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Feelinglost - no need to donate at HCT 51.3, ESPECIALLY when attempting to have ferritin recover. Taking iron supplementation and then donating is like running on a treadmill...not going to get anywhere except back to square one. The ideal approach is to hold donations, but also hold iron supplementation (and ideally lower free T) to achieve a slow and steady balance of improving ferritin which will only happen without the need for donating. This is a true balancing act...one that becomes very challenging if other factors are putting upward pressure on the HCT (sleep apnea being a big one especially if concurrent with high altitude or smoking).