Comparative Erythropoiesis (Increases to Hematocrit) by & between AAS Including What We Know about EQ & the Apparent Counterexample of Trenbolone

Type-IIx

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Comparative Erythropoiesis (Increases to Hematocrit) by & between AAS Including What We Know about EQ & the Apparent Counterexample of Trenbolone

Author: Type-IIx

Comparative potencies to increase hematocrit (HCT) & hemoglobin (Hb)

Nandrolone (decanoate > phenylpropionate) > Anadrol (Oxymetholone) > Testosterone (propionate > cypionate > enanthate). [1].

Discussion

While Testosterone is modestly erythropoietic, this effect becomes significant at doses greater than peak myotrophic‡ & androgenic response. [2]. Methyltestosterone is not significantly erythropoietic and highly androgenic, the same goes for Cheque drops & Halotestin (potently androgenic and not significantly erythropoietic). [2].

Dianabol possesses ideal features as a hematinic agent: at doses equating to 0.6 mg per k.g. daily in man, significant myotrophic and erythropoietic activity is observed (in rodent) without androgenicity. [2]. Masteron's erythropoietic potency is significant in man [3] and rat [4]. This feature of Masteron is dissociated from its relatively weakened myotrophic potency.

Anadrol is consistently demonstrated as a potent stimulator of erythropoiesis in man [3] and rat [4], though is associated with considerable hepatotoxicity. In aplastic anemia cases, 80% of patients saw mild-to-marked alterations in liver function given 17AAs Dianabol & Anadrol versus a mere 26% given Masteron & Primo Ace (oral) at doses ranging from 0.25 - 3.0 mg/kg/day [3]. Noteworthy, however, is the high background of liver dysfunction comorbid with aplastic anemia (24%); as well as normalization of liver function in patients switched from the 17AAs (Anadrol & Dianabol) to non-17AA oral androgens Masteron & Primo Ace [3].

Is EQ is Particularly Erythropoietic?

From [2], we can say that there is no class effect of androst-1,4-dien-3-ones (e.g., EQ, Dianabol) in augmenting erythropoiesis. While the most potent hematinic agent assayed was of this class (Dianabol), 17β-hydroxy-2-methyl-androst-1,4-dien-3-one (a 2-methyl generally decreases androgenicity; an apparent exception to this, then, is present here) and 11β,17β-dihydroxy-17-methyl-androst-1,4-dien-3-one (an 11β-hydroxyl substituent added to an androst-1,4-dien-3-one serves only to hinder potency unlike in the 19-nortestosterone series or in the presence of a 9α-fluoro substituent) lacked any particular potency in this regard. [2]. See †, below.

General Rule (Androgenicity is Inversely Related to Hematopoietic Potency)

Nandrolone, Anadrol, Dianabol, Masteron, and Primobolan are more potent stimulators of erythropoiesis than Testosterone. Halotestin, Cheque drops, and Methyltestosterone, while potently androgenic, do not significantly stimulate hematinic activity.

If there is a general rule with respect to AAS’ hematopoietic potencies, it is that androgenic potency is inversely related to hematopoietic potency.

Still, if AAS are used at doses that are above those which are maximally stimulatory of N retention‡ (i.e., > peak myotropic response), one should expect that this general rule will not necessarily hold.

Trenbolone as an Apparent Exception to the Rule

The case of Trenbolone presents an illustration of this phenomenon of the general rule not applying at very high doses. To reiterate, AAS used at doses that are above those which are maximally stimulatory of N retention‡ (i.e., > peak myotropic response), one should expect that this general rule will not necessarily hold.

Trenbolone, as acetate, is according to bro-science, to be used at a 350 mg/w dose for a novice. This is, however, a remarkably high dose for this drug. On a molar (per-mg) basis, 350 mg of trenbolone acetate posesses approximately 5.5-fold the AR activation potency as 350 mg of testosterone enanthate. That is to say, 350 mg of trenbolone acetate is equivalent in AR potency to > 1,900 mg/w of testosterone enanthate. Since the hazards or health risks germane to trenbolone are mostly AR-mediated, but (e.g., cardiovascular risks, electrolyte disturbances and therefore renal/kidney risks) are also mediated by its antagonism of the MR (mineralocorticoid receptor). An often reported side effect by trenbolone users is appetite supression. This is indicative of acute toxicity. Since AAS (at therapeutic doses) increase appetite as a class effect, the experience of reduced appetite is indicative of excessive dosing and acute toxicity.

†: By this rule, EQ, being particularly well tolerated in practice by women, one might – speculatively – follow through on this line of reasoning to consider EQ as a candidate for inclusion into this class of weak (or “attenuated”) androgens, and by extension, potent hematinic agents.

