Therapeutic Phlebotomy
Near Omaha, Nebraska
High hematocrit on TRT? Blood banks turned you away? We get it. ZYP Medical offers the most affordable, in-clinic therapeutic phlebotomy in the Omaha metro for men with elevated red blood cell counts, polycythemia, erythrocytosis, or hemochromatosis — no insurance, no runaround, no judgment. Just walk in, get it done, and get back to your life.
Book Your Appointment Or call us: (402) 407-2847
What Is Therapeutic Phlebotomy?
Therapeutic phlebotomy — also called therapeutic venesection or medical blood letting — is a procedure that removes blood to treat elevated red blood cell counts, a condition known as erythrocytosis or polycythemia. Think of it like donating blood, except the purpose is medical and the blood is discarded as regulated medical waste rather than used for transfusion.
If you're on testosterone replacement therapy (TRT), your body produces more erythropoietin, which ramps up red blood cell production. When hematocrit climbs above 54% or hemoglobin exceeds 18 g/dL, your blood gets thicker — increasing the risk of blood clots, stroke, and cardiovascular events. This is the single most common reason men on TRT in Omaha, Gretna, La Vista, Papillion, and Bellevue need therapeutic phlebotomy.
Many men find that blood donation centers turn them away once hematocrit exceeds 53%, or they aren't eligible to donate due to TRT disclosures. That's where therapeutic phlebotomy comes in — it's available regardless of your levels, and we can schedule it more frequently than standard blood donation allows.
Quick Facts
~20–30 Minutes
Quick in-clinic procedure with minimal downtime
Evidence-Based
Standard of care for polycythemia and TRT-induced erythrocytosis
Supervised Setting
Performed under clinical oversight by Josh Peterson, FNP-C
Open to Everyone
Available to ZYP members and non-members alike — no referral needed
Who Needs Therapeutic Phlebotomy?
If any of these apply, you may be a candidate for therapeutic phlebotomy at ZYP Medical.
TRT Patients with Elevated Labs
Hematocrit ≥ 54% or hemoglobin ≥ 18 g/dL — the most common reason men on testosterone need phlebotomy. Can't donate blood because your levels are too high? This is your option.
Hemochromatosis & Iron Overload
Hereditary or acquired iron overload conditions where routine blood removal is part of your ongoing treatment. We'll work with your existing provider if needed.
External Referrals & Walk-Ins
Referred by another provider? Managing TRT with a different clinic but need affordable phlebotomy near Omaha? No ZYP membership required — bring your labs and we'll take care of it.
Simple, Honest Pricing
Direct pay. No insurance billing. No surprise fees. You know exactly what therapeutic phlebotomy costs before you book — and it's the most affordable option in the greater Omaha area.
Active Men's Health / TRT Members
- In-clinic procedure (~20-30 min)
- Clinical oversight by licensed provider
- Coordinated with your TRT protocol
Non-Members / External Patients
- Same in-clinic procedure
- Clinical oversight by licensed provider
- No ZYP membership or referral required
Direct pay only — no insurance billing. Payment collected at time of service. Serving Gretna, Omaha, La Vista, Papillion, Bellevue, Lincoln & Council Bluffs.
What To Expect
Book Online
Schedule your therapeutic phlebotomy appointment through our online booking system.
Submit Labs & Intake
Complete your health screening form and provide CBC results from within the last 30 days.
In-Clinic Procedure
Visit our Gretna clinic for the procedure — approximately 20–30 minutes, start to finish.
Follow-Up Labs
Repeat CBC in 4–6 weeks to confirm your hematocrit and hemoglobin are back in safe range.
Requirements Before Your Appointment
To ensure a safe and effective procedure, please have the following ready before your scheduled visit.
CBC Lab Results Within 30 Days
We need recent hematocrit and hemoglobin values to confirm clinical indication for the procedure.
Complete Intake / Health Screening Form
A brief health history to identify any contraindications or special considerations before your visit.
Signed Consent Form
Provided at the time of your appointment. Covers procedure details, risks, and expectations.
Eat & Hydrate Before Your Visit
Have a full meal and drink plenty of water before arriving. This reduces the risk of lightheadedness during the procedure.
Ready to Get Your Hematocrit Under Control?
Stop stressing about high red blood cell counts. Whether you're a ZYP TRT patient or coming from another provider, book therapeutic phlebotomy in Gretna — just minutes from Omaha, La Vista, Papillion, and Bellevue.
Book Your Appointment Prefer to call? (402) 407-2847Frequently Asked Questions
Many blood donation centers (including the Red Cross) will turn you away if your hematocrit exceeds 53%, or if you disclose TRT use. Therapeutic phlebotomy has no such restrictions — we can treat you regardless of your levels, and you can schedule more frequently than donation allows. The difference is the blood is discarded as medical waste rather than used for transfusion.
It depends on how your body responds to testosterone. Some men need it every 8-12 weeks, while others may only need it once or twice a year. We use follow-up CBC labs 4-6 weeks after each session to determine when (and if) you need another round. Many men on longer-term TRT find their hematocrit stabilizes over time.
No. We welcome external patients and referrals from other providers. You'll just need CBC lab results from within 30 days showing elevated hematocrit or hemoglobin, and you'll complete our intake form. Non-member pricing is $125 per session — still among the most affordable options in the Omaha metro.
ZYP Medical is located at 11922 Standing Stone Dr, Suite 200, Gretna, NE 68028 — just 15 minutes from west Omaha, La Vista, Papillion, Bellevue, and Elkhorn. We serve the entire greater Omaha metro area, Lincoln, and Council Bluffs, IA.
We typically remove approximately one unit (about 500mL) of blood per session — the same amount you'd give during a standard blood donation. Removing one unit can lower your hematocrit by roughly 3%, though individual results vary.
Yes — at $75 for active ZYP members and $125 for non-members, we offer some of the lowest direct-pay therapeutic phlebotomy pricing in the Omaha metro area. Most hospital-based phlebotomy services cost several hundred dollars or more when billed through insurance, and still leave patients with surprise copays or deductibles. ZYP Medical is cash-pay only, so the price you see is the price you pay.
Therapeutic phlebotomy at ZYP Medical is a direct-pay medical procedure performed under the clinical supervision of Josh Peterson, FNP-C. This service is intended for patients with documented clinical indications including elevated hematocrit or hemoglobin. ZYP Medical does not guarantee specific clinical outcomes. Results vary based on individual health status, frequency of treatment, and adherence to follow-up care. Blood collected during therapeutic phlebotomy is discarded as regulated medical waste and is not used for transfusion or donation. This service is not a substitute for emergency care. If you are experiencing chest pain, difficulty breathing, or stroke symptoms, call 911 immediately. Therapeutic phlebotomy may not be appropriate for all patients. A clinical review of your health history and lab results is required before scheduling. ZYP Medical, LLC — 11922 Standing Stone Dr STE 200, Gretna, NE 68028.