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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Phlebotomy Frequency
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<blockquote data-quote="Butchmo" data-source="post: 34292" data-attributes="member: 13017"><p><strong>The article cited ( "Current applications of therapeutic phlebotomy") does indeed describe when polycythemia can be suspected (Hct over 52 in men), but actually it goes on to say "Similarly, patients with hypogonadism on testosterone therapy and athletes on anabolic steroids who develop secondary polycythaemia are NOT candidates for phlebotomy." (emphasis added). I would note they DON"T explain why not! This mainstream medical view seems to be the problem for many. In fact I'm encountering resistance from my doctor to giving me a script for a therapeutic phlebotomy even though my Hct increased from 52.1 in January to 54.3 in March (just 8 weeks!) I was previously on Testim and had no problem, but in the last year switched to weekly T cypionate injections (0.5ml per week, 100mg of T). Other stuff I've read online (I'm not allowed to post links since this is my first post) from studies says risk of thrombotic events is "inconclusive" etc etc - or recommends stopping TRT as the solution to increased Hct. I would really like to have something from a medical source that agrees that TRT should be continued when Hct rises above normal and therapeutic phlebotomy used to decrease it, but I can't find anything. Any suggestions?</strong></p></blockquote><p></p>
[QUOTE="Butchmo, post: 34292, member: 13017"] [b]The article cited ( "Current applications of therapeutic phlebotomy") does indeed describe when polycythemia can be suspected (Hct over 52 in men), but actually it goes on to say "Similarly, patients with hypogonadism on testosterone therapy and athletes on anabolic steroids who develop secondary polycythaemia are NOT candidates for phlebotomy." (emphasis added). I would note they DON"T explain why not! This mainstream medical view seems to be the problem for many. In fact I'm encountering resistance from my doctor to giving me a script for a therapeutic phlebotomy even though my Hct increased from 52.1 in January to 54.3 in March (just 8 weeks!) I was previously on Testim and had no problem, but in the last year switched to weekly T cypionate injections (0.5ml per week, 100mg of T). Other stuff I've read online (I'm not allowed to post links since this is my first post) from studies says risk of thrombotic events is "inconclusive" etc etc - or recommends stopping TRT as the solution to increased Hct. I would really like to have something from a medical source that agrees that TRT should be continued when Hct rises above normal and therapeutic phlebotomy used to decrease it, but I can't find anything. Any suggestions?[/b] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Phlebotomy Frequency
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