Does High Hematocrit Lead to Complications for Men on TRT?

[readalot]

For a second there I thought I had not “liked” your comment about this on the thread you started:

Does RBC/Hematocrit Matter?

The question I have is do RBC and Hematocrit really matter if blood pressure is good, and pulse is good? My thought is that if RBC is high, pulse and BP should go up. Same thought with Hematocrit. With a mechanical system, we would expect pressure drop to go up with a thicker fluid, and we would expect to have to run the pump motor faster to get the same flow (higher pressure and higher flow or pulse). Maybe I am missing something here (why I started the thread). On TRT at least I have a go…

But then I breathed a sigh of relief that I had. I think that’s a fantastic initial screening tool and simple as many elegant tools are. Great point.

My blood viscosity and your blood viscosity at the same hematocrit (e.g., 54%) may be very different as I tried to show in a previous post. My concern is some guy watches Dr. Rouzier’s videos and has a BP of 150/90 with RHR of 85 and rationalizes it away. There are providers that have posted on here that categorically dismiss the concept of secondary erythrocytosis due to TRT being potentially problematic (especially long term).

Thanks for adding this.