Lower dose but hematocrit up and morning hand numbness — why and what to do?

That's the root issue — get off the extra gear and fix your diet. With that much testosterone and your bodyfat you're holding water. Do you get sock marks around your ankles? I'm being blunt: you're short and overweight, so lose the weight first. Look into weight-loss options like GLP-1s.

He's not on "gear" — it's 120 mg/week TRT. OP, you still need to lose weight and clean up your diet; focus on hydration and lower sodium. Your hematocrit isn't that high — I'd suspect dehydration rather than something more serious.

More water and consistent cardio Monday–Friday did wonders for my Hct. Mine climbed to almost 53 on TRT, and more hydration plus regular cardio brought it down to 46 over about three months. I do 20–25 minutes fasted in the morning five days a week — it helps with fat loss and keeps me consistent. I later added 100 mg NPP every week for joint relief and six weeks after my Hct rose back to 50 (nandrolone can boost RBCs, so not surprising). I had been lazy with cardio (around 3 days/week) so I bumped it back to five and expect the numbers to drop again. Supplements like nattokinase and naringin can help; I haven't tried them yet but will if my January labs still show elevated Hct/RBCs.

My mistake, I mixed him up with another poster — he's just on TRT. A GLP-1 could still help with weight. A Hct around 52 is pretty normal for someone on testosterone; I wouldn't panic until it reaches ~56 or higher.

Switched to daily injections. When I was doing twice-weekly my Hct hit 58%; changing to daily, with no other changes, brought it down to 53%.

Looks like you've done your homework. Combine daily dosing with a big increase in water intake and more cardio, and add nattokinase as others said and you'll be on the right path. Note: if you take these enzymes don't take aspirin — most labels warn against it.

This scares people every time, but a high Hct alone doesn't automatically mean you're at stroke risk. You need to consider platelet count too — if platelets are normal there's usually little to worry about. Some high-altitude populations routinely run 55–60 Hct. The problem comes when platelet count is over ~450k; then high Hct can contribute to clots, heart strain or stroke. Check urine color — you might just be dehydrated. Good tips below; if you want to keep it controlled long-term consider a low-dose ARB. IMO anyone using more than basic TRT should consider one. Reversing heart failure is awful; there are new peptides that can help but they're very expensive.

What's an ARB? I'd prefer not to take anything else besides TRT. I could drop to 3 injections a week if needed, maybe very small doses. That might let me increase dose later. I'm on 0.75 mg right now but I think it's not doing much — it was my wife's leftover semaglutide prescription from Hers. I have about two months' supply. I plan to start Reta and BPC-157, just debating which Chinese source to use.

On TRT I run prop — one notch on an insulin pin subQ every day, about 70 mg/week. I inject into belly fat each morning; you might need to try different brands to avoid a reaction. Low-dose ARB — any of the "sartan" drugs (losartan, telmisartan, valsartan) — keeps my numbers rock solid in the mid-to-high 40s whether I'm on cycle or not. Before that I had years of trouble managing it. Drinking a ton of water constantly gets old. BPC-157 is great; oral arginine/salt versions have improved but are pricey. Bromelain is solid too. I know a bit about neuropathy — BPC might help regenerate myelin, but don't chase symptoms without looking for root causes. Get a glucose monitor and learn to use it; neuropathy can be from blood sugar swings. It could also be B12 deficiency. I wake with numb fingers often — I've got chronic CTS from GH use, fluid retention and blood sugar fluctuations. Good to ask for advice.

Nattokinase helped me a lot — within a couple weeks the tingling (for me it was numbness in certain positions) eased and now I rarely notice it. My Hct is cruising at 53. Switching to daily injections also helped — I went from 55 down to 53. I'm trying enalapril now, hoping it shaves off a couple more points.