p>By the way, I also hold the cypionate for my E2 levels going crazy. When I started in Jan or 2022 it jumped from 38 to 66 and once I stopped the TC and switched to TU it dropped to 24. My doctor told me to take anastrozole 2 days a week, but I refused to use it because I know it will crash my E2 levels badly.</p><p></p><p>Everything is in the <strong>normal</strong> high range except HCT which is 0.4 points high. Most experts in the medical society, as we have already seen posted here, agree that >54% is a problem. So as long as I see it continually going down, I am not going to get excited and do a bunch of blood dumps and risk crashing my iron levels. I have learned a long time ago that patients is a virtue in TRT as well as using anabolic steroids. Figure out what esters work for you and find a sweet spot and stay with it. Drastic changes cause problems which take a while to fix. I honestly think most doctors over prescribe blood dumps and many don't bother testing iron levels. Luckily mine are fine</p><p></p><p>Here is another test from 2010 when I was on a full blown cycle 250mg of test enanthate/wk, 100mg of primabolin enanthate/wk and 100mg of trenbolone enanthate/wk. I was still competing in powerlifting</p><p></p><p>PLATELET COUNT 183 140-400 Thousand/uL</p><p>WHITE BLOOD CELL COUNT 11.5 H 3.8-10.8 Thousand/uL</p><p>RED BLOOD CELL COUNT 5.54 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 17.9 H 13.2-17.1 g/dL</p><p>HEMATOCRIT 52.9 H 38.5-50.0 %</p><p></p><p>HEMOGLOBIN- 0.8 point high</p><p>HEMATOCRIT- 2.9 points over 50% and well below the >54% mark</p><p></p><p>Not so bad considering what all I was taking (450mg/wk total).</p><p></p><p>Yet another in 2017 using 1000mg of test undeconoate/month plus either 20mg of oxandrolone or 25mg of stanozolol/d This is definitely not a TRT dose either</p><p></p><p>PLATELET COUNT 311 140-400 Thousand/uL</p><p>WHITE BLOOD CELL COUNT 9.0 3.8-10.8 Thousand/uL</p><p>RED BLOOD CELL COUNT 5.65 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 16,8 13.2-17.1 g/dL</p><p>HEMATOCRIT 52.9 H 50.9 -50.0 %</p><p>TESTOSTERONE - 772</p><p></p><p>Again, 0.9 points high on the HCT and everything else is well within the normal range. Again, these are not TRT doses.</p><p></p><p>I have done high doses for many years and have always paid close attention to how much water I consume because of my job. I weighed every day before practice and for every pound I lost in sweat after practice I replaced it in water before i went home. I was a football coach at the time, now retired. I have never had any symptoms of high HCT and would not expect to being <54%. Now, my doctor did send an order for me to do a blood dump, but I am not going to go. I go for more testing next week and expect to be at or less than 50%. Especially eating a grapefruit every day for a year.</p><p></p><p>Here are my ranges since 2010 - present</p><p>PLATELET COUNT 311- 280 140-400 Thousand/uL</p><p>WHITE BLOOD CELL COUNT 7. -,14.6, 3.8-10.8 Thousand/uL</p><p>RED BLOOD CELL COUNT 5.3 - 6.42 4.20-5.80 Million/uL</p><p>HEMOGLOBIN 16,8 - 20.2 13.2-17.1 g/dL</p><p>HEMATOCRIT 50.4 - 58.5</p><p></p><p>ALL of the TRT high ranges were when my doctor put me on test cypionate.</p><p></p><p>Jan - March(2022) - 2103 Test cyp 150mg every 10 days he started me with 150mg every 10 days. The free testosterone shot up to 2130. HCT shot up as well.</p><p></p><p>I dropped it to 100mcg every 10 days in March and still the HCT was high. In the time I was doing blood dumps every month with HCT dropping a little bit.. The T levels were still high but dropping..</p><p></p><p>In April, I dropped the dose to 80bg, every 10 days and still was around 56 HCT. As you can also see my free test also dropped to 549 which for me is totally unacceptable.</p><p></p><p>In October of 2022 I dropped the test cyp completely and started on 55mg of test undecanoate every 5 days. My hct started dropping from 57 - 53 in 90 days and my test levels gradually started to increase from 549 to the 750-800 level. I stopped the blood dumps and have not done one dump in 2023, yet my HCT continued to drop from 53 to 50.4. Changes in HCT levels are very slow and I know you are aware that it can take 90 days minimum to see changes. Unlike my doctor, I prefer to be very patient in this and know much better what doses I need and what esters work best in my body. I have never reacted good with test cyp since I first used it in 1982. If my patients doesn't do the trick I can always resort to dumps.</p><p></p><p>TRT dosing since 2022</p><p>March - April - 839 T 100mg every 10 days</p><p>April - October - 549T 80mg every 10 days</p><p>Nov - present (2023) - 55mg of testosterone undecanoate every 5 days</p></blockquote><p></p>