‡: Maximal stimulation of N retention is not the only mechanism by which AAS exert their effects on muscle size (↑) and fat mass (↓).

______________________
References:

[1] Gorshein, D., Murphy, S., & Gardner, F. H. (1973). Comparative study on the erythropoietic effects of androgens and their mode of action. Journal of Applied Physiology, 35(3), 376–378. doi:10.1152/jappl.1973.35.3.376
[2] Molinari PF, Rosenkrantz H. Erythropoietic activity and androgenic implications of 29 testosterone derivatives in orchiectomized rats. J Lab Clin Med. 1971 Sep;78(3):399-410.
[3] Sanchez-Medal L, Gomez-Leal A, Duarte L, Guadalupe Rico M. Anabolic androgenic steroids in the treatment of acquired aplastic anemia. Blood. 1969 Sep;34(3):283-300.
[4] Duarte, L., Sanchez Medal, L., Labardini, J., & Arriaga, L. (1967). The Erythropoietic Effects of Anabolic Steroids. Experimental Biology and Medicine, 125(4), 1030–1032. doi:10.3181/00379727-125-32268
 
Quantification of increased HCT/Hb
Dose-response of T for increased HCT/Hb
* Linear (r=0.63) up to 600 mg/w × 5 weeks (46). [1].

(7) showed a 1.42 g/dL increase in young men after 20 weeks, i.e., a 4% increase in HCT. The increase is larger in older men, who show a 2.94 g/dL increase in HCT in response (8). [2].

There appears to be a ceiling to the extent to which androgens ↑HCT/Hb. The HAARLEM (9) data showed a 3% HCT increase for 898 mean weekly (T equivalent) by the end of 16 weeks (mean)... "appears to level off around 500 mg weekly" D.L. Smit personal communication with P. Bond (unpublished results). Subjects did not phlebotimize. [2].

References
[1] Warren AM, Grossmann M. Haematological actions of androgens. Best Pract Res Clin Endocrinol Metab. 2022 Sep;36(5):101653. doi: 10.1016/j.beem.2022.101653.

[2] Bond, P. (2021). Anabolic Steroids and Erythrocytosis Polycythemia. MesoRX Article. Source: Anabolic Steroids and Erythrocytosis Polycythemia - MESO-Rx
 
Alright, so I’ll ask the question that’s probably too simplistic but nonetheless is of interest to me: as someone who has struggled with HCT simply from my trt dose, what would be the most effective compounds to use if the goal was growth while minimizing the increase in HCT?

Disclaimer: You’re not my physician and I will not hold you responsible for the answer. I’m asking merely your opinion within this context.
 
Excellent info.
It’s interesting that there is an approximate 100% increase difference of HCT in older men verses younger men. It would be nice to know the exact ages used for the study for reference.
For example is it 18 vs 70 or is it 25 vs 40?
 
Alright, so I’ll ask the question that’s probably too simplistic but nonetheless is of interest to me: as someone who has struggled with HCT simply from my trt dose, what would be the most effective compounds to use if the goal was growth while minimizing the increase in HCT?

Disclaimer: You’re not my physician and I will not hold you responsible for the answer. I’m asking merely your opinion within this context.
I could suggest drugs that mitigate the increase to HCT, but their use has to be balanced against the thrombotic risk posed by the increase. Since absolute risk of a thrombotic event is very low and remains low even with mild HCT elevations that typify TRT/AAS, it's almost never worth the risk to use any of these drugs to mitigate polycythmia/erythrocytosis.

You could take aspirin to reduce clotting but also increase bleeding risks.
 
So for us non-science majors, can you help explain this point because the language is confusing me.

Concerning tren it states it doesn’t follow the general rule because of dosages generally administered being 350+.

Doesn’t this imply if you are taking low dosages it does follow the general rule? It’s weird nandrolone and tren are split like this. At this point in my journey I’d never even think about running tren over 200/wk.
 
So for us non-science majors, can you help explain this point because the language is confusing me.

Concerning tren it states it doesn’t follow the general rule because of dosages generally administered being 350+.

Doesn’t this imply if you are taking low dosages it does follow the general rule? It’s weird nandrolone and tren are split like this. At this point in my journey I’d never even think about running tren over 200/wk.
Yes, it does imply that if you are taking low dosages it should follow the general rule that AAS that are weak androgens are more potently stimulatory of HCT.

Something like 25 mg/w of trenbolone acetate, then, would not stimulate HCT to the same degree as 125 mg/w of testosterone enanthate/cypionate.

