I too have elevated hematocrit. I am 72 years old and on 140 mg testosterone cypionate once a week for over 2 years. It is the best dosage for me. I feel great and my strength and conditioning is where it was at when I was 50. My belly fat and man-boobs are gone. The hematocrit issue did bug me. It was up to 54%. My BP was going up and I was starting to feel congestion in my lungs and a slight cough.
I didn’t notice any head ache. Headache and lung congestion are common symptoms of high hematocrit. My family Dr begged me to get off of T. After explaining to him all of the other health benefits I have experienced I told him I will not go off of T ,he went ballistic. I told him that I will simply donate blood to lower it. When I went to the donation center I noticed a that I could also have a procedure where they took twice the blood cells of a normal blood donation.
They tested my hemoglobin and found it high, and I was eligible for a double red blood cell donation. The procedure was a little longer than a regular donation. I gave the red blood cells and about a day later the lung congestion was gone and my blood pressure went down about 10 points, both numbers. About 4 weeks later I had blood work done again and my hematocrit was down to 46 %. My doctors were happy.
There is one downside. For the about first 2 weeks after giving the double red blood cells it felt like I was skiing at 10,000 ft. My body had become so used to the large amount of red blood cells and high hemoglobin that it took time to adjust to the new oxygen carrying capacity.
I couldn’t do a hard workout at the gym. When you do double red blood cells you need to plan your active life around this issue. BTW since being on T, on my lipid panel, all of the cholesterol’s have markedly been reduced including triglyceride. The ratios are still excellent and triglyceride which was always high is now well with in the acceptable level. So in my opinion giving blood to lower hematocrit is a good idea. BTW, my red blood cells were going directly to a cancer patient. You help your self and another person. How nice is that!