Labs pre and post Therapeutic Phlebotomy

[OMI100]

Had 2 DRs tell me that my hematocrit was high and I might look at a phlebotomy to get it down.
Here is pre and post blood work.
On "T" cream - 10% at 1/2 ml./per day

PRE - 09/11/2015
Hemog - 17.2 (12.6 - 17.7)
Hemat - 50.7 (37.5 - 51.0)
DHT - 226
FT4 - 1.25 ( 0.82 - 1.77)
FT3 - 3.0 (2.0 - 4.4)
E2 Sensitive - 23 ( 8.0 - 35.0)
Free T - 15.7 ( 6.6 -18.1)

POST - 11/05/2015
Hemog - 15.6 (12.6 - 17.7)
Hemat - 46.6 (37.5 - 51.0)
FT4 - 1.1 ( 0.82 - 1.77)
FT3 - 3.1 (2.0 - 4.4)
E2 Sensitive - 29.7 ( 8.0 - 35.0)
Free T - 11.6 ( 6.6 -18.1)
Free T and total T - 785 (348 - 1197)
Ferritin Serum - 48 (30 - 400)

Started HCG after the phlebotomy and will run blood work again at about the 30 day mark.
Iron is at the low end. Think an iron supplement is in order?

 

[Nelson Vergel]

Looking good.

I would not supplement iron unless you are tired. Eat beef!

 

[Jim Remick]

Looks good for now and ferritin is good. Long term is what you will have to keep an eye on. I need monthly phlebotomies to keep hematocrit in check and it took years before my iron levels went below range. An iron supplement took care of that.

 

[Gene Devine]

How do you feel?

 

[OMI100]

I do get the "after lunch" sleepies But other than that I feel good.

 

[CoastWatcher]

I do get the "after lunch" sleepies But other than that I feel good.

Did those appear only after the phlebotomy, or have you dealt with them in the past?

 

[OMI100]

Always had the "sleepies" after lunch I think I inherited it....

 

[CoastWatcher]

Always had the "sleepies" after lunch I think I inherited it....

I get that. However, if you have no other subjective issues, I would follow Nelson's suggestion and avoid supplementing iron while you upped the beef intake.