Trouble getting basic Phlebotomy

[DarkMan X]

I even managed to get a prescription for a phlebotomy! But my blood bank (which took my blood twice last year) refuses to honor this prescription. My private GP doctor also refuses to give me a therapeutic phlebotomy.

Any suggestions?

 

[Systemlord]

The last thread you started, your Total T and Free T were sky high, hematocrit was 52.3%. It was suggested you lower your TRT dosage.

What are your Total T and Free T levels and what is your hematocrit levels?

 

[DarkMan X]

What are your Total T and Free T levels and what is your hematocrit levels?

 

[madman]

View attachment 36486

Still at this I see.

You clearly never took every ones advice from one of your previous threads which was to simply lower your T dose.

You were in no way using a TRT dose 100-200 mg/T week as you stated that you were injecting 2-3 mL/week which would be steroid doses of 400-600 mg T/week as most on TRT are using TC/TE (200mg/mL strength).

You stated that you lowered your dose to 1 mL (200 mg T/week) yet here you are still posting labs with an absurdly high TT/FT level.

Even than if one lowered T dose which would be the most sensible way to bring down elevated RBCs, hemoglobin and hematocrit it will take 3-4 months before you notice a drop in those blood markers due to the lifespan RBCs.

Management of erythrocytosis during TRT

Dear Editor, Testosterone is the primary sex hormone and anabolic steroid in men. It is a widely used drug which is used by males as an anabolic–androgenic steroid but it is also the cornerstone in treatment of both hypogonadal men and transgender people. This letter will focus on the use of...

www.excelmale.com

Nandrolone Issues

More than 6 months ago, I was started on Nandrolone decanoate ON TOP of my regular TRT because Defy judged that my back pain would greatly benefit from beefing up/strengthening my back muscles. I was assigned to take 0.15 mL's twice a week. But even at such a small dose, the Nandrolone always...

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I called it out here!

I asked you to post labs.....yet nothing.

Hematocrit still high even after Blood donation!

Hey guys, When I first started TRT one year ago with Royal mens medical., they said that if your RBC count/hematocrit go too high, you must do a blood donation to correct it. My blood donation was on July 19th, 2022. Below are the results of my first blood test AFTER this donation. As...

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I must come clean

I feel like I have not been totally honest with folks on this forum. I don't know how, but my testosterone jumped up very fast (less than 2 months) to OVER THE MAX LEVEL. Now I have BPH that doesn't respond to Flomax or Uroxatral. My blood pressure jumps up to 164/xx on some bad days, and...

www.excelmale.com

 

[Systemlord]

You stated that you lowered your dose to 1 mL (200 mg T/week) yet here you are still posting labs with an absurdly high TT/FT level.

@DarkMan X is on biotin supplements, 325 mcg to be exact.

 

[madman]

@DarkMan X is on biotin supplements, 325 mcg to be exact.

325 mcg is not that much and even than he tested his TT/FT using the most accurate assays (LC/MS-MS, Equilibrium Dialysis).

The Enigma of Biotin Interference

www.excelmale.com

 

[madman]

Sense and nonsense concerning biotin interference in laboratory tests

Sense and nonsense concerning biotin interference in laboratory tests (2020) Alena Moerman & Joris R. Delanghe ABSTRACT Introduction: Biotin supplementation (mainly OTC preparations) has gained popularity. There are concerns about biotin interference in immunoassays and potential...

www.excelmale.com

 

[madman]

Effect on testosterone of Biotin

Does Biotin increase or decrease testosterone? does anybody know?

www.excelmale.com

Method Used for Total Testosterone:

– Liquid chromatography-tandem mass spectrometry (LC-MS/MS)- No upper or lower limit

– Analytical sensitivity: 1.0 ng/dL

– Analytical specificity: no cross-reactivity with other steroid compounds or supplements like biotin

– Analytical Measurement Range: 1.0 ng/dL to 2,000+ ng/dL

 

[DarkMan X]

Actually I have lowered my T-cyp to only 1 mL per week. Then I was informed via (t-nation.com) that SubCutaneous T-Cyp shots (which I've been doing for more than a year) will drastically increase Estradiol much more than Intramusclar shots (the traditional route).

Do Sub-Q Testosterone Injections Cause High Estrogen?

TRT and Subcutaneous Administration Injecting testosterone subcutaneously versus intramuscularly has its benefits, but it might also have drawbacks. Here’s what you need to know. The popularity of subcutaneous or sub-Q injections for testosterone replacement therapy (TRT) is on the uptick...

forums.t-nation.com

SystemLord is correct - I have been ingesting 325mcg Biotin for years because this was inside my B-Complex supplement.

Another large problem is my Estradiol. It's been too high for more than a year - much more. According to the above-linked article on T-nation, this can simply be the result of shooting SubCutaneously - I stopped that 2 days ago when I wook my first T-cyp shot directly (and ONLY) into my muscle tissue (buttocks).

But what if Estradiol does NOT go down with strictly Intra-muscular shots? Is it seriously possible that I have some "immunity" to Anastrazole? I've been on at least 1mg per week since starting TRT. (Royal Med actually pre-mixes Anastrazole into the T-cyp solution to "maximize" absorption). If Royal wasn't so damn expensive, I'd probably still be with them.

 

[Nelson Vergel]

Actually I have lowered my T-cyp to only 1 mL per week. T

Lower it to 0.25 ml twice per week. Wait 90 days for red blood cells to adjust. That's all you need. Follow the advice that people are giving you on this thread, or stay on your 200 mg/week and find a way to get phlebotomy every 3 months. No other way to get around it.

 

[joshuaje]

I've faced similar issues. Maybe consider talking to other blood banks or doctors to see if they can help. Also, try to understand why they're refusing. Maybe there's a misunderstanding or a specific reason they can't fulfill it. Sometimes, different places have different policies or opinions. You can explore other options at Getting a Phlebotomy Job without Experience - Phlebotomy Near You. They have info about places, costs, and even phlebotomy courses. Don't lose hope yet. Keep exploring your options and advocating for yourself.