Feeling fatigued in the last week

[Rjay]

In the last week ive noticee my energy is lower then usual and Im feeling the need for a mid day nap like before TRT. This is unusual because i havemt felt like this in at least a month and most other symptoms like mood and libido are definately improving. Any reason for the current change in energy? I dont drink coffee or any caffeine and have beem sleeping well, its not hard to wake up either like it was before

[Joco71]

How often do you inject what is your injection protocol?

[Rjay]

50mg subQ E3D of testosterone cypionate

[kelkel]

Normalizing your testosterone levels via TRT does not mean you will always feel great. You can still have bad days, weeks.......you're human.
If it continues get BW done and see what's up. Consider looking at thyroid and iron levels.

[Lifted1]

I had the same thing happen to me and was confused too. I hadnt had an "off" or "bad" day since I started trt (about 6 weeks) and I was like wtf!? The guys here reminded me that we are human and even tho we are feeling better, you still can have bumps in the road of life.

If it only lasts a day or two chalk it up to just being tired.

[Rjay]

Ya thats what I figured, at least Im feeling better in general. If it continues I will check my thyroid levels thanks for the advice

[almostgone]

Just wondering, Rjay...do you donate blood regularly? My hematocrit has always run high, even prior to TRT. Whenever it is close to time that I can donate again, I have kind of the same issue....just feel old and kind of dilapidated.
Post donation...I feel like a champ. If you get your labs done, the CBC portion will let you know if your hematocrit/ packed cell volume is up.

[Rjay]

No I dont but I do have bloodwork coming up which should indicate any need/abnormalities in blood counts. Interesting though Ive never heard of that, this truly is a game of trial and error. Being a cancer survivor I dont believe I can donate blood especially since it was leukemia. Otherwise I would be all for it as my life has been saved by those who do give blood and I would love to give back!

[almostgone]

Check with your local blood bank because I honestly don't know if you would be eligible to donate or not. It looks like it is dependent on your age when you were diagnosed.

Blood donation by cancer survivors

[almostgone]

Here's a little info regarding fatigue caused by elevated RBC. It mentions it towards the end of the article.

http://www.medscape.com/viewarticle/773465


Below is a excerpt from the article:

Polycythemia is sometimes called erythrocytosis, but the terms are not synonymous because polycythemia refers to any increase in red blood cells, whereas erythrocytosis only refers to a documented increase of red cell mass. The increase in hemoglobin and hematocrit secondary to testosterone use is usually accompanied by an increase in the red blood cell count, which can lead to an increase in blood viscosity. This increase in blood viscosity can reduce cerebral blood flow which could theoretically be a risk factor for thrombosis and stroke.[3]

Polycythemia is also associated with hypertension due to increased blood viscosity and thrombosis. Severe, chronic polycythemia secondary to increased blood viscosity can raise pulmonary arterial pressure and cause increased pulmonary resistance with potential hypoxia, resulting in cor pulmonale. Thus, increased hemoglobin and hematocrit secondary to testosterone replacement can be significant[4] and in a recent meta-analysis[5] has been cited as the most common side effect of androgen therapy

The patient with polycythemia on physical exam may present with a ruddy (reddish) complexion, easy bruising, fatigue, and epistaxis.

[kelkel]

No I dont but I do have bloodwork coming up which should indicate any need/abnormalities in blood counts. Interesting though Ive never heard of that, this truly is a game of trial and error. Being a cancer survivor I dont believe I can donate blood especially since it was leukemia. Otherwise I would be all for it as my life has been saved by those who do give blood and I would love to give back!

If for some reason you cannot donate then your doc can write you a script for a therapeutic draw.

[Rjay]

Ill read up on that article, Ive been clear for about 15 years so we will see.