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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Elevated Hemoglobin Levels

halo im very helthy sports man 60 years old i like to now one thing im on trt meny years but throw time of meny flebotomys my feritin levels when low i reduse my trt dosege end i take iron tablets to bring back my feritin levels but but after 8 weeks of iron pils my hemoglobin levels when to hige now i stop iron pils my question is how loong time take to com down the hemoglobin levels natruly without flebotomy thenk you
Mon, 8 Jan 2018
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Oncologist 's  Response
Hi

Treatment of elevated hemoglobin levels is phlebotomy (blood letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently.

A commonly recommended medication for the treatment of polycythemia is called hydroxyurea (Hydrea). This is especially advised in people at risk of clot formation. At age greater than 70, having both an elevated platelet count (thrombocytosis) greater than 1.5 million and cardiovascular disease makes the use of hydroxyurea more favorable. Hydroxyurea is also recommended in patients who are unable to tolerate phlebotomy. Hydroxyurea can lower all elevated blood counts (WBC, red blood cells, and platelets), whereas phlebotomy only lowers the HCT.

Regards

Dr De
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Oncologist Dr. Monish De's  Response
Hi

Treatment of elevated hemoglobin levels is phlebotomy (blood letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently.

A commonly recommended medication for the treatment of polycythemia is called hydroxyurea (Hydrea). This is especially advised in people at risk of clot formation. At age greater than 70, having both an elevated platelet count (thrombocytosis) greater than 1.5 million and cardiovascular disease makes the use of hydroxyurea more favorable. Hydroxyurea is also recommended in patients who are unable to tolerate phlebotomy. Hydroxyurea can lower all elevated blood counts (WBC, red blood cells, and platelets), whereas phlebotomy only lowers the HCT.

Regards

Dr De
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Hematologist Dr. Arijit Nag's  Response
It will be nice to know what disease you are suffering from. If you have Polycythemis vera, there can be some medications that can be given to reduce your phlebotomy requirements e.g. Hydroxyurea. However, it is always recommended to get yourself checked by a qualified Hematologist who can review your condition and depending on the indication prescribe the medicines.
Regards,
Dr. Arijit Nag.
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Suggest Treatment For Elevated Hemoglobin Levels

Hi Treatment of elevated hemoglobin levels is phlebotomy (blood letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently. A commonly recommended medication for the treatment of polycythemia is called hydroxyurea (Hydrea). This is especially advised in people at risk of clot formation. At age greater than 70, having both an elevated platelet count (thrombocytosis) greater than 1.5 million and cardiovascular disease makes the use of hydroxyurea more favorable. Hydroxyurea is also recommended in patients who are unable to tolerate phlebotomy. Hydroxyurea can lower all elevated blood counts (WBC, red blood cells, and platelets), whereas phlebotomy only lowers the HCT. Regards Dr De