Hematocrit on lower dose try

[Corduroy]

Also, if you happen to be on an SGLT2 inhibitor (Jardiance, Farxiga aka empagliflozin, dapagliflozin etc) these meds can raise hematocrit by several points. There was a recent paper warning clinicians to watch out for this additive effect of TRT + SGLT2i on hematocrit.

 

[malfeasance]

Also, if you happen to be on an SGLT2 inhibitor (Jardiance, Farxiga aka empagliflozin, dapagliflozin etc) these meds can raise hematocrit by several points. There was a recent paper warning clinicians to watch out for this additive effect of TRT + SGLT2i on hematocrit.

Was not even sure what that is and had to look it up, but, no, not taking SGLT2 inhibitors.

 

[Mac11wildcat]

2 doses of IP6, consider some grapefruit if you’re not in psych meds.

Donation is a temporary fix.

And as a side note when looking at eGFR - if you carry appreciable muscle mass your eGFR HAS to be based off of cystatin-c, not creatinine.

 

[Corduroy]

IP6 just decreases iron absorption, so it could reduce hematocrit but of course it will worsen/lower ferritin levels which isn't what you want.

 

[malfeasance]

And as a side note when looking at eGFR - if you carry appreciable muscle mass your eGFR HAS to be based off of cystatin-c, not creatinine.

I would not worry much about taking cystatin-c unless I thought there was something to be concerned about. With my eGFR number being significantly improved this year v. 2024, I do not think I have any concern worth doing a cystatin-c test. Both numbers were in the healthy range, but the trend of the change is for the better, not for the worse. Am I wrong for thinking this way?

 

[New2theGame!!]

It also helps to schedule the appointment at the end of the time slots. They have a quota they try to fill and always get cancellations as the day goes on. My hemocrit was high ( end of a 20 week EQ blast ) but the girl said “ im not gonna worry about it” and took me right in. They said as long as I showed up, i made their quota.

They don’t check HCT, you mean Hemoglobin?

 

[bob357sig]

They don’t check HCT, you mean Hemoglobin?

You are correct sir

 

[Cheezer9]

I’ve been experimenting with trying to lower hct by taking various sups since my hct started to increase. The typical naringin, ip6, fish oil natt and also increased cardio along with staying hydrated. Never had hct above 54.5.

I am curious to see if anyone has seen a correlation between fasted and non-fasted hct levels? One thing I have noticed is I’ve always seen slightly lower hct levels when I’m not fasted. My guess would be an increase of water retention? It could be coincidence but thought I’d mention it and see if others have seen a similar correlation.

 

[Corduroy]

I’ve been experimenting with trying to lower hct by taking various sups since my hct started to increase. The typical naringin, ip6, fish oil natt and also increased cardio along with staying hydrated. Never had hct above 54.5.

I am curious to see if anyone has seen a correlation between fasted and non-fasted hct levels? One thing I have noticed is I’ve always seen slightly lower hct levels when I’m not fasted. My guess would be an increase of water retention? It could be coincidence but thought I’d mention it and see if others have seen a similar correlation.

You're probably at least somewhat dehydrated while fasting, which would make Hct higher. If you have hypertension, an angiotensin receptor blocker such as telmisartan can lower Hct a bit while also having a host of other potential health benefits.

 

[Cheezer9]

You're probably at least somewhat dehydrated while fasting, which would make Hct higher. If you have hypertension, an angiotensin receptor blocker such as telmisartan can lower Hct a bit while also having a host of other potential health benefits.

Interesting… Blood pressure has always been fine <120/80 typically and have never taken blood pressure meds. I make sure to hydrate well not just on blood draw days (2+ gallons per day). Also mix in a few hydration supplements along with my water intake. I’m assuming the carb and food intake is contributing to a more efficient hydration and retention in the blood.