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question from a user

What recommendations do you have for keeping hemoglobin and hematocrit in check, assuming both rise while using any effective dose (100mg+/wk)?

AlphaMD's Answer

We would recommend looking out for the side effects & if you're concerned due to family history of this being high or previous labs you've had done, we would suggest having a periodic check for that. Once dialed-in, your T does doesn't change much, so once we confirm your hematocrit levels aren't continuing to rise, we would not need to check as often.

This does come up sometimes, maybe in 3% of our patients, where they're pre-disposed to this becoming problematic. I personally suffer from this as a side effect, though I'm at a higher dose, but it is very easy to manage.

We typically advise if this becomes an issue to either lower your dose slightly (small changes can make a big difference) or simply donate blood. From personal experience, I donate blood every ~12 weeks and it works great. I also feel like I'm being a great guy helping out people who need it when I do.

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