Expert Answered Finding the Right Balance | Test E & Mas then TRT

[gagadb]

Hello, I'm currently on TRT 125mg test enanthate and 100mg masteron enanthate per week, according to the latest tests, the hematocrit is a little higher than the limit of 54, I have 53.6, my pressure always varies between 125 to 145 and 82 to 90, I started taking 8000 Nattokinas before bed, 4L of water a day and cardio every training means 4 or 5 times a week, do you have any advice how reduce hematocrit, thanks in advance

 

[Davy Tenebrae]

Mate, 53.6% is technically still below the 54% threshold, but you're getting close. Testosterone can increase red blood cell production, and adding Masteron may mildly contribute to the problem. Cardio and staying hydrated are good considerations. Nattokinase is proven to reduce it by some points but not drastically. I'd repeat your blood tests soon and keep tracking your blood pressure, since readings around 145/90 aren't good. Have you checked what your hematocrit was before starting TRT and Masteron?

 

[gagadb]

Mate, 53.6% is technically still below the 54% threshold, but you're getting close. Testosterone can increase red blood cell production, and adding Masteron may mildly contribute to the problem. Cardio and staying hydrated are good considerations. Nattokinase is proven to reduce it by some points but not drastically. I'd repeat your blood tests soon and keep tracking your blood pressure, since readings around 145/90 aren't good. Have you checked what your hematocrit was before starting TRT and Masteron?

I was on a longer cycle of 500mg testosterone and 400mg masteron per week for a total of 14 weeks, hematocrit was 49, pressure max 130 from 86, that's why it's strange to me that both pressure and hematocrit increased on the reduced dose

 

[Davy Tenebrae]

I was on a longer cycle of 500mg testosterone and 400mg masteron per week for a total of 14 weeks, hematocrit was 49, pressure max 130 from 86, that's why it's strange to me that both pressure and hematocrit increased on the reduced dose

hematocrit reflects red blood cell production over time rather than your testosterone dose alone. red blood cells circulate for approximately 120 days, so the effects of your previous high-dose cycle may persist after transitioning to trt. other factors worth considering are hydration status, sleep apnea and changes in plasma volume. these could help explain why your hematocrit increased despite reducing androgen exposure. at 53.6%, i'd prioritize hydration (with all essential minerals) and consistent blood pressure measurements. was your previous hematocrit of 49% measured near the beginning or end of your 14-week cycle?

 

[SalvatoreCorvus]

Hello, I'm currently on TRT 125mg test enanthate and 100mg masteron enanthate per week, according to the latest tests, the hematocrit is a little higher than the limit of 54, I have 53.6, my pressure always varies between 125 to 145 and 82 to 90, I started taking 8000 Nattokinas before bed, 4L of water a day and cardio every training means 4 or 5 times a week, do you have any advice how reduce hematocrit, thanks in advance

Hi.

For me, I think it's a bad measure. It may not reflect reality.
Maybe redo a labtest by being sure of its hydration.
A blood donation can be a rescue solution but there is a rebound effect in some people.

What worries me most is the variations in blood pressure and heart rating, which are quite large.

No worries with iron metabolism?

 

[Sam Bjorn]

Hello, I'm currently on TRT 125mg test enanthate and 100mg masteron enanthate per week, according to the latest tests, the hematocrit is a little higher than the limit of 54, I have 53.6, my pressure always varies between 125 to 145 and 82 to 90, I started taking 8000 Nattokinas before bed, 4L of water a day and cardio every training means 4 or 5 times a week, do you have any advice how reduce hematocrit, thanks in advance

I'll summarize what the guys have said and add a few things of my own:
1. It's important to understand at what point during your cycle your hematocrit was 49%. Right now it's around 54%, but as the guys mentioned earlier, this could be the accumulated effect of your previous cycle, and it may gradually decrease.
2. A hematocrit of 54% isn't a problem and doesn't require any adjustments. The only thing you need to do is monitor your blood tests periodically.
3. Regarding hydration, don't forget about sodium. If athletes consume too little sodium, their bodies may simply not retain enough water in the blood plasma.
4. But blood pressure, even at 130, is something you should try to avoid. There's one important detail here, though — how are you measuring your blood pressure, and what device are you using? Do you always use the same monitor? Is it a wrist monitor or one with a cuff around your upper arm? Wrist monitors often give readings that are too high.

