madman
Super Moderator
There are many different views on Hemocrit concerns, similar to E2 concerns. I'm not saying it's right, but a very well respected doc has told me not to be concerned with Hemocrit on TRT. His own values are 62 for several years and no issues, also on TRT.
I'm not saying I agree with it, just saying don't go tanking your ferritin (by donations) trying to achieve a value less than 52 or so.
As others have said a lower dose and more frequent injections should help. I recently lowered my dose to help with Hemocrit as well. Grapefruit juice and hydration tends to help as well.
You might see if Defy Medical will take you in as a patient.
I'm not saying I agree with it, just saying don't go tanking your ferritin (by donations) trying to achieve a value less than 52 or so.
Big difference if one's hematocrit is 44-45 nmol/L pre-trt as it is doubtful hitting the higher end would cause any issues mind you some are more sensitive than others.
Going from 44-45---mid-high 50s would be an extreme jump.
As you know there are many underlying causes that can drive up one's hematocrit such as sleep apnea, poor vascular health, smoking to name a few.
Regardless running too high FT level is a common reason why many tend to struggle with elevated hematocrit on trt.
Top it off that many of these same individuals would most likely be better off running lower levels instead of being constantly caught up on that merry go round donating too frequently only to end up crashing ferritin/iron which can cause many other issues.
I recently lowered my dose to help with Hemocrit as well.
No brainer here!
Yet many will still go on struggling month after month because they are so dead set on running way too high FT level.
More is better mentality.
Sure some may need to run slightly higher levels but again many of these same individuals are taking it to the extreme thinking they need to hit a trough FT 50-60 ng/dL.
Top it all off that many may very well be running much higher levels than they think due to relying on inaccurate assays.