Compounds driving high RBC?

[Ishitrainbows]

Gents,

I was unfortunate to live in a country outside the US for a period of time that now puts me on the blood donation banned list. As I’m on TRT my doc gives me a script for a therapeutic phlebotomy once every 90 days. My hematocrit normally sits at 47 but rises to just about 52/53 after a good few months of blasting. Clearly then I have to be a bit careful what I take as I don’t want to drive this too high as I can’t do things like double red donations.

What are the real problem hormones to avoid in this case? I’m thinking that EQ and Anadrol are probably a bad idea but are there any others? I seem to be able to get away with high levels of Test, Mast and NPP without it going sky high. What are your experiences with compounds and controlling RBC count, what are the real problems or are some reputations over blown?

 

[Dexter]

https://www.steroidsourcetalk.org/m...c-Self-Phlebotomy-How-to?highlight=phlebotomy

I wrote up some info on how to handle high hct. Self Phlebotomy.

All Androgens, but not estradiol, increase erythropoiesis. Testosterone can increase it on average about 5-6%, masteron which is a DHT derivative is said to increase it by 1-2%. DHT isn’t the principle driver of increased erythropoiesis. Data points to suppression of hepcidin and increased erythropoietin production as the mechanisms whereby T increases erythropoiesis and iron incorporation into red blood cells.

For me taking 18mg of iron everyday and drawing off 250-300ml of blood every 30 days is how I keep mine in check.

The thread I referenced has points about your iron levels, we know iron storage is about 70% red cells, 20% stored in a protein called Ferritin, and 10% is free in your plasma. So you have to be careful when removing too many red cells as this can eventually deplete iron stores. That’s why I supplement with small dose of iron everyday.

Rbc indices like MCV, MCH, MCHC, RDW can keep and eye out for microcytic red blood cells which could suggest reduced iron content over time due to frequent blood removal.

Running ferritin levels and a CBC every 6 months might be smart if you’re drawing off blood.

Most doctors suggest donating blood or therapeutic phlebotomy when the HCT is >54%

 

[HeathGT]

Ishitrainbows" pid='70110' dateline='1569791091:

Gents,

I was unfortunate to live in a country outside the US for a period of time that now puts me on the blood donation banned list. As I’m on TRT my doc gives me a script for a therapeutic phlebotomy once every 90 days. My hematocrit normally sits at 47 but rises to just about 52/53 after a good few months of blasting. Clearly then I have to be a bit careful what I take as I don’t want to drive this too high as I can’t do things like double red donations.

What are the real problem hormones to avoid in this case? I’m thinking that EQ and Anadrol are probably a bad idea but are there any others? I seem to be able to get away with high levels of Test, Mast and NPP without it going sky high. What are your experiences with compounds and controlling RBC count, what are the real problems or are some reputations over blown?

I’ve had to donate and watch my HCT as well as its usually around 50-52. I said fuck it last blast and ran EQ anyways. Got bloods done mid blast and HCT was 45, so take all of that with a grain of salt. Apparently my HCT fluctuates independently of AAS/donations so I dont even worry that much anymore.

EDIT: Adding to what Dexter said, last time my doc ran bloods it was 52 and he wasnt worried about it at all said it was perfectly normal.

 

[Ishitrainbows]

Thanks for the info @“Dexter” but Mrs Rainbows has banned self blood drawing. She Is otherwise a tolerant soul and I get to do anything else I want as long as the little soldier remains functioning and errect! It’s a red line too far and I respect that.

My doc has a shit fit at any level above 52 and the words “ reduced dose if not brought under control” get used. Being a good boy means that I now have only 6 monthly check ups so I’m free to play in between.

Interesting what you said @“HeathGT” about EQ as I had read that this is normally the HCT problem child. I might think about trying it when I’m 6 weeks or so out from a donation to see how it works with me. My other big concern is Anadrol as this was initially designed to treat anemia. Seems like that might be playing with fire.

 

[Dexter]

Ishitrainbows" pid='70135' dateline='1569811213:

Interesting what you said @“HeathGT” about EQ as I had read that this is normally the HCT problem child. I might think about trying it when I’m 6 weeks or so out from a donation to see how it works with me. My other big concern is Anadrol as this was initially designed to treat anemia. Seems like that might be playing with fire.

The problem with doctors is that they play this game where they act surprised that your hct is elevated. They have to know that androgens increase hct, so they should have you doing therapeutic phlebotomy once it is over the limit set by your doctor. Too many doctors pull their patients off TRT because of elevated hct as if that’s gonna fix the issue that started all these problems to begin with.

The real risk is DVT if you’re sedentary, this isn’t a polycythemia where you have to worry about increased platelet production, it’s strictly increasing rbcs so the question is as long as you stay active(cardio), keep your blood pressure under control what are the real risks involved in having a hct of 55% or greater. We know professional cyclist love a higher hct and they use androgens, epo, autologous blood transfusions, these guys typically have a life span that is eight years longer then average.