High hemoglobin and hematocrit levels?

[Axillist]

Worked for me too. I went from 52 down to 47. Big change!

[Beau]

I am trying to up my water intake to see if that helps.....How much water should a 280 lb person drink to be well hydrated?

Sorry - I know this is an older thread.

To answer your question, there are 2 different rules of thumb I use to determine water needs:

1. Weight in lbs/2 = ounces of water. At 280, that means 140 ounces of water.
2. More recently - weight in lbs multiplied by 0.65. At 280, that means 182 ounces of water.

In every case, the amount is driven by body weight.

And most people are dehydrated, at least to some extent.

[bigt405]

Sorry - I know this is an older thread.

To answer your question, there are 2 different rules of thumb I use to determine water needs:

1. Weight in lbs/2 = ounces of water. At 280, that means 140 ounces of water.
2. More recently - weight in lbs multiplied by 0.65. At 280, that means 182 ounces of water.

In every case, the amount is driven by body weight.

And most people are dehydrated, at least to some extent.

Thanks for the response no matter how late.....that is a lot of water!

[BJE]

Of course the answer to your original question as has been said is to donate blood. I donate every two months unless my levels get too low then I increase the time between donations.

[bigt405]

Of course the answer to your original question as has been said is to donate blood. I donate every two months unless my levels get too low then I increase the time between donations.

This totally correct and I am learning the hard way that it is not optional I let some things keep getting in the way of me donating and now I am actually over19 on my hemoglobin this time. I have cut my dosage in half to 50 mg a week. When I get this under control every 56 days just like a doctors appointment I will be donating hell or high water!

[Beau]

Drink a lot of water, donate blood, take aspirin.

[BJE]

This totally correct and I am learning the hard way that it is not optional I let some things keep getting in the way of me donating and now I am actually over19 on my hemoglobin this time. I have cut my dosage in half to 50 mg a week. When I get this under control every 56 days just like a doctors appointment I will be donating hell or high water!

It may have already been said, but your doctor could prescribe therepudic phlebotomy to get your level down faster.

[Vj63]

It may have already been said, but your doctor could prescribe therepudic phlebotomy to get your level down faster.

That would be my advice as well, but with a Dr. wanting to take a patient doing well off of test completely because his h and h are elevated may be hard to convince to do this. We have to deal with a lot of incompetence in getting male hrt in many cases.

[bigt405]

That would be my advice as well, but with a Dr. wanting to take a patient doing well off of test completely because his h and h are elevated may be hard to convince to do this. We have to deal with a lot of incompetence in getting male hrt in many cases.

I have a friend that goes to the same doctor for trt too. Luckily he does not have an issue with his hemoglobin or hematocrit. He went to him this week and the doctor made a big deal about the study that just came out, but told him he was good since his levels stayed normal. It probably will not be good for me to go in with elevated levels. That's the reason I have cut my trt dose in half and will try to stay hydrated. I am hoping it will come down enough to donate. I am trying to put off going back to him as long as I can, but in a few weeks I will just have to bite the bullet if it does not come down. Worst case is he will not give me another prescription. Best case is he will prescribe a therapeutic draw and tell me to never miss a donation again. We will see.......

[Vj63]

I have a friend that goes to the same doctor for trt too. Luckily he does not have an issue with his hemoglobin or hematocrit. He went to him this week and the doctor made a big deal about the study that just came out, but told him he was good since his levels stayed normal. It probably will not be good for me to go in with elevated levels. That's the reason I have cut my trt dose in half and will try to stay hydrated. I am hoping it will come down enough to donate. I am trying to put off going back to him as long as I can, but in a few weeks I will just have to bite the bullet if it does not come down. Worst case is he will not give me another prescription. Best case is he will prescribe a therapeutic draw and tell me to never miss a donation again. We will see.......

I understand exactly what you are dealing with. Drs., to be supposedly educated people, seem to have a hard time understanding what constitutes a valid well designed that may not even apply in a patients particular case. There are several well thought out rebuttals to that study that you could gather and present to your Dr. If they aren't willing to listen, you should try to move on(which starts the process all over again LOL). Good luck. BTW, What part of Al are you in?

[bigt405]

Well I finally was able to donate last week and had blood work done the following day. I got the results today. My hemoglobin was 17 and my hematocrit came back 48. My testosterone was low at 378 but that was to be expected since I had cut my dose for a few weeks. I will be keeping a better handle on my blood donations from here on out.

[Vj63]

Well I finally was able to donate last week and had blood work done the following day. I got the results today. My hemoglobin was 17 and my hematocrit came back 48. My testosterone was low at 378 but that was to be expected since I had cut my dose for a few weeks. I will be keeping a better handle on my blood donations from here on out.

You may possibly never have that issue again if you don't go back to a higher dose than you were on before or slightly less. My numbers were running high and after donating a time or two they have never gotten anywhere near that level again even after the donations stopped.

[bigt405]

You may possibly never have that issue again if you don't go back to a higher dose than you were on before or slightly less. My numbers were running high and after donating a time or two they have never gotten anywhere near that level again even after the donations stopped.

That's good to know......

[kisaj]

I've been taking naringin for a few months now and it leveled mine out. Dropped it about 2.5-3 points and haven't done anything else.

[Vj63]

I've been taking naringin for a few months now and it leveled mine out. Dropped it about 2.5-3 points and haven't done anything else.

Does naringin have the same P450 enzyme interactions on certain medications that grapefruit has?

[kisaj]

Yes it does.

[Beau]

I've been taking naringin for a few months now and it leveled mine out. Dropped it about 2.5-3 points and haven't done anything else.

I've been using Naringin (in my case, Swanson) as well.

[kisaj]

Yep, same brand. I have felt "cleaner" since taking it. Like it makes me feel less weighed down with crud or oxidants. Could be the effect on RBC.