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Testosterone Bottle

Consult of the Week

Elevated H&H during Testosterone Replacement

53yo M with hypogonadism on testosterone IM injection 100mg every 2 weeks. He intermittently has secondary polycythemia with max Hct/Hgb as high as 18.7/ 55.2. I have referred him to Endo & Heme but while referring I always stop his testosterone so that by the time he sees them his H&H are normal and they recommend restarting the testosterone. What is the recommended threshold for H&H for patients on testosterone? At what level do you absolutely stop in this situation?

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