High RBC, Hemoglobin and hematocrit Advice

[DECLAN]

Recent blood work results came out as

RBC 6.27 range 4.2-5.4
HEMOGLOBIN 176 135-170
HEMATOCRIT 0.54 0.40-0.50

I am on test cyp 120mg every two weeks.

Urologist wants to stop treatment right away and test again in 2 months. He doesn't offer any medication or solution just stopping injections cold turkey.

I am going for a vacation and hence can't donate blood. I don't want to feel like crap during my vacation but I don't want to risk blood cots, stroke or heart attack either.

As far as research go, I've read of how it's not bad as being claimed and how recent studies on blood donations are that effective. I started taking baby aspirin, and increased my fish oil intake to 8grams and I upped my water intake too.

Should I stop trt and PCT or continue. I know my dosage is so low and the suggested injection frequency is not advisable. Doc is so conservative and prescribes so low, we haven't figured the optimal doses yet.

Any suggestions?

 

[Mac11wildcat]

Donate blood, try some grapefruit juice or extract. Believe telmisartan has impacts on hematocrit. Lots of other solutions but that is high for a TRT level dose.

 

[DECLAN]

Donate blood, try some grapefruit juice or extract. Believe telmisartan has impacts on hematocrit. Lots of other solutions but that is high for a TRT level dose.

I have a retest scheduled tommorow, I am hoping I am only dehydrated since I fasted for 12hours prior to blood work.

Should I continue pinning or PCT just to be safe?

 

[demon]

I have a retest scheduled tommorow, I am hoping I am only dehydrated since I fasted for 12hours prior to blood work.

Should I continue pinning or PCT just to be safe?

I was just going to ask were you well hydrated prior to the test. Hydration plays a big role for me. I always hydrate the night before and the day of. Like up to 100oz of fluid. also, like above poster mentioned telmisartan seems to have an affect in keeping it lower. Can you drop a pint of blood before the retest?

I posted this video in another thread for what its worth..



View: https://www.youtube.com/shorts/uvOpSMy_qys

 

[pigeonhed]

If you cannot donate I would suggest up hydration as much as humanly possible.

 

[DECLAN]

I was just going to ask were you well hydrated prior to the test. Hydration plays a big role for me. I always hydrate the night before and the day of. Like up to 100oz of fluid. also, like above poster mentioned telmisartan seems to have an affect in keeping it lower. Can you drop a pint of blood before the retest?

I posted this video in another thread for what its worth..



View: https://www.youtube.com/shorts/uvOpSMy_qys

I am currently prescribed telmisartan 40mg, genetic related hypertension. I won't be able to give blood until I come back from vacation. It sucks that this result came out a week prior to my planned vacation.

I was on a 325mg test e, 200mg mast p per week for 10 weeks, 75mg winstrol solution EOD for 4 weeks, which I stopped a month ago which probably caused the increase.

 

[demon]

I am currently prescribed telmisartan 40mg, genetic related hypertension. I won't be able to give blood until I come back from vacation. It sucks that this result came out a week prior to my planned vacation.

I was on a 325mg test e, 200mg mast p per week for 10 weeks, 75mg winstrol solution EOD for 4 weeks, which I stopped a month ago which probably caused the increase.

That sucks. It's a personal decision if you want to stop and start pct or stay on your trt dose. If it was me I wouldn't stop, just take more precautions to lower it while on trt since your dr is making an issue.

You're right though, out of range hct and rbc is something that's misunderstood by doctors. Some say it's horrible your going to stroke out while other doctors don't have an issue.

 

[DECLAN]

That sucks. It's a personal decision if you want to stop and start pct or stay on your trt dose. You're right though, out of range hct and rbc is something that's misunderstood by doctors. Some say it's horrible your going to stroke out while other doctors don't have an issue.

I know, I was taken aback and have to make him repeat his instructions. I have not seen anything like it so far around the forums, everyone's doctor just had them donate or take meds for thinning or lowering the dose.

I will decide on what to do tommorow after my test.