But 45 mg/w of nandrolone phenylpropionate (NPP) would be expected to be as stimulatory of HCT as 125 mg/w of testosterone enanthate/cypionate.

100 mg/w of metenolone enanthate (Primo) or drostanolone propionate (Mast), despite being weak anabolic and androgenic agents, might surprise users in how potently HCT is stimulated by their use (e.g., in a "TRT+" regimen). The same goes for 50 mg/d of oxandrolone (Anavar).

Excellent info.
It’s interesting that there is an approximate 100% increase difference of HCT in older men verses younger men. It would be nice to know the exact ages used for the study for reference.
For example is it 18 vs 70 or is it 25 vs 40?
Generally, young men are those 18 - 40 years and older men are those ≥ 60 years.

But you can refer to the studies yourself for more clarification as this definition can certainly vary, references 7 & 8 from [2] can be found by following the URL link to the MesoRx article, freely available on the web.
 
Generally, young men are those 18 - 40 years and older men are those ≥ 60 years.

But you can refer to the studies yourself for more clarification as this definition can certainly vary, references 7 & 8 from [2] can be found by following the URL link to the MesoRx article, freely available on the web.
Thank you @Type-IIx
Appreciate your taking the time to explain.
 
I could suggest drugs that mitigate the increase to HCT, but their use has to be balanced against the thrombotic risk posed by the increase. Since absolute risk of a thrombotic event is very low and remains low even with mild HCT elevations that typify TRT/AAS, it's almost never worth the risk to use any of these drugs to mitigate polycythmia/erythrocytosis.

You could take aspirin to reduce clotting but also increase bleeding risks.
I’m more interested in which AAS won’t make my problem worse, rather than what I can take for mitigation purposes. I’ve tried a number of things to lower my HCT, with some success, but it’s always the one factor that keeps me from being able to design a blast. So instead I just remain on trt, which is admittedly much healthier, but my goals get further away and time continues to pass me by.
 
Yes, it does imply that if you are taking low dosages it should follow the general rule that AAS that are weak androgens are more potently stimulatory of HCT.

Something like 25 mg/w of trenbolone acetate, then, would not stimulate HCT to the same degree as 125 mg/w of testosterone enanthate/cypionate.

But 45 mg/w of nandrolone phenylpropionate (NPP) would be expected to be as stimulatory of HCT as 125 mg/w of testosterone enanthate/cypionate.

100 mg/w of metenolone enanthate (Primo) or drostanolone propionate (Mast), despite being weak anabolic and androgenic agents, might surprise users in how potently HCT is stimulated by their use (e.g., in a "TRT+" regimen). The same goes for 50 mg/d of oxandrolone (Anavar).


Generally, young men are those 18 - 40 years and older men are those ≥ 60 years.

But you can refer to the studies yourself for more clarification as this definition can certainly vary, references 7 & 8 from [2] can be found by following the URL link to the MesoRx article, freely available on the web.
Thank you for clarifying. This is very interesting, also I feel like I haven’t seen this discussed much in the past as something to consider. If so perhaps I missed it.
 
I’m more interested in which AAS won’t make my problem worse, rather than what I can take for mitigation purposes. I’ve tried a number of things to lower my HCT, with some success, but it’s always the one factor that keeps me from being able to design a blast. So instead I just remain on trt, which is admittedly much healthier, but my goals get further away and time continues to pass me by.

This is purely anecdotal AND from Reddit posters…(don’t yell at me)

But there are a few guys with lab work to back up their findings that MENT only HRT I think they were using 3-5mg daily ?? Droped their HCT significantly compared to 150-200mg testosterone TRT.

If I can find the thread I’ll PM
You the link
 
This is purely anecdotal AND from Reddit posters…(don’t yell at me)

But there are a few guys with lab work to back up their findings that MENT only HRT I think they were using 3-5mg daily ?? Droped their HCT significantly compared to 150-200mg testosterone TRT.

If I can find the thread I’ll PM
You the link
I'd like to hear more about this and the effects of MENT on erythrocytosis in general.

I get HCT of 60 even on TRT so it is a concern despite the extremely low risk of thrombosis from a high HCT in isolation
 
This is purely anecdotal AND from Reddit posters…(don’t yell at me)

But there are a few guys with lab work to back up their findings that MENT only HRT I think they were using 3-5mg daily ?? Droped their HCT significantly compared to 150-200mg testosterone TRT.

If I can find the thread I’ll PM
You the link
I'm not going to "yell" at you, but I will give you a stern instruction that you have to do a hell of a lot better than this. At the very least, don't bother posting vague unsubstantiated claims when you cannot provide the supporting materials, especially when your claim runs totally contrary to the evidence that I actually did take the time to provide here in this thread.

