Finally getting a Phlebotomy

[almostgone]

For the past several years my hemoglobin & Hematocrit have been slowly getting higher and sometimes peaking past where they should be. Well the last year its been mostly above where it should be and I have been asking my doctor the last few years for an RX to get a Phlebotomy but she has always denied it.My doctor is great in most things but this one she just doesn't want to do for some reason.Thankfully she decided to send me to a Oncologist.. Guess what he wants me to do. Besides drinking more water and exercising more he wants me to do a Phlebotomy. lolI cant donate blood because I had Hep B in 1991 so this is my only option. Thank god someone finally understands. Yeah I had to sit and listen to him explain how it all works and how TRT can cause the red blood cells to increase but Im not stopping TRT. lol

Welcome to the club. Make sure (an oncologist/hematologist definitely should) to stay on top of your iron panel, TIBC, ferritin, serum iron, and transferrin.

I think older guys are affected more by the phlebotomies, and can get depleted quicker.

There's several of us older guys that are playing that game now. Like you said whatever it takes to keep my current T dosage!

[lovbyts]

Any tips for a quicker recovery so us older guys who might be affected more by the phlebotomies, and can get depleted quicker?

[lovbyts]

Welcome to the club. Make sure (an oncologist definitely should) to stay on top of your iron panel, TIBC, ferritin, serum iron, and transferrin.I think older guys are affected more by the phlebotomies, and can get depleted quicker.There's several of us older guys that are playing that game now. Like you said whatever it takes to keep my current T dosage!

Any tips for a quicker recovery so us older guys who might be affected more by the phlebotomies, and can get depleted quicker?

[almostgone]

Any tips for a quicker recovery so us older guys who might be affected more by the phlebotomies, and can get depleted quicker?

Monitor your iron and ferritin periodically/ a week or two post phlebotomy and pull a complete iron panel...make sure ferritin is checked as well. If you see it drifting towards the bottom of the range grab some elemental iron. I like Vitron-C
(available on Amazon) . Eat iron rich foods as well.

After taking elemental iron 2-3 times per week for a month, my ferritin and iron saturation went from being in the basement to almost the low end of the normal range.

It usually takes a few phlebotomies and then the cumulative effect kicks in. When/ if it happens, you'll likely be very fatigued as well.

Iron can lock your guts down, so I wouldn't preemptively jump on it without lab work.

[lovbyts]

Monitor your iron and ferritin periodically/ a week or two post phlebotomy and pull a complete iron panel...make sure ferritin is checked as well. If you see it drifting towards the bottom of the range grab some elemental iron. I like Vitron-C (available on Amazon) . Eat iron rich foods as well.After taking elemental iron 2-3 times per week for a month, my ferritin and iron saturation went from being in the basement to almost the low end of the normal range.It usually takes a few phlebotomies and then the cumulative effect kicks in. When/ if it happens, you'll likely be very fatigued as well. Iron can lock your guts down, so I wouldn't preemptively jump on it without lab work.

Thank you for the great advice. I will follow up with my results.