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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Best meds to improve Ejection Fraction in TRT Users?
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<blockquote data-quote="IronKnight" data-source="post: 241914" data-attributes="member: 17473"><p>This thread is about how to improve <strong>Ejection Fraction</strong> and <strong>reduce LVH</strong>.</p><p></p><p>TRT does <strong>not </strong>directly cause LVH, in fact there are millions of average people, <strong>NOT on TRT</strong> who have LVH, <strong>even athletes</strong>, from Nelson himself:</p><p><a href="https://www.excelmale.com/forum/threads/left-ventricle-hypertrophy-and-nandrolone-decadurabolin.9233/#post-58988" target="_blank">"<strong>Most athletes that do not use testosterone or nandrolone have <em>LVH</em>.</strong> <em>Anything</em> that makes us use our hearts more would make <em>LVH increase</em>."</a></p><p></p><p>and from the Mayo Clinic:</p><p><a href="https://www.mayoclinic.org/diseases-conditions/left-ventricular-hypertrophy/symptoms-causes/syc-20374314" target="_blank">"Uncontrolled <strong>high blood pressure is the most common cause of left ventricular hypertrophy</strong>"</a></p><p></p><p>Therefore, focusing on reducing the T dose makes no sense as the <strong>immediate </strong>course of action, while <strong>getting blood pressure under control does</strong>. I would encourage you to add your T dose commentary to<a href="https://www.excelmale.com/forum/threads/evidence-of-high-testosterone-levels-achieved-naturally.14187/" target="_blank"> the following thread</a>, which <strong>proves </strong>that the <strong>upper natural </strong>range of Testosterone seems to be really around:</p><p>- Total Testosterone: 1400-1,593 ng/dL</p><p>- Free Testosterone: 42.5-54.7 pg/ml</p><p></p><p>As a side note, from a practical point of view, 200mg (~170mg real) is easier for me as here we have ampules (100mg each), and anything that is not a 100mg multiple is a mess to preload syringes, travel, etc. When I preload 2 months of shots, I often get at least 1 extra shot from the oil still present in the ampules, no vials here.</p><p></p><p>I am pretty sure I can even try 300mg / week (~250mg real) and still improve EF & reduce LVH, even without losing any fat, as long as my blood pressure & heart rate are in check. I may even do this + measure it for you, for entertaining purposes <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>With that out of the way, and going back into the topic, blood pressure is more about weight than body composition, but I'll answer the following:</p><p><em>/Waist circumference? Is your FFMI astounding or are you high bodyfat?/</em></p><p></p><p>Waist: 119cm / 46.85 inches</p><p>FFM: ~98kg / ~216lbs</p><p>Approx. Body Fat: 22% (from impedance scale), 25-27% (more likely guesstimate), 33% (from US army formula based on circumferences, less accurate for me)</p><p></p><p>My arm and leg veins are quite visible when its hot right now. When my waist is at 105cm / 41 inches lower abs are visible.</p><p></p><p>Bringing the thread more towards the topic, I found another post in this forum reporting success with the proposed ARB + BB approach (sorry, the link escapes me now, this is a slight modification):</p><p><em>/The doc gave me an ARB (some use an ACE instead of ARB) and a BB. ( Low dose candesartan and metoprolol)</em></p><p><em>After 3 months ejection fraction is up from 45% to 55% and my heart is stronger./</em></p><p></p><p>So, there it goes, 10% improvement after 3 months of ARB + BB (Beta Blocker) treatment, without any changes in the TRT dosage, <strong>exactly as in the study above</strong>.</p><p></p><p>For now, my plan is:</p><p>1. Get blood pressure under control via meds (= <strong>immediate </strong>progress)</p><p>2. Improve Ejection Fraction via meds (= <strong>immediate </strong>progress)</p><p>3. Slowly lose some body fat while preserving as much muscle as possible (will take a few months)</p><p>4. Consider other things depending on the new Echo-cardiogram after ~3 months</p><p>5. Try to eliminate some meds (i.e. Amlodipine seems to cause Edema sometimes) as my numbers improve</p><p></p><p>By the way, I discovered a few interesting <strong>blood pressure</strong> things today, this happened in <strong>the same day</strong>:</p><p>BP ~+= 10 with caffeine</p><p>BP ~+= 20 with cold</p><p>BP ~+= 30 with fast engaging activities that require a short reaction time (i.e. 1 min chess games, aka bullet)</p