A couple of months ago, there was a guy whose blood pressure was constantly around 170, and he even started getting headaches because of it. And he was using low doses.But when he went to a cardiologist, they did an ultrasound of his heart, an ECG, and measured his blood pressure, and everything was normal. When he got home, he threw away his blood pressure monitor because it had been giving him falsely high readings. Basically, his monitor had gone crazy, and the guy had even started getting headaches because he'd convinced himself he was dying. So I'd recommend going to a pharmacy and having your blood pressure measured properly. Sit quietly for about 10 minutes beforehand and compare the results.

Basically, first you need to figure out whether your blood pressure monitor is accurate, and only then draw conclusions and decide what to do about it.

 

[gagadb]

I'll summarize what the guys have said and add a few things of my own:
1. It's important to understand at what point during your cycle your hematocrit was 49%. Right now it's around 54%, but as the guys mentioned earlier, this could be the accumulated effect of your previous cycle, and it may gradually decrease.
2. A hematocrit of 54% isn't a problem and doesn't require any adjustments. The only thing you need to do is monitor your blood tests periodically.
3. Regarding hydration, don't forget about sodium. If athletes consume too little sodium, their bodies may simply not retain enough water in the blood plasma.
4. But blood pressure, even at 130, is something you should try to avoid. There's one important detail here, though — how are you measuring your blood pressure, and what device are you using? Do you always use the same monitor? Is it a wrist monitor or one with a cuff around your upper arm? Wrist monitors often give readings that are too high.

A couple of months ago, there was a guy whose blood pressure was constantly around 170, and he even started getting headaches because of it. And he was using low doses.But when he went to a cardiologist, they did an ultrasound of his heart, an ECG, and measured his blood pressure, and everything was normal. When he got home, he threw away his blood pressure monitor because it had been giving him falsely high readings. Basically, his monitor had gone crazy, and the guy had even started getting headaches because he'd convinced himself he was dying. So I'd recommend going to a pharmacy and having your blood pressure measured properly. Sit quietly for about 10 minutes beforehand and compare the results.

Basically, first you need to figure out whether your blood pressure monitor is accurate, and only then draw conclusions and decide what to do about it.

Everything you said is true, my hemocrit was 49 in the middle of the cycle with 500mg testosterone enan and 400mg masteron per week, in fact after the end of the cycle and the beginning of TRT the hematocrit jumped, as for sodium, I think I didn't add enough of it on a daily basis

 

[Sam Bjorn]

Everything you said is true, my hemocrit was 49 in the middle of the cycle with 500mg testosterone enan and 400mg masteron per week, in fact after the end of the cycle and the beginning of TRT the hematocrit jumped, as for sodium, I think I didn't add enough of it on a daily basis

I'd like to point out a few things.

First of all, I wouldn't demonize hematocrit so much. Yes, it's a marker that needs to be monitored, that's true. But even according to conventional medicine, a hematocrit of 53–54% isn't necessarily a problem.

Hematocrit itself doesn't directly cause problems. It's just one of the factors that can increase risks. So what really matters is monitoring inflammation in your body, getting vascular Doppler ultrasound scans, keeping an eye on your lipid profile and blood pressure, and yes, also monitoring hematocrit to make sure it doesn't stay at 55–56% or higher for extended periods. I know people who lived with a hematocrit of 60%, trained, and didn't worry about it at all Of course, I'm not recommending that anyone do the same. My point is that I wouldn't worry much about yours 53%.

Second, hematocrit can vary significantly depending on hydration. Yes, sodium increases the amount of water in your blood plasma because it's mainly found in the extracellular space. Since you're clearly bigger and more muscular than the average untrained person, you sweat more and lose more sodium through sweat. You need to replace it adequately.

Your hematocrit most likely started increasing much earlier, and it's still elevated now because red blood cells have a lifespan of around 120 days. I'd recommend simply repeating your hematocrit test. Once you have the results, post them here and we'll look into it further.

 

[Sam Bjorn]

Honestly, if I were you, I'd pay more attention to your blood pressure. I can give you a step-by-step list of what I'd do if you want.