A relaxed patient in a recliner chatting with a phlebotomist
PROVIDER-ORDERED BLOOD REMOVAL

Therapeutic phlebotomy, at home.

Therapeutic phlebotomy removes a set amount of blood on a provider’s order to lower iron or red blood cell levels.

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Therapeutic phlebotomy is a treatment, not a test. A provider orders it to remove blood, most often for hereditary hemochromatosis, polycythemia vera, or a high hematocrit, which can happen with testosterone replacement therapy.

We perform therapeutic phlebotomy only with a written order that states the volume to remove and any limits, such as hematocrit or blood pressure thresholds. We monitor you during and after the procedure.

What’s included

Written order required

Volume, frequency and stop criteria come from your provider.

Monitoring

Vital signs checked before and after, and you rest before we leave.

Comfort at home

Recover on your own couch instead of a clinic chair.

Recurring schedule

Repeat sessions arranged on the interval your provider orders.

WHO IT’S FOR

Who this service helps

  • Patients with hereditary hemochromatosis
  • Patients with polycythemia vera
  • Men with high hematocrit on testosterone therapy, per their provider
  • Patients who find clinic visits difficult
HOW IT WORKS

Your visit, step by step

  1. Your provider writes the therapeutic phlebotomy order.
  2. Eat a meal and drink plenty of fluids beforehand unless told otherwise.
  3. We check your vital signs, remove the ordered volume and monitor you.
  4. Rest, hydrate and avoid heavy exercise for the rest of the day.
QUESTIONS

Therapeutic Phlebotomy FAQ

How much blood is removed?

A typical therapeutic phlebotomy removes about one unit, roughly 450–500 mL, but the amount is always set by your provider’s order.

Can I get therapeutic phlebotomy for high hematocrit from TRT?

Yes, when your prescribing provider orders it. The order should include the volume and any hematocrit limits.

Is therapeutic phlebotomy the same as donating blood?

The procedure is similar, but therapeutic phlebotomy is a prescribed treatment and the blood is discarded, not donated.

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KNOWLEDGE BASE

Learn more in our knowledge base

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