Reason for elevated rbc was 100% trt dosage. And possibly arimidex which completely dries me out before labs. I drink plenty of water so what would cause me to dry out so easy. My bp has been an issue a little before trt so really not sure. Out of 10 labs in 2 years this was the first time creatine was ever elevated. I do take low dose Losartan for bp. 25 mg. About to stop trt as I don’t feel any better on it
Well, the creatinine is barely elevated and your bun:creatinine looks good so I bet you may have had an intense workout before, dehydration, etc.
The polycythemia may, and is likely, due to TRT - but it opens up some questions for your other symptoms of lightheadedness and brain fog.
Some people will feel similar symptoms from polycythemia, but it is rare. Most people with polycythemia are asymptomatic.
Dehydration would elevate creatinine, and possibly RBCs as well - and the resulting electrolyte issues could cause cognitive issues and dizziness, etc.
Ultimately, my guess is that you are fine with nothing to worry about.