I'm just disappointed that the doc has to stop treatment every time I test high, i might as well stop trt to avoid yoyo effect.

 

[Millard]

I'm just disappointed that the doc has to stop treatment every time I test high, i might as well stop trt to avoid yoyo effect.

I don't like this either. I understand the concern about hematocrit. But complete withdrawal from treatment and putting you in a hypogonadal state as a way to manage hematocrit levels isn't a very healthy approach either.

There are other ways to manage. Like the many suggestions about regular therapeutic blood donation. Also, adjusting the dosage downwards. Maybe 100mg/wk would be better.

 

[Rido]

There is no true set hemoglobin/hct parameters for erythrocytosis that is not related to a myeloproliferative neoplasm category (Polycythemia Vera).

It's more symptom based. Some doctors have adopted the guidelines for PV for general erythrocytosis which is not the right thing to do.

 

[DECLAN]

I don't like this either. I understand the concern about hematocrit. But complete withdrawal from treatment and putting you in a hypogonadal state as a way to manage hematocrit levels isn't a very healthy approach either.

There are other ways to manage. Like the many suggestions about regular therapeutic blood donation. Also, adjusting the dosage downwards. Maybe 100mg/wk would be better.

I wonder if pinning more frequently help? The urologist's actual instruction is 125mg every 2 weeks, which I follow before blood work then I would go 125mg per week pinned once a week.

 

[Millard]

I wonder if pinning more frequently help? The urologist's actual instruction is 125mg every 2 weeks, which I follow before blood work then I would go 125mg per week pinned once a week.

Oh, I thought you were prescribed 125mg PER WEEK.

125 EVERY TWO WEEKS is already very low.

It seems unlikely such a low dose resulted in the out of range RBC/hematocrit/hemoglobin readings.

Maybe the doctor suspected as much. Maybe he thought you were self-medicating as a complement to his prescribed HRT and ask you to stop out of an abundance of caution?

 

[DECLAN]

Oh, I thought you were prescribed 125mg PER WEEK.

125 EVERY TWO WEEKS is already very low.

It seems unlikely such a low dose resulted in the out of range RBC/hematocrit/hemoglobin readings.

Maybe the doctor suspected as much. Maybe he thought you were self-medicating as a complement to his prescribed HRT and ask you to stop out of an abundance of caution?

My testosterone came out as 5.6 nmol or 176 ng dl, so it's really low. I don't have any hope for this doc since he is old school and the tests he orders are just bare minimum, he doesn't even order e2 in the blood work.

 

[Rido]

My testosterone came out as 5.6 nmol or 176 ng dl, so it's really low. I don't have any hope for this doc since he is old school and the tests he orders are just bare minimum, he doesn't even order e2 in the blood work.

are you in the US?

 

[DECLAN]

are you in the US?

Canada.

 

[Rido]

Canada.

damn man. I am sorry to hear that(not about country). I wish I could help direct you somewhere

 

[DECLAN]

damn man. I am sorry to hear that(not about country). I wish I could help direct you somewhere

No worries man, I am glad with the information we share in this forum even if we are countries, even continents apart. Appreciate the thoughts brother.

 

[Bumpygooch]

I’m guessing apnea is your culprit on 60mg/week. Mine has gone as high as 57. I read you can’t donate, but, you should figure out a way before your HGB is too high to donate and you need a therapeutic phlebotomy.

 

[OneStrongMutha]

If you cannot donate I would suggest up hydration as much as humanly possible.

In a 2 day span, with just hydrating a shit ton, I got my hematocrit from 52 down to 48.

 

[DECLAN]

I’m guessing apnea is your culprit on 60mg/week. Mine has gone as high as 57. I read you can’t donate, but, you should figure out a way before your HGB is too high to donate and you need a therapeutic phlebotomy.

I had sleep apnea test two months ago and they said I don't need it, unless it changed.

Only thing I could see was a huge change is my weight going up almost 15lbs in a month after I stopped my diet, I was on carb cycling, so glycogen replenished and maybe a little rebound fat lol