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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
TRT, Therapeutic Phlebotomy, Low Ferritin, and Iron Replacement
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<blockquote data-quote="DMc79" data-source="post: 17872" data-attributes="member: 2601"><p>I'm 59 years old and have been on TRT since 6/12. In the fall of 2012 excessively high testosterone levels forced us to lower the injection amount from 1.0ml to 0.7ml and decrease the injection interval from 14 days to 10 days. That lowered mid-cycle testosterone to 650-675 ng/dL, where it has stayed ever since. In early 2013 my GP noticed that my hematocrit/hemoglobin level was excessive and prescribed therapeutic phlebotomy. Over the next twelve months I donated almost two gallons of blood. Although this procedure did draw down my hematocrit to a normal level, it also severely lowered my ferritin. Over the past year I have donated another gallon of blood (one unit every eight weeks), to bring my total to slightly over three gallons. My GP just ran a complete blood panel and now he wants to address the low ferritin issue. My ferritin was first measured on 9-17-14 at 5.6ng/mL. Last week it was 5.3ng/mL. Both are very low. He wants me to take a iron supplement. My current hematocrit level is 48, crowding the high side of normal.</p><p></p><p> My question is this: Won't the addition of iron via supplements stimulate RBC production, and elevate my hematocrit levels? It seems that with TRT you solve one problem and that it causes another problem that has to be dealt with.</p><p></p><p>As a side note, my GP asked me this week if I thought the TRT injections were "worth it". He said there were other ways to deal with my ED issues (pills) and that a lot of guys give up on TRT because of side effects like the ones I'm experiencing. I was taken aback by his suggestion, and explained that TRT also helped me concentrate better, restored my sex drive, and initially it also gave me more energy. I said I didn't see how pills were going to offer all of that.</p></blockquote><p></p>
[QUOTE="DMc79, post: 17872, member: 2601"] I'm 59 years old and have been on TRT since 6/12. In the fall of 2012 excessively high testosterone levels forced us to lower the injection amount from 1.0ml to 0.7ml and decrease the injection interval from 14 days to 10 days. That lowered mid-cycle testosterone to 650-675 ng/dL, where it has stayed ever since. In early 2013 my GP noticed that my hematocrit/hemoglobin level was excessive and prescribed therapeutic phlebotomy. Over the next twelve months I donated almost two gallons of blood. Although this procedure did draw down my hematocrit to a normal level, it also severely lowered my ferritin. Over the past year I have donated another gallon of blood (one unit every eight weeks), to bring my total to slightly over three gallons. My GP just ran a complete blood panel and now he wants to address the low ferritin issue. My ferritin was first measured on 9-17-14 at 5.6ng/mL. Last week it was 5.3ng/mL. Both are very low. He wants me to take a iron supplement. My current hematocrit level is 48, crowding the high side of normal. My question is this: Won't the addition of iron via supplements stimulate RBC production, and elevate my hematocrit levels? It seems that with TRT you solve one problem and that it causes another problem that has to be dealt with. As a side note, my GP asked me this week if I thought the TRT injections were "worth it". He said there were other ways to deal with my ED issues (pills) and that a lot of guys give up on TRT because of side effects like the ones I'm experiencing. I was taken aback by his suggestion, and explained that TRT also helped me concentrate better, restored my sex drive, and initially it also gave me more energy. I said I didn't see how pills were going to offer all of that. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
TRT, Therapeutic Phlebotomy, Low Ferritin, and Iron Replacement
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