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I prefer Subq. No pain at all.  I give blood every few months to keep things in check and would recommend that as a simple protocol to high hematocrit. My hematocrit will climb into the 50s without it. My doctor is not concerned -  it’s only erythrocytosis (increased hematocrit similar to when athletes train at altitude like in Colorado), not polycythemia, which is the increase in both red blood cells and hemoglobin. The latter is a problem. Even though my hematocrit goes high, my RBC is always normal. I just give blood for peace of mind, to help others, and to avoid getting temporarily taken of T as a precautionary measure.