question from a user
What if a male with history of ferritin started trt and noticed a further drop in ferritin and an increase in hematocrit and rbc. How would your staff advise?
AlphaMD's Answer
Ferritin is a building block necessary to create the hemoglobin in red blood cells. If you begin producing RBC’s at a rate that exceeds your ability to replace your ferritin stores, then your ferritin levels will drop. Iron supplementation always is wise in those with low ferritin. In those who are on TRT with a high hemoglobin/hematocrit, then reducing your TRT dose would be the usual first step to reduce the increased RBC production. Increasing injection frequency seems to have some effect in lowering hematocrit as well. We have had some patients who swear by the use of naringen. This is an OTC product which you can supplement with which has been shown to stabilize hematocrit, keeping it in a normal range.
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