Guest guest Posted December 20, 2005 Report Share Posted December 20, 2005 Yes try shots and give blood. Phil Jim Chubb <jimchubb@...> wrote: Hi, I am a new member with a specific question. I'm hypopituitary and replace cortisol, thyroid, and testosterone. Testosterone is really driving my hematocrit into the clot zone. I've gone from 2.5 grams Androgel (normal dose is 5) to 1.85 grams to 1.6 and I'm going to 1.25 tomorrow. 1/4 the normal dose. My T on 2.5 is 620, on 1.85 is 460 and the others haven't been measured. My shbg is lowish, 25 on a scale from 13-70, so I guess a little T goes a long way. Does anyone have any insights into hematocrit (currently 59 until phlebotomy tomorrow)? Is there something I could do besides further reduce Androgel? Or have routine phlebotomies. I don't think so. I don't smoke but I do live at 7000 feet. Thanks, Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2005 Report Share Posted December 21, 2005 > Hi, I am a new member with a specific question. I'm hypopituitary and > replace cortisol, thyroid, and testosterone. > > Testosterone is really driving my hematocrit into the clot zone. I've > gone from 2.5 grams Androgel (normal dose is 5) to 1.85 grams to 1.6 > and I'm going to 1.25 tomorrow. 1/4 the normal dose. My T on 2.5 is > 620, on 1.85 is 460 and the others haven't been measured. My shbg is > lowish, 25 on a scale from 13-70, so I guess a little T goes a long way. > > Does anyone have any insights into hematocrit (currently 59 until > phlebotomy tomorrow)? Is there something I could do besides further > reduce Androgel? Or have routine phlebotomies. I don't think so. I > don't smoke but I do live at 7000 feet. Thanks, Jim > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2005 Report Share Posted December 21, 2005 You use the word CLOT so I get the idea you are aware of the dangers of high HCT.and RBC Are you on an ongoing Phlebotomy program.? Do they measure HCT before each blood draw and if so do they give you before or after HCT numbers.? Obvoiusly you and your Dr need to keep on top of your HCT levels to maitain a safe zone. Can you share with us your age. In addition to high HCT, Do you have other stroke risk factors. What symptoms do you get if any when tour RBC and HCT are elevated? I have this problem also.so i am sympathetic. /Bill philip georgian <pmgamer18@...> wrote: Yes try shots and give blood. Phil Jim Chubb <jimchubb@...> wrote: Hi, I am a new member with a specific question. I'm hypopituitary and replace cortisol, thyroid, and testosterone. Testosterone is really driving my hematocrit into the clot zone. I've gone from 2.5 grams Androgel (normal dose is 5) to 1.85 grams to 1.6 and I'm going to 1.25 tomorrow. 1/4 the normal dose. My T on 2.5 is 620, on 1.85 is 460 and the others haven't been measured. My shbg is lowish, 25 on a scale from 13-70, so I guess a little T goes a long way. Does anyone have any insights into hematocrit (currently 59 until phlebotomy tomorrow)? Is there something I could do besides further reduce Androgel? Or have routine phlebotomies. I don't think so. I don't smoke but I do live at 7000 feet. Thanks, Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2005 Report Share Posted December 21, 2005 Do you have a CBC that you can post the numbers for? Your Hematocrit is extremely high. According to Dr. Crisler " A Hemoglobin over 18.0 OR a Hematocrit above 55.0 is reason to hold TRT. " You should speak to your Doctor ASAP about donating blood and the possiblity of doing it more frequently. Also, taking a blood thinner would be a must. > > Hi, I am a new member with a specific question. I'm hypopituitary and > replace cortisol, thyroid, and testosterone. > > Testosterone is really driving my hematocrit into the clot zone. I've > gone from 2.5 grams Androgel (normal dose is 5) to 1.85 grams to 1.6 > and I'm going to 1.25 tomorrow. 1/4 the normal dose. My T on 2.5 is > 620, on 1.85 is 460 and the others haven't been measured. My shbg is > lowish, 25 on a scale from 13-70, so I guess a little T goes a long way. > > Does anyone have any insights into hematocrit (currently 59 until > phlebotomy tomorrow)? Is there something I could do besides further > reduce Androgel? Or have routine phlebotomies. I don't think so. I > don't smoke but I do live at 7000 feet. Thanks, Jim > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2005 Report Share Posted December 22, 2005 He indicates Phlebotomy tomorrow with a ? mark. We do not know if he is going to try to go to a blood donor place or if he has an order wririten by his Dr for a blood draw at the Phlebotomy dept of a hospital. As i understand it ,his blood with high HCT is NO good for for reuse. That is what i was told by the hospital Phlebotomist when i went for my blood draws under an order writen by my Doctor. My HCT had hit 55 and i had the classic symptoms. I would think at HCT 59 he had symptoms and possibility of clots should be of concearn .They are to me ,but that may be because i had a son who died at age 36 from blood clots going from his leg to lungs.. DVT He uses the word Polythecemia so it sounds like to me he is fully aware of what it is and how to treat it.It was scary to me when i first looked it up on the internet because if the testosterone was not the cause i was looking at an incurable situation. /Bill invest99_2000 <no_reply > wrote: Do you have a CBC that you can post the numbers for? Your Hematocrit is extremely high. According to Dr. Crisler " A Hemoglobin over 18.0 OR a Hematocrit above 55.0 is reason to hold TRT. " You should speak to your Doctor ASAP about donating blood and the possiblity of doing it more frequently. Also, taking a blood thinner would be a must. > > Hi, I am a new member with a specific question. I'm hypopituitary and > replace cortisol, thyroid, and testosterone. > > Testosterone is really driving my hematocrit into the clot zone. I've > gone from 2.5 grams Androgel (normal dose is 5) to 1.85 grams to 1.6 > and I'm going to 1.25 tomorrow. 