Need Help- New to TRT

[madman]

They wrote no codes on my script just tests requested. The last time I went to Quest same deal and the tech wasn't sure they could process the request but they did somehow!

Make sure the tests requested are for TT/E2 (LC-MS/MS) and FT (Equilibrium Dialysis).

 

[braketest2]

I'll have to call Defy its a joke the last time they charged me 30 just to add a lipid panel test to the script.

 

[braketest2]

Good Morning everyone! Well, parts of my bloodwork are trckling in and it's early but my Hematocrit is at 56 my Hemoglobin is 17.7 and RBC is at 6.43. This all after dropping my dose to 100mg 2X from 140mg 3x. I was at 53% when Defy oredered the increase from 100 to 140. Any input? I know some common knowledge says to jump and others say not a big deal. My BP has been in a daily 130/75 - 120/70 range for the entire time. I am 68 6'3" around 200-205 lbs and not a bodybuilder but not inactive either.

 

[Systemlord]

Good Morning everyone! Well, parts of my bloodwork are trckling in and it's early but my Hematocrit is at 56 my Hemoglobin is 17.7 and RBC is at 6.43. This all after dropping my dose to 100mg 2X from 140mg 3x. I was at 53% when Defy oredered the increase from 100 to 140. Any input? I know some common knowledge says to jump and others say not a big deal. My BP has been in a daily 130/75 - 120/70 range for the entire time. I am 68 6'3" around 200-205 lbs and not a bodybuilder but not inactive either.

You’re most likely, either dehydrated or suffering from sleep apnea, given hemoglobin and hematocrit are so far apart.

 

[braketest2]

You’re most likely, either dehydrated or suffering from sleep apnea, given hemoglobin and hematocrit are so far apart.

Could you elaborate? I thought the Hemoglobin was high are you saying it's not as high as the hematocrit? Thanks!

 

[TornCallus29]

You’re most likely, either dehydrated or suffering from sleep apnea, given hemoglobin and hematocrit are so far apart.

Agree with you, man. In my case it actually turned out to be sleep apnea behind some pretty bad numbers, and I was blaming everything else at first. Worth checking all possible causes instead of just guessing

 

[braketest2]

Am I in a place where I should halt my TRT??? Anyone opinions?

 

[Systemlord]

Am I in a place where I should halt my TRT??? Anyone opinions?

You should speak to your doctor whoever is managing your TRT. It was mandatory for me to do a sleep study six months after starting TRT.

The large ratio between your hematocrit and hemoglobin is indicating either dehydration or sleep apnea. I’m inclined to believe it’s the latter.

 

[braketest2]

You should speak to your doctor whoever is managing your TRT. It was mandatory for me to do a sleep study six months after starting TRT.

The large ratio between your hematocrit and hemoglobin is indicating either dehydration or sleep apnea. I’m inclined to believe it’s the latter.

My BP has been fine and I was due to inject tonight I am only on 100mg split into 2. If you read the thread you'd notice I have been I'll advised and dosed probably poorly. Six weeks ago I was on 140mg split into 3x per week and madman convinced me to lower my dose. The last BW had me at 54 percent in January and they bumped me to 140mg. Am I wrong or should I have objected??? Hell I don't even know what to do about tonight.

 

[Phil Goodman]

Good Morning everyone! Well, parts of my bloodwork are trckling in and it's early but my Hematocrit is at 56 my Hemoglobin is 17.7 and RBC is at 6.43. This all after dropping my dose to 100mg 2X from 140mg 3x. I was at 53% when Defy oredered the increase from 100 to 140. Any input? I know some common knowledge says to jump and others say not a big deal. My BP has been in a daily 130/75 - 120/70 range for the entire time. I am 68 6'3" around 200-205 lbs and not a bodybuilder but not inactive either.

The blood pressure looks good which is reassuring, but hematocrit that high would cause me to consider making changes. There are different views, but I’d generally say getting up close to 54 is about as high as I’d be willing to push it. That being said, it is just a snapshot in time and I’ve shared my experience of getting bloodwork done on a Friday and the following Monday and seeing a swing of over 3 points. Lots of things can affect that number on a test, with the main one being hydration levels. In my case I would’ve imagined I would’ve been MORE dehydrated on Monday due to drinking over the weekend, but still saw a significant drop in just a few days.

If you are getting good benefits from trt I’d say just stick with the 100 mg/weekly in two injections protocol and test hematocrit again in a few weeks. That’ll let you know if it was an outlier or if your numbers really are hovering around the 55+ range. If so, one thing to consider is going to more frequent injections as there seems to be a correlation between the height of the peak and the rise in hematocrit values. That along with hydration, exercise, and improved sleep should help. And if you’re still taking DHEA adjust that to take in the morning instead of night. Everyone reacts differently to it, and for me personally it seems to energize me so I’d imagine taking before bed would negatively affect my sleep.

Just a few things to consider before getting retested.