Hi everyone. I have just received the results of my last blood test and I would like to have your opinion because since the beginning I have had difficulty getting a hematocrit or hemoglobin within acceptable values.
I’m 43 years old, I’ve been on TRT for over a year and a half. I inject myself subq 2x week 40mg of t enanthate for a total of 80mg per week. (2x2cc of 200mg t). 7 weeks ago was injecting myself once a week with 100mg and I changed to twice a week with 80mg hoping to reduce the values which were too high.
I have an appointment in a few days with my urologist for a follow-up. Are there things you think I should ask him? sorry for my english it’s not my first language.
827 total t
470 bioavailable t (calculated)
44 estradiol
28 Shbg
5.6 White cell
5.78 red cell (too high 4.20 -5.70)
174 g/L Hemoglobin (too high range 135 - 170)
51.4 Hematocrit
I have other results but the rest is within the limit.
Thanks
You’re not a robot. These values are fine and just because labs values are above the normal ranges doesn’t mean it’s unsafe or unhealthy. Stop trying to micromanage your blood values in the absence of symptoms.
Higher HCT is healthier and has never shown to be harmful. My HCT is 51% on TRT and none of my doctors are concerned. Thinker blood only becomes a problem if you have comorbidities, blockages, narrowing of the arteries, heart disease.
With secondary erythrocytosis there is an increase in blood volume which enlarges the vascular bed, decreases peripheral resistance and increases cardiac output.
Therefore, in a secondary erythrocytosis optimal oxygen transport with increased blood volume occurs at a higher hematocrit value than with a normal blood volume. A moderate increase in hematocrit may be beneficial despite the increased viscosity.
There are over 80 million people that live higher than 2,500 meters and they develop a secondary erythrocytosis. Men in parts of Bolivia for instance have a normal range of Hct from 45-61%. These men are not at an increased risk of thrombotic events nor do they have to undergo phlebotomies to manage their hematocrit.