What is Hematocrit?
Hematocrit (HCT) is the percentage of your blood volume made up of red blood cells. Normal range is 38-50% for men. Steroids stimulate erythropoiesis (red blood cell production), which can push HCT dangerously high.
Why High Hematocrit is Dangerous
When HCT exceeds 54%, your blood becomes significantly thicker, increasing the risk of:
- Blood clots and deep vein thrombosis
- Stroke
- Heart attack
- Pulmonary embolism
Compounds That Raise HCT Most
- Equipoise (Boldenone) — the worst offender
- Trenbolone
- High-dose Testosterone
- Anadrol
Management Strategies
Blood Donation
The most effective way to lower HCT quickly. Donate every 8 weeks if eligible. A single donation removes approximately 450-500mL of blood.
Therapeutic Phlebotomy
If you can't donate (due to steroid use disclosure requirements), ask your doctor for a therapeutic phlebotomy. This is the same procedure but ordered by a physician.
Naringin (Grapefruit Extract)
500-1000mg daily may help reduce red blood cell production. Evidence is moderate but it's a low-risk supplement worth trying.
Hydration
Dehydration falsely elevates HCT readings and actually thickens blood further. Stay well hydrated, especially before bloodwork.
Monitoring Schedule
Check CBC including HCT at baseline, mid-cycle, and post-cycle. If running Equipoise, check monthly.
