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Do hematocrits ever level out without donating blood? I was on 100 mg once a week , my levels the day before injection was always about 580 that being said what do u think my peak was around? My baseline hematocrits before trt was about 46.8 to 47 and with trt they would go up to about 49 to 50 then I would donate, so I quit, In the mean time I got a sleep study and have mild sleep apnea so I have been using a cpap and now my baseline hematocrits without trt are about 43.8 to 44, so my question is do u think my levels will stay lower now if I get back on trt? Cause without it my levels are about 200 total and 5.1 free t

AlphaMD's Answer

They can, yes. There is no exact answer for hematocrit to dosing ratio to look at, because this one is totally dependent on the individual. Some men can take double your dose & still have the same low end of Hcrit you can. Diet can also impact this to a degree, but this comment is anecdotal. I used to be a big meat eater & had to donate all the time on my current dose. I dropped meat years ago & now I do not donate at all on the same dose. This isn't to suggest a solution but just to show an example. The best thing you can do is just trial different levels of Testosterone & check your Hematocrit often. From there, work with your TRT provider to find the dose that still gives you benefits but still avoiding the blood issue. Eventually, as all T drops with age, it may still be worth it to you to donate every 2 months to avoid low T symptoms as they get worse.

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