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I'm running into the "take iron or not" question myself at this point in my trt history. Been donating blood every two months for 3 or 4 years now without too much problem. Hematocrit regularly runs in the low 50's and hemoglobin from 17 to 19. However, recently developed some vague symptoms which could mimic iron defiecency anemia like more fatigue than usual and some unrefreshing sleep. Recently pulled iron status labs and ferritin was 49ng/ml on Labcorp range 30 -400 so thats not too bad. Serum iron was 157ug/dl on range 40 -155 and unbound iron binding capacity of 152 ug/dl on range 150 -375 for Total Iron Binding Capacity (TIBC) of 309 range 250 -450. So while everything is within range or slightly out I'm not sure what's going on with the symptoms. I had avoided too much red meat the last couple years as well as iron fortified cereals and the multi-vitamin I take has no iron.  Sorry to hijack the thread but if someone can interpret those lab values and give me some insight on iron status I would appreciate it. I did these labs out of pocket not under a physician.