
Originally Posted by
powerliftmike
Androgens actually act as anti coagulants, but cause erythrocytosis causing an increase in hemoglobin and hematocrit (H&H). The old medical guidance was this polycythemia (too many red blood cells) leading to clots/strokes, but with normal iron studies and platelet counts this may not, although it doesnt help things. The solution here, aside from lowest possible dose, is to phlebotomize regularly. Perhaps set a target of 17 mg/dL hemoglobin for upper bound, certainly something under 20. If you keep H&H within healthy levels, the anti coagulant effect should decrease DVT risk all else equal. Avoid highly aromatizing compounds like dianabol and monitor E2 with testosterones.
I never liked var but some report great results and you have used it prior so I assuming it did something for you. Certainly up the calories and the testosterone will help with nutrient partitioning to help build some muscle. I always advise baseline bloodwork: a basic met panel with testosterone assay at a minimum.
In addition to what mike posted regarding Hct and Hgb, I'll add keeping an eye on platelet count as well.
Also, don't over phlebotomize, you'll zap your ferritin levels, especially if you're older.
Edit: Platelet count plays a big part in the clotting cascade.
Last edited by almostgone; 08-21-2023 at 10:18 PM.
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