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Aside from ferritin levels, which is storage iron, your serum iron level is important. That raised also.  Serum iron is the actual iron level in your blood.  Better energy and strength.  However, because of my higher hct from the higher iron levels and higher T levels from TRT, I have had some EQ issues, shortness of breath, elevated resting heart rate etc.  I'm in the process of lower my T dosage and increasing frequency, and drinking lots of water to hopefully bring my hct levels down without having to donate blood.  I'm also taking fish oil and daily aspirin to thin out my blood.       


I have noticed via doing labs over the years that the lower my T level is the higher my serum iron is.  My theory is that your body seeks homeostasis.  The higher your T level the higher your red blood cells and hct.  Your body senses this and since it cannot control the exogenous T, it lowers the serum iron (and keeps it in storage) to try to keep the red blood cells and HCT in check.  Just a theory but my labs have seemed to indicate this.


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