The Hummingbird's Nest
Understanding Therapeutic Phlebotomy

Therapeutic Phlebotomy is a specialized procedure in which a measured amount of blood is removed from the body to help lower excess iron or reduce elevated red blood cell volume. Unlike a standard lab draw that is used for diagnostic testing, this treatment focuses on restoring balance in the body, reducing strain on vital organs, and helping manage chronic conditions such as hemochromatosis and polycythemia. The process is structured, carefully monitored, and performed with patient comfort, safety, and long-term health goals in mind.
Why This Treatment Exists
Therapeutic phlebotomy is used to help prevent long-term damage to major organs and reduce dangerous risks associated with excess iron or blood volume.
Goals of Treatment
- Reduce iron overload
- Lower hematocrit levels
- Control hemoglobin concentration
- Protect organs over time
- Reduce clotting and stroke risk
Conditions Treated With Therapeutic Phlebotomy
Most Common Diagnoses
- Hereditary Hemochromatosis
- Polycythemia Vera
- Secondary Polycythemia
- Porphyria Cutanea Tarda
- Liver-related iron overload
Frequency of Treatment
Treatment schedule varies:
- Weekly
- Monthly
- Seasonally
- As needed based on lab work
How the Procedure Works
During a Session
A trained clinician removes a controlled volume of blood—typically 350mL to 500mL—while monitoring the patient throughout.
Expected Duration
- 20–45 minutes per session
- Sometimes slower for older or fragile patients
How to Prepare
The Day Before + Morning Of
Patients should:
- Hydrate deeply
- Eat normally
- Avoid alcohol
- Dress comfortably
Hydration greatly improves vein access and flow.
What Patients May Feel During the Procedure
Sensation & Experience
Patients may notice:
- Minor pinch at insertion
- Relaxing or light sensation
- Mild lightheadedness
Clinician Focus
- Patient comfort
- Steady flow
- Adjustments as needed
Aftercare & Recovery Tips
Immediately After
Patients should:
- Rest briefly before leaving
- Continue hydrating
- Snack if helpful
- Avoid strenuous activity
Same-Day Recommendations
- Light meals
- Gentle movement
- No heavy lifting
When to Contact Your Provider
Seek medical guidance if experiencing:
- Persistent bleeding
- Severe dizziness
- Signs of infection
- Chest discomfort
- Loss of consciousness
The Value of Home-Based Treatment
Therapeutic phlebotomy at home supports patients by providing:
Comfort Benefits
- Familiar environment
- Reduced stress
- Patient dignity
Practical Benefits
- No travel burden
- No hospital waits
- Weather-safe access
- Flexible scheduling
ABOLabs & Therapeutic Phlebotomy Care
ABOLabs offers:
- In-home therapeutic phlebotomy
- Compassionate clinicians
- HIPAA-compliant documentation
Because healing is easier when care comes to you.












