question from a user
My hematocrit and RBC seem to always creep up, leading to BP spikes that don't go away. Is donating blood the only way to remedy this? The other week, I donated, and my BP went from 150/91 to 117/79. Solved, for now. I've heard people both saying that increasing or decreasing dose frequency can help with this, but I only dose once a week as it is. I guess I can split my dose to twice a week if that will help, but will it?
AlphaMD's Answer
You could look to lower your dose as well, or if your dose is not effective at a lower level then you can look to manage your BP as a separate concern from your TRT/RBC.
We do have some men who do great on TRT, but as they age or via genetics simply have high BP along with an increased reaction. The reality is for them that TRT is not always the be-all end-all solution and that a PCP should manage high BP as it's own issue if there's nothing else that can be done.
Splitting your dose up to twice a weekly would probably help - Twice a week is the minimum in good TRT practice anyways & will seriously help with your Testosterone spikes. It is likely on once a week you're getting a massive spike and a major low on the tail end. Your body does not love that much slingshot action & it could really be stressing it if you're prone to it.
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