Taking Testosterone on blood thinners

  • emile6
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31 Jul 2021 08:40 #225776 by emile6
Hi guys so I've been diagnosed with thrombosis which is a blood clot in my calf and I was wondering if I should carrying on taking test or if I should stop as the test could negatively affect the blood thinners?

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  • Muscleaddict
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31 Jul 2021 10:51 #225777 by Muscleaddict
Replied by Muscleaddict on topic Taking Testosterone on blood thinners
Yes, testosterone in above normal doses increases your red blood cell count (haematocrit) above the 'normal' range which increase the viscosity of your blood and will put you at higher risk of of adverse event.

With your condition you should definitely be getting blood work done. If you continue with the T, stick to lower doses, give blood every 5-6 weeks to lower you haematocrit, and blood work to get it checked regularly.

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31 Jul 2021 11:46 #225778 by emile6
Replied by emile6 on topic Taking Testosterone on blood thinners

Muscleaddict wrote: Yes, testosterone in above normal doses increases your red blood cell count (haematocrit) above the 'normal' range which increase the viscosity of your blood and will put you at higher risk of of adverse event.

With your condition you should definitely be getting blood work done. If you continue with the T, stick to lower doses, give blood every 5-6 weeks to lower you haematocrit, and blood work to get it checked regularly.


So I can donate blood while in the thinners?

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31 Jul 2021 13:33 #225779 by Muscleaddict
Replied by Muscleaddict on topic Taking Testosterone on blood thinners

emile6 wrote:

Muscleaddict wrote: Yes, testosterone in above normal doses increases your red blood cell count (haematocrit) above the 'normal' range which increase the viscosity of your blood and will put you at higher risk of of adverse event.

With your condition you should definitely be getting blood work done. If you continue with the T, stick to lower doses, give blood every 5-6 weeks to lower you haematocrit, and blood work to get it checked regularly.


So I can donate blood while in the thinners?


A shit, you should not donate blood then, and there is no other sure way to lower haematocrit that I know of. Get blood work done. But steroids are not a good idea for you unfortunately. There is definitely a health risk bud.
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31 Jul 2021 17:27 #225780 by syntax
Replied by syntax on topic Taking Testosterone on blood thinners
What test are you taking and how often?
I recall reading a study where shorter esters as well as higher dosages less frequently of testosterone both can worsen the effects of increased blood cell count.

Not much better but still better was using longer esters more frequently rather than higher dosages less frequently.

I stand to be corrected on this

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01 Aug 2021 08:14 #225781 by emile6
Replied by emile6 on topic Taking Testosterone on blood thinners

syntax wrote: What test are you taking and how often?
I recall reading a study where shorter esters as well as higher dosages less frequently of testosterone both can worsen the effects of increased blood cell count.

Not much better but still better was using longer esters more frequently rather than higher dosages less frequently.

I stand to be corrected on this

I'm taking sustanon 350 1ML divided in 5 shots Monday to Saturday. So it's long and short esters.

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01 Aug 2021 21:25 #225784 by 00pump
Replied by 00pump on topic Taking Testosterone on blood thinners
What blood thinner are you on, that is the most important, I'm assuming it's Xarelto and not Warfrin ?

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02 Aug 2021 20:37 #225792 by emile6
Replied by emile6 on topic Taking Testosterone on blood thinners

00pump wrote: What blood thinner are you on, that is the most important, I'm assuming it's Xarelto and not Warfrin ?

I'm on iXarola/Rivaroxaban

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02 Aug 2021 20:52 #225793 by 00pump
Replied by 00pump on topic Taking Testosterone on blood thinners
Ya that's Xarelto , I haven't had issues with it my self,
my dad uses them and he's old and takes TRT.

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02 Aug 2021 23:35 #225794 by Muscleaddict
Replied by Muscleaddict on topic Taking Testosterone on blood thinners
If you have thrombosis there's quite a difference between TRT dose and 350mg/week with risk factors for a pulmonary embolism or stroke . Haematocrit increase from testosterone supplementation is dose dependant.
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03 Aug 2021 08:59 #225796 by LesDoctor
Replied by LesDoctor on topic Taking Testosterone on blood thinners
I hope you have done further investigations to rule out the underlying cause. Assuming it was only caused by the steroids, whilst they may contribute, would be false. Furthermore, the length of treatment tends to be 3 months if a major is identified. If your physician were to decide that the steroid use is the cause this would entail you having to stop use or be on anti-coagulation indefinetly. There are many other questions you would need to be asked and many more investigations needed to be performed or else it will happen again.
Personally I would not play around with my body until the 3 months of Anti-coagulation and I know the DVT has resolved. The Risk of a pulmonary embolism would scare me enough.
Any plans on thrombolytic therapy or thrombectomy in the future?
For now I would stick to TRT, actual TRT (Ideally as low a dose as possible). You could also come off hormones but you shouldn't use a typical PCT since the drugs used in PCTs are pro-thrombotic themselves.

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03 Aug 2021 09:04 #225797 by LesDoctor
Replied by LesDoctor on topic Taking Testosterone on blood thinners

Muscleaddict wrote: If you have thrombosis there's quite a difference between TRT dose and 350mg/week with risk factors for a pulmonary embolism or stroke . Haematocrit increase from testosterone supplementation is dose dependant.


Just more out of interest, you would not be at risk of a stroke in the cause of a DVT since, assuming you don't have an undiagnosed hole in your heart allowing access from the right to the left side of the heart bypassing the lung vasculature (this is a rare state called a paradoxical embolus), the clot would be stopped in the pulmonary vasculature causing a pulmonary embolism.
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04 Aug 2021 19:09 #225803 by emile6
Replied by emile6 on topic Taking Testosterone on blood thinners

LesDoctor wrote: I hope you have done further investigations to rule out the underlying cause. Assuming it was only caused by the steroids, whilst they may contribute, would be false. Furthermore, the length of treatment tends to be 3 months if a major is identified. If your physician were to decide that the steroid use is the cause this would entail you having to stop use or be on anti-coagulation indefinetly. There are many other questions you would need to be asked and many more investigations needed to be performed or else it will happen again.
Personally I would not play around with my body until the 3 months of Anti-coagulation and I know the DVT has resolved. The Risk of a pulmonary embolism would scare me enough.
Any plans on thrombolytic therapy or thrombectomy in the future?
For now I would stick to TRT, actual TRT (Ideally as low a dose as possible). You could also come off hormones but you shouldn't use a typical PCT since the drugs used in PCTs are pro-thrombotic themselves.

Thanks. I actually got the dvt from tearing my calf muscle and strapping a bandage too tight wasn't on any anabolics at the time. I'm still relatively young 26 so I don't think I trt would be good. I did all my blood tests and everything was fine no need for any further action after the 3 months. But I will definitely come off for the rest of the months I have left. Thanks.

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05 Aug 2021 08:59 #225805 by 00pump
Replied by 00pump on topic Taking Testosterone on blood thinners
100 percent, no point taking a risk, the steroids should not directly interfere with the blood thinner but indirectly they will, wait this out, get yourself back on the mend, you have many years to cycle.

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