Is a high hematocrit the same thing as having too much iron?

No. Hematocrit describes the proportion of your blood made up of red blood cells. It is not a direct measurement of how much iron your body stores. MedlinePlus hematocrit explanation.

This distinction matters during TRT monitoring because testosterone can affect red blood cell production. An unexpected result needs interpretation in context; it does not supply its own treatment instructions.

Do not assume that changing an iron supplement or arranging blood donation resolves the reason for the finding.

Next: Ask Valerie what the result means and what follow-up is appropriate for your situation.