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Old 02-19-2006, 11:57 PM
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Quote:
Originally Posted by SWALE
1cc-I am forbidden from accessing what I wrote at SBI. LOL.

It is only innappropriate TRT (greater than one week injection intervals) that makes IM worse than patches.
This will take care of that!

Quote:
Originally Posted by SWALE
I have never seen hard and fast incidences from a study, but know that the (unncecessarily high) acceleration from bi-weekly dosing is more likely to raise H&H (Hemoglobin and Hematocrit) to dangerous levels.

The ceiling for me is a Hemoglobin of 18.0 and a Hematocrit of 55.0. Then they are on their way down to the Red Cross to donate a wonderfully healthy (as my patients are all going to the gym, eating right, and taking their supplements--well, they TELL me they are at least!) pint of the good stuff.

For those who would be deferred due to a prexisting condition or, perhaps, use of finasteride (another reason I am not fond of it) then a therapeutic phlebotomy can be arranged at the local hospital.

I must admit the TheKing's strategy WOULD work. I also notice that he has a particular talent for figuring out how to get around the rules (LOL). However, as a physician, and Board Member at my local Red Cross, I must say that doing as he advises is an unethical--and potentially dangerous--waste of scant Red Cross resources.

There is no given time duration for witholding TRT from a polycythemic patient. Every case is different.

I am happy to note that usually when the H&H is too high, it is becasue the patient forgot to drink water while they were fasting for their labwork. That is why I always grab a Comprehensive Metabolic Panel along with their CBC (Complete Blood Count). If the BUN/creatinine ratio is greater than 20.0, I know that they are dehydrated. This concentrates the blood, and falsely elevates the H&H.
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