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300ml???? Bro drink at least 1 liter before bloodwork. That's nuts. Now wonder your numbers are elevated.
I know this little. But I was in a hurry because of work and drank little water. I live in Chicago) traffic jams. I will try to drink 1.5 liters of water before donating tomorrow
 
I know this little. But I was in a hurry because of work and drank little water. I live in Chicago) traffic jams. I will try to drink 1.5 liters of water before donating tomorrow
It's unlikely that your blood test is accurate. You were very dehydrated. If you drank 1-1.5 liters before your bloodwork like you are supposed to your levels would likely be in range.
 
I will listen to your advice. I will retake the blood test again.
The difference between hydrated and dehydrated bloodwork related to RBC/HCT is significant.

Personally I am of the belief that phlebotomy for controlling hematocrit is an outdated and unnecessary practice. This is a topic and debate that has been beaten to death. Of course I am not a doctor, so this is not medical advice. Research and come to your own conclusion.
 
The difference between hydrated and dehydrated bloodwork related to RBC/HCT is significant.

Personally I am of the belief that phlebotomy for controlling hematocrit is an outdated and unnecessary practice. This is a topic and debate that has been beaten to death. Of course I am not a doctor, so this is not medical advice. Research and come to your own conclusion.

Is there some effective alternative treatment for hematocrit or was the consensus it's unnecessary?
 
Is there some effective alternative treatment for hematocrit or was the consensus it's unnecessary?
The concensus, as far as i can tell, is that unless you have a clotting issue, elevated RBC/HCT isn't nearly the risk it was once thought to be.

Frequent blood dumping leads to depleted ferritin, and a rebound effect causing a net INCREASE in RBC/hematocrit. Along with chronically low iron levels.

The real issue is platelets. If they are in range, the risk is not elevated. There are studies to go along with this that J3U cites. I don't have studies favorited for frequent posting like you do but I'm sure you can find studies proving and debunking these points. That's how it always goes.

Personally I manage mine with proper hydration and electrolyte balance, methylene blue (although in some people methylene blue can stimulate erythrocytosis), 80mg telmisartan which can regulate RBC/hematocrit, and Leviathan Nutrition HemoFlow which works pretty good for me. I've never once donated blood to counter high RBCs/hematocrit. I've also never noticed an increase in my levels due to what I'm running. Anything, including my TRT, stimulates it all the same.

I should include I do also have Mediterranean Thalassemia so that's probably a factor.
 
The concensus, as far as i can tell, is that unless you have a clotting issue, elevated RBC/HCT isn't nearly the risk it was once thought to be.

Frequent blood dumping leads to depleted ferritin, and a rebound effect causing a net INCREASE in RBC/hematocrit. Along with chronically low iron levels.

The real issue is platelets. If they are in range, the risk is not elevated. There are studies to go along with this that J3U cites. I don't have studies favorited for frequent posting like you do but I'm sure you can find studies proving and debunking these points. That's how it always goes.

Personally I manage mine with proper hydration and electrolyte balance, methylene blue (although in some people methylene blue can stimulate erythrocytosis), 80mg telmisartan which can regulate RBC/hematocrit, and Leviathan Nutrition HemoFlow which works pretty good for me. I've never once donated blood to counter high RBCs/hematocrit. I've also never noticed an increase in my levels due to what I'm running. Anything, including my TRT, stimulates it all the same.

I should include I do also have Mediterranean Thalassemia so that's probably a factor.
Many years ago I lived in China. and Chinese doctors told me the same thing, that my red blood cells are normal and my platelets are normal and therefore there is no need to worry. it also seemed to me that telmisartan helps to restrain red blood cells, I also read that telmisartan can control the growth of red blood cells. as for the hematocrit, I will retake the tests.
 
The concensus, as far as i can tell, is that unless you have a clotting issue, elevated RBC/HCT isn't nearly the risk it was once thought to be.

Frequent blood dumping leads to depleted ferritin, and a rebound effect causing a net INCREASE in RBC/hematocrit. Along with chronically low iron levels.

The real issue is platelets. If they are in range, the risk is not elevated. There are studies to go along with this that J3U cites. I don't have studies favorited for frequent posting like you do but I'm sure you can find studies proving and debunking these points. That's how it always goes.

Personally I manage mine with proper hydration and electrolyte balance, methylene blue (although in some people methylene blue can stimulate erythrocytosis), 80mg telmisartan which can regulate RBC/hematocrit, and Leviathan Nutrition HemoFlow which works pretty good for me. I've never once donated blood to counter high RBCs/hematocrit. I've also never noticed an increase in my levels due to what I'm running. Anything, including my TRT, stimulates it all the same.

I should include I do also have Mediterranean Thalassemia so that's probably a factor.
 

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I wouldn't be overly concerned with numbers like this.
The only thing that worries me is my red face during the day. I think it's because of pressure surges. If my estradiol is low. After all, my hematocrit is high and I think that's the reason for the pressure surges and the red face under the eyes.
 
The only thing that worries me is my red face during the day. I think it's because of pressure surges. If my estradiol is low. After all, my hematocrit is high and I think that's the reason for the pressure surges and the red face under the eyes.
You're likely also dehydrated throughout the day. This is very common. I try to consume 1.5 gallons a day with added electrolytes. This may alleviate your issues.
 
You are at risk of a blood clot or stroke. You need to donate blood, drink lots of water, increase cardio, add ip-6 and possibly incorporate Nattokinase. How’s your bp? I would imagine it’s high.
Is it just hematocrit we have to worry about? My rbc is high but hematocrit is within range
 
Blood pressure now.

Elevated (normal systolic is below 120), Though none of the medical guidelines would advise anything but lifestyle changes to bring it down. Cardio. less salt, weight loss.

If you can bring it down there are health benefits over the long haul.
 
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