Since MENT is not potently androgenic, then it would be expected to increase HCT/Hb more significantly than tetosterone at equipotent dose/durations.
 
I'm not going to "yell" at you, but I will give you a stern instruction that you have to do a hell of a lot better than this. At the very least, don't bother posting vague unsubstantiated claims when you cannot provide the supporting materials, especially when your claim runs totally contrary to the evidence that I actually did take the time to provide here in this thread.

Since MENT is not potently androgenic, then it would be expected to increase HCT/Hb more significantly than tetosterone at equipotent dose/durations.
Do you think there’s a limit to how high our H/H will go? For instance, if our hemoglobin is 20-21 on TRT, would it increase even more if another anabolic is introduced?
 
Do you think there’s a limit to how high our H/H will go? For instance, if our hemoglobin is 20-21 on TRT, would it increase even more if another anabolic is introduced?
According to unpublished laboratory results from the HAARLEM trial data, there is an apparent ceiling effect or saturation point that is fairly low:
Quantification of increased HCT/Hb
Dose-response of T for increased HCT/Hb
* Linear (r=0.63) up to 600 mg/w × 5 weeks (46). [1].

(7) showed a 1.42 g/dL increase in young men after 20 weeks, i.e., a 4% increase in HCT. The increase is larger in older men, who show a 2.94 g/dL increase in HCT in response (8). [2].

There appears to be a ceiling to the extent to which androgens ↑HCT/Hb. The HAARLEM (9) data showed a 3% HCT increase for 898 mean weekly (T equivalent) by the end of 16 weeks (mean)... "appears to level off around 500 mg weekly" D.L. Smit personal communication with P. Bond (unpublished results). Subjects did not phlebotimize. [2].

References
[1] Warren AM, Grossmann M. Haematological actions of androgens. Best Pract Res Clin Endocrinol Metab. 2022 Sep;36(5):101653. doi: 10.1016/j.beem.2022.101653.

[2] Bond, P. (2021). Anabolic Steroids and Erythrocytosis Polycythemia. MesoRX Article. Source: Anabolic Steroids and Erythrocytosis Polycythemia - MESO-Rx
So I certainly believe there is a ceiling (saturation point) to how high our HCT/Hb will become elevated, and believe that it's roughly in line with this unpublished approximate mean value... However, I also think that individualized (per-user) factors & per-compound factors probably do modify this. For example, if someone is older, they're more prone to erythrocytosis/polycythymia. If someone has unusual iron or hepicidin metabolism, erythropoietic cell responsiveness in kidneys, etc., this will differ in accord with the nature of those idiosyncrasies. And if someone compares Halo vs. Turinabol (solo), this will differ.
 
According to unpublished laboratory results from the HAARLEM trial data, there is an apparent ceiling effect or saturation point that is fairly low:

So I certainly believe there is a ceiling (saturation point) to how high our HCT/Hb will become elevated, and believe that it's roughly in line with this unpublished approximate mean value... However, I also think that individualized (per-user) factors & per-compound factors probably do modify this. For example, if someone is older, they're more prone to erythrocytosis/polycythymia. If someone has unusual iron or hepicidin metabolism, erythropoietic cell responsiveness in kidneys, etc., this will differ in accord with the nature of those idiosyncrasies. And if someone compares Halo vs. Turinabol (solo), this will differ.
Excellent information. I had no knowledge of this HAARLEM trial so I’m going to search for it. I always get nervous about it but never see my HCT above 61 max or HG 21 max. It’s been this way for years now and I don’t even have sleep apnea
 
Excellent information. I had no knowledge of this HAARLEM trial so I’m going to search for it. I always get nervous about it but never see my HCT above 61 max or HG 21 max. It’s been this way for years now and I don’t even have sleep apnea
61 HCT is very high and I believe that it's quite risky to walk around with that. While the absolute risk of mild elevations to HCT is fairly low, the risk to >= 60% are almost certainly catastrophically and expenonentially elevated beyond even 55%. Nonlinear, exponential.
 
61 HCT is very high and I believe that it's quite risky to walk around with that.
I used to walk around thinking I was about to drop dead at any moment, going out of my way to look for different blood donation centers (I crashed my ferritin in the process). But now it’ll range between 56-60% on TRT depending on the blood draw. Been this way for close to 10 years now. I’m a bit health obsessed so I’m religious about checking all my other bio markers and I have no other risk factors. No clotting mutations. Platelets around 200-250. So I just deal with it. The alternative is crashing my testosterone.
 
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