I agreed with therapeutic phlebotomy if you're on a cycle unless you get labs check often. If you're on TRT dosage, 3-6 months labs then yearly should suffice however given most people here are on a much higher dosage, more frequent monitoring would be suggested. Elevation in hematocrit/hemoglobin are dose dependent of anabolic steroids and risk of venous thromboembolic disease is directly related to hematocrit with even a single point of elevated hematocrit increase venous thromboembolic events likely given consistently elevated hematocrit in between measurements. Thus a prophylaxis phlebotomy may be easier with less frequent labs monitoring.