[QUOTE="BigTex, post: 270628, member: 43589"] First off,[B] thank you very much for taking the time to reply doctor.[/B] With all due respect, I use the same lab every time (Quest) and am certainly not close to being dehydrated. I drink at minimum 1 gal of water/day and have for years. I absolutely have no symptoms including headache, fatigue, blurred vision and/or paresthesias. Not even when I had a HCT of ~59%. I might expect some fatigue since I take metoprolol, telmisartan, rhGH and Mk677. Here is my September testing. I am doing 55mg of test undeconoate every 5 days, sub-q. PLATELET COUNT 281 Reference Range: 140-400 Thousand/uL RED BLOOD CELL COUNT 5.66 Reference Range: 4.20-5.80 Million/uL HEMOGLOBIN 16.8 Reference Range: 13.2-17.1 g/dL HEMATOCRIT 50.4 H Reference Range: 38.5-50.0 % By the way, I also hold the cypionate for my E2 levels going crazy. When I started in Jan or 2022 it jumped from 38 to 66 and once I stopped the TC and switched to TU it dropped to 24. My doctor told me to take anastrozole 2 days a week, but I refused to use it because I know it will crash my E2 levels badly. Everything is in the [B]normal[/B] high range except HCT which is 0.4 points high. Most experts in the medical society, as we have already seen posted here, agree that >54% is a problem. So as long as I see it continually going down, I am not going to get excited and do a bunch of blood dumps and risk crashing my iron levels. I have learned a long time ago that patients is a virtue in TRT as well as using anabolic steroids. Figure out what esters work for you and find a sweet spot and stay with it. Drastic changes cause problems which take a while to fix. I honestly think most doctors over prescribe blood dumps and many don't bother testing iron levels. Luckily mine are fine Here is another test from 2010 when I was on a full blown cycle 250mg of test enanthate/wk, 100mg of primabolin enanthate/wk and 100mg of trenbolone enanthate/wk. I was still competing in powerlifting PLATELET COUNT 183 140-400 Thousand/uL WHITE BLOOD CELL COUNT 11.5 H 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.54 4.20-5.80 Million/uL HEMOGLOBIN 17.9 H 13.2-17.1 g/dL HEMATOCRIT 52.9 H 38.5-50.0 % HEMOGLOBIN- 0.8 point high HEMATOCRIT- 2.9 points over 50% and well below the >54% mark Not so bad considering what all I was taking (450mg/wk total). Yet another in 2017 using 1000mg of test undeconoate/month plus either 20mg of oxandrolone or 25mg of stanozolol/d This is definitely not a TRT dose either PLATELET COUNT 311 140-400 Thousand/uL WHITE BLOOD CELL COUNT 9.0 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.65 4.20-5.80 Million/uL HEMOGLOBIN 16,8 13.2-17.1 g/dL HEMATOCRIT 52.9 H 50.9 -50.0 % TESTOSTERONE - 772 Again, 0.9 points high on the HCT and everything else is well within the normal range. Again, these are not TRT doses. I have done high doses for many years and have always paid close attention to how much water I consume because of my job. I weighed every day before practice and for every pound I lost in sweat after practice I replaced it in water before i went home. I was a football coach at the time, now retired. I have never had any symptoms of high HCT and would not expect to being <54%. Now, my doctor did send an order for me to do a blood dump, but I am not going to go. I go for more testing next week and expect to be at or less than 50%. Especially eating a grapefruit every day for a year. Here are my ranges since 2010 - present PLATELET COUNT 311- 280 140-400 Thousand/uL WHITE BLOOD CELL COUNT 7. -,14.6, 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.3 - 6.42 4.20-5.80 Million/uL HEMOGLOBIN 16,8 - 20.2 13.2-17.1 g/dL HEMATOCRIT 50.4 - 58.5 ALL of the TRT high ranges were when my doctor put me on test cypionate. Jan - March(2022) - 2103 Test cyp 150mg every 10 days he started me with 150mg every 10 days. The free testosterone shot up to 2130. HCT shot up as well. I dropped it to 100mcg every 10 days in March and still the HCT was high. In the time I was doing blood dumps every month with HCT dropping a little bit.. The T levels were still high but dropping.. In April, I dropped the dose to 80bg, every 10 days and still was around 56 HCT. As you can also see my free test also dropped to 549 which for me is totally unacceptable. In October of 2022 I dropped the test cyp completely and started on 55mg of test undecanoate every 5 days. My hct started dropping from 57 - 53 in 90 days and my test levels gradually started to increase from 549 to the 750-800 level. I stopped the blood dumps and have not done one dump in 2023, yet my HCT continued to drop from 53 to 50.4. Changes in HCT levels are very slow and I know you are aware that it can take 90 days minimum to see changes. Unlike my doctor, I prefer to be very patient in this and know much better what doses I need and what esters work best in my body. I have never reacted good with test cyp since I first used it in 1982. If my patients doesn't do the trick I can always resort to dumps. TRT dosing since 2022 March - April - 839 T 100mg every 10 days April - October - 549T 80mg every 10 days Nov - present (2023) - 55mg of testosterone undecanoate every 5 days [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Is it true that an elevated hematocrit level on TRT does not require blood donation?
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