3 weeks into TRT, heavy heartbeat/palpitations - will this subside?

[transetpmedia]

I started TRT 3 weeks ago on a dose of 100mg cypionate a week (EOD IM injections) and HCG 100iu a day subq. It's going well in terms of feeling it, however, I am noticing that is giving me what I would describe as a heavy heartbeat. This is something that I got before TRT, however, it is benign. I've had every test, ECG, echo and MRI, which shows that I have a relatively large but healthy heart. My cardiologist just says that its from exercise/being fit.

The problem is that it is ruining my sleep. I get enough sleep but the quality of it isn't very deep. TRT seems to have triggered this again. Has anyone had a similar experience with TRT? I am hoping that it is just a matter of hormonal changes and that it will go away in time as things stabilize in my body.

 

[S1W]

This is not unusual. I remember feeling it too, mostly at night around bedtime. For me, the feeling of "being able to feel my heart beat more than usual" did eventually go away.

Sleep, on the other hand, has been an issue for me since I began TRT and it has not really improved.

 

[Charliebizz]

I had it when my dose was too high for me. (I am a low shbg guy ) I also can tolerate way higher doses of enanthate. Cypionate gives me all types of sides.

 

[Systemlord]

I didn't have any sides at all during the adjustment phase on Jatenzo. It probably has something to do with reaching a steady state in a faction of the time, which is one week.

I can only imagine how nebido must feel like with the very long half-life! I had all kinds of sides on injectable T, the half-life I believe being the contributing factor.

 

[Cataceous]

I started TRT 3 weeks ago on a dose of 100mg cypionate a week (EOD IM injections) and HCG 100iu a day subq. It's going well in terms of feeling it, however, I am noticing that is giving me what I would describe as a heavy heartbeat. This is something that I got before TRT, however, it is benign. I've had every test, ECG, echo and MRI, which shows that I have a relatively large but healthy heart. My cardiologist just says that its from exercise/being fit.

The problem is that it is ruining my sleep. I get enough sleep but the quality of it isn't very deep. TRT seems to have triggered this again. Has anyone had a similar experience with TRT? I am hoping that it is just a matter of hormonal changes and that it will go away in time as things stabilize in my body.

I had that too when I was taking too much testosterone—on the exact same EOD protocol, except subcutaneous. Although 100 mg T cypionate per week is a common starting dose, realistically the 10 mg testosterone per day is near the high end of normal male production. This means it's likely to be unnecessarily high for most men. Quite a few bodily systems can be thrown off by too much testosterone. Although you may see some adaptation over time, I think it would be wise to try lower doses first, say around 70 mg/week. Your EOD injection protocol gives you an advantage in trying lower doses because there's less peak-trough variation compared to longer injection intervals.

 

[drkelp]

Is your blood pressure high?

 

[nodoctor]

Hcg does that to me way more than T. Ghrp dramatically improved my sleep. Ipamorelin cjc and 2 others specifically.

 

[transetpmedia]

So many week on from this original posts...

I dropped my dose to 70mg cypionate (with daily injections) and HCG 700iu a week. Test levels were 37.5nmol or so - probably equivalent to 1100 ngdl. I since dropped my dose to 40mg a week (with daily injections) and HCG 560iu a week. I am doing a test soon, but in theory my levels should be around 30 nmol(900ngdl) or less. It's been 5.5 weeks/ approaching 6 weeks and I still have the palpitations. They are marginally better but the problem is still there. I am pretty sure I will have to quit TRT, but I will try lower doses just in case but I'm not too hopeful.

Should I stick to my current dose for another week or two? In theory my test cyp should be just about to stabilize. The heart thumping is still quite strong, a lot would have to change for it to be good enough for me to continue with TRT. Does anyone think a change could come soon or if it's been this long and I'm still getting them I should start to lower my dose again?

 

[Graham]

I had that too when I was taking too much testosterone—on the exact same EOD protocol, except subcutaneous. Although 100 mg T cypionate per week is a common starting dose, realistically the 10 mg testosterone per day is near the high end of normal male production. This means it's likely to be unnecessarily high for most men. Quite a few bodily systems can be thrown off by too much testosterone. Although you may see some adaptation over time, I think it would be wise to try lower doses first, say around 70 mg/week. Your EOD injection protocol gives you an advantage in trying lower doses because there's less peak-trough variation compared to longer injection intervals.

What if 10 mg a day only gets you to the 400’s ng ? I think you should go by bloodwork numbers not a dosage. Get tested on different days relative to your injection frequency such as the day of an injection, second day, third day to see what is happening

 

[Charliebizz]

So many week on from this original posts...

I dropped my dose to 70mg cypionate (with daily injections) and HCG 700iu a week. Test levels were 37.5nmol or so - probably equivalent to 1100 ngdl. I since dropped my dose to 40mg a week (with daily injections) and HCG 560iu a week. I am doing a test soon, but in theory my levels should be around 30 nmol(900ngdl) or less. It's been 5.5 weeks/ approaching 6 weeks and I still have the palpitations. They are marginally better but the problem is still there. I am pretty sure I will have to quit TRT, but I will try lower doses just in case but I'm not too hopeful.

Should I stick to my current dose for another week or two? In theory my test cyp should be just about to stabilize. The heart thumping is still quite strong, a lot would have to change for it to be good enough for me to continue with TRT. Does anyone think a change could come soon or if it's been this long and I'm still getting them I should start to lower my dose again?

I personally would drop the hcg first. And if it doesn’t go away change the ester (enanthate). Made a world of a difference for me

 

[Cataceous]

What if 10 mg a day only gets you to the 400’s ng ? I think you should go by bloodwork numbers not a dosage. Get tested on different days relative to your injection frequency such as the day of an injection, second day, third day to see what is happening

First, you need to go by free testosterone, not total. With low SHBG it's quite possible to have robust free testosterone when total testosterone is in the 400s ng/dL. Second, I think it's prudent to start TRT at doses that match average production levels for healthy young men—or less. It's generally considered easier to raise the dose later than to reduce it. The low-and-slow approach shuns starting at 90-100 mg TC per week, because this is already at the top end of the natural production range. It would be exceedingly rare for someone to have low free testosterone with 10 mg T per day. On the contrary, most will have upper-range and above levels. The creators of Xyosted recognized this, and that's why the starting dose is 75 mg TE per week.

The OP is injecting daily, which means his serum testosterone is likely to be pretty steady, and additional testing may not be very informative.

@transetpmedia: Your problem is still most likely related to testosterone. If you think it's important to rule out excipients then you can try Xyosted, which is only testosterone enanthate in oil. Otherwise, consider experimenting with a testosterone propionate blend, which would let you reduce total testosterone exposure while preserving your peak daily level. This is more in line with the natural daily cycle seen in young men. With this approach you could potentially cut your dose by a further 20% while maintaining your daily peak TT of 700 ng/dL.

In your new thread you noted that you're down to 8 mg TC per day. Although that seems relatively low, a 20% reduction puts you at the dose I've been using for years, which coincidentally has my peak total testosterone at around 700 ng/dL. In my case the 4.4 mg of testosterone per day comes from 3.2 mg testosterone enanthate and 2.4 mg testosterone propionate.