question from a user

How normal is it for someone on TRT or even a blasting steroid cycle to have low hematocrite and smaller red blood cells? My last tests showed it while being on a blast which I found weird. Also had iron deficiency somehow which I‘m countering with iron supplements now.

AlphaMD's Answer

Testosterone increases red blood cell production. Increased red blood cell production requires more iron, so iron stores can get exhausted if your red blood cell production increases. If your iron stores are not adequate for the increased production, then the new red blood cells are hypochromatic and microcytic, meaning they are smaller.

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