Well if you live in a high altitude city, a hematocrit of 60% would be considered normal. If you have COPD or emphysema and refuse oxygen, your body will compensate by producing more red blood cells and bringing your crit into the 60s. High altitude, lung problems etc people aren't being phlebotomised and they aren't at any higher risks of a cardiac event either (studies support this). I think we good fellas. JUICE UPPPPPP
If a person lives in a high altitude environment, their body does quite a few things to adapt.
As someone who has recently lost a loved one to COPD, I can tell you that your analogy between this subject and COPD is not representative of the situation as a whole. High hematocrit is very much a concern and very much life threatening for someone with COPD and has to be monitored extensively. It is estimated that 1/3 of people with COPD have heart failure.
I’m not sure what you took offense or defensively to I said in my post. I pointed out facts - that some pro TRT docs say it’s no big deal, but most cardiologists and blood specialists still say to be careful with it. That’s a fact, not my opinion.
My opinion was that it’s best for anyone to still have their levels monitored and be careful and cautious and listen to their doctor on this subject.
At the end of the day, it’s personal choice. It’s a persons own health and their own consequences; so I think that they should look at the facts for themselves and make their own decisions. I don’t care what anyone else does - I just care about helping provide them with the appropriate information to make educated choices.