Low MCH and High Hematocrit

Some background: 50 year old male, 6'1, 230 lbs. Back in Feb 2020, I had internal intestinal bleeding. Ended up losing 8 pints of blood. Hemaglobin dropped to 8.0 and did not require a transfusion. By 2/26 and taking iron pills, got my Hemaglobin up to 9.8. Ive been on TRT for over 10 years. I'm currently taking Subq Monday and Thursday .4 ml for a total of .8 ml per week. Also taking very small dose of .25 Arimidex. Since then, my Hemaglobin and Hematocrit has gone up and are now on the high side but my MCH and MCHC are on the low side.

Question is this.. should I be donating blood to get my hematocrit/hemaglobin down?

Im attaching my blood tests from Feb 20 and May 19th
 

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Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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