This is interesting. I have been oddly, tolerating a slightly higher dose of enanthate than usual. Not sure why, but I have some theories. After I watch things a little while longer, I’ll post an update. Very glad you are making progress.This article describes my experience thus far:
Blunted autonomic reactivity to pharmacological panic challenge under long-term escitalopram treatment in healthy menAbstractBackground:. Central serotonergic pathways influence brain areas involved in vagal cardiovascular regulation and, thereby, influence sympathetic efferenacademic.oup.com
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Good thing I listened to my Doctor. Now I can enjoy destroying the gym once again and QOL has improved significantly. Knock on wood it has only been a few months.
@Fortunate, @Belekas, @bixt and others who have wondered about TRT/TOT and exaggerated autonomic/inotropic/chronotropic effects...5 mg/day of escitalopram has me handling upping my "TRT" dose from 80 to 100 to 120 mg/week TC/TP mix much better than prior to its use. Probably another thing to watch out for as it may provide a cover to allow some of us sensitive folk to up our dose (more than we need for TRT) for ahem "hobby" purposes.
And full disclosure I am probably just late to the party from years ago about the touted low dose SSRI + TOT mix. Thanks for your patience @FunkOdyssey. It is nice to learn at the knees from someone with so much field experience.
The SSRI did nothing for my depression though which is pretty funny (no primary effect). Maybe made it a little worse. Good thing I learned how to cope with that years ago, and it allows me to lift and enjoy body dysmorphia (which helps with the depression - secondary vs primary effect).