When to Stop / Seek Help
Polycythemia (High Hematocrit) Warning
| Symptom | Notes |
|---|---|
| Persistent headaches | Can indicate high blood viscosity |
| Dizziness / lightheadedness | |
| Blurred vision | |
| Fatigue / weakness | |
| Shortness of breath | |
| Chest pain |
If HCT > 54%, seek medical attention. Therapeutic phlebotomy may be needed.
Deep Vein Thrombosis (DVT)
| Symptom | Notes |
|---|---|
| Swelling in one leg | Seek medical attention within 24 hours |
| Leg pain/tenderness | |
| Redness or warmth |
Pulmonary Embolism (PE)
| Symptom | Notes |
|---|---|
| Sudden shortness of breath | Call emergency services |
| Chest pain (sharp, worse on breathing) | |
| Coughing up blood | |
| Racing heart |
Severe Depression / Suicidal Thoughts
- US: 988 (Suicide & Crisis Lifeline)
- UK: 111 or 999
- Trans Lifeline: translifeline.org
What NOT to Do
- ❌ Don't ignore symptoms
- ❌ Don't stop all HRT without a plan
- ❌ Don't lie to doctors about DIY HRT in emergencies