1/4 the normal dose. My T on 2.5 is > 620, on 1.85 is 460 and the others haven't been measured. My shbg is > lowish, 25 on a scale from 13-70, so I guess a little T goes a long way. > > Does anyone have any insights into hematocrit (currently 59 until > phlebotomy tomorrow)? Is there something I could do besides further > reduce Androgel? Or have routine phlebotomies. I don't think so. I > don't smoke but I do live at 7000 feet. Thanks, Jim > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2005 Report Share Posted December 22, 2005 > Are you on an ongoing Phlebotomy program.? No, as needed Do they measure HCT before each blood draw and if so do they give you before or after HCT numbers.? Yes > Can you share with us your age. In addition to high HCT, Do you have other stroke risk factors. 60 years old, no other risk factors > > What symptoms do you get if any when tour RBC and HCT are elevated? I find it harder to get my heart rate up doing an exercise bike and I'd say I feel a little better. When HCT is really high, 59, my hands and arms turn red. > I can't donate blood, I take hydrocortisone and have an ideopathic pituitary disease. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2005 Report Share Posted December 22, 2005 > > Do you have a CBC that you can post the numbers for? > > Your Hematocrit is extremely high. According to Dr. Crisler " A > Hemoglobin over 18.0 OR a Hematocrit above 55.0 is reason to hold TRT. " > You should speak to your Doctor ASAP about donating blood and the > possiblity of doing it more frequently. Also, taking a blood thinner > would be a must. > > Last hct was 56 and hgb was 19. I've had numbers sneak up as high as 59.6 and 20.1. My whole life it's been fairly high, like 54, 18. We are just going to find a level of gel that works because I don't like life without testosterone. I don't take a thinner because my platelets are quite low and I bruise easily into the skin. Fibrinigen is low. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2005 Report Share Posted December 22, 2005 > He indicates Phlebotomy tomorrow with a ? mark. Friday I think. We do not know if he is going to try to go to a blood donor place or if he has an order wririten by his Dr for a blood draw at the Phlebotomy dept of a hospital. As i understand it ,his blood with high HCT is NO good for for reuse. That is what i was told by the hospital Phlebotomist when i went for my blood draws under an order writen by my Doctor. My HCT had hit 55 and i had the classic symptoms. I have no particular symptoms, just a little reddish.. I would think at HCT 59 he had symptoms and possibility of clots should be of concearn .They are to me ,but that may be because i had a son who died at age 36 from blood clots going from his leg to lungs.. DVT > He uses the word Polythecemia so it sounds like to me he is fully aware of what it is and how to treat it.It was scary to me when i first looked it up on the internet because if the testosterone was not the cause i was looking at an incurable situation. He? I do. I am aware but I don't know how to treat it other than keep reducing testosterone to where hct doesn't climb over 55. I'd rather not get into routine phlebotomies. What is odd is that I seemed to become increasingly sensitive over the past 2 years. A 2.5 gm dose was fine for a while; now I'm seeing if 1.25 will work. jim > > /Bill > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2005 Report Share Posted December 22, 2005 Glad you are on top of it and knowledeable and aware. I am 69. When my red cells elevate I get red faced and feel ITCHY. My lower legs muscles will ache somethig like geting a cramp I had a very light stroke 3 yrs ago.The symptoms i felt were as described as a TIA .. An infarct is visible on my brain MRI . So the neoro calls it a stroke. No damage. I treat for high B.P so they are risk factors. FORTUNATLY no diabetes! / Bill janchup <jimchubb@...> wrote: > Are you on an ongoing Phlebotomy program.? No, as needed Do they measure HCT before each blood draw and if so do they give you before or after HCT numbers.? Yes > Can you share with us your age. In addition to high HCT, Do you have other stroke risk factors. 60 years old, no other risk factors > > What symptoms do you get if any when tour RBC and HCT are elevated? I find it harder to get my heart rate up doing an exercise bike and I'd say I feel a little better. When HCT is really high, 59, my hands and arms turn red. > I can't donate blood, I take hydrocortisone and have an ideopathic pituitary disease. Jim Quote Link to comment Share on other sites More sharing options...
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