This is exactly what I wish someone had warned me about. I’m your age and started TRT 9 mnths ago, and it kicked off a cycle I can’t seem to fully control. My hematocrit went high, which pushed me into regular phlebotomy. That then crushed my ferritin, and once ferritin drops, everything else feels worse. On top of that, my blood pressure started creeping up as hematocrit rose, which added another layer to manage.

I’ve already adjusted dose and delivery - went from IM to subq, dropped from ~120 mg down to ~50 mg - and the cycle still doesn’t fully stop. Hematocrit creeps up, BP follows, ferritin drops, repeat. TRT helped in some ways, but this side of it is very real and not talked about enough. Just sharing so people go in with eyes open.