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You have iron deficiency anemia, indicated by the low MCHC, low hemoglobin and high RDW.


If you're on TRT, and you can't maintain normal ferritin, it’s because TRT increases EPO which  increased erythroferrone, lowering hepcidin and ferroportin lets iron release from hepatocytes and therefore ferritin doesn't rise.


You need iron supplementation, preferably iron glycinate, or chelate.


I don’t understand why you would need a specialty TRT doctor to spot iron deficiency anemia. Your doctor in charge of your TRT is dropping the ball big-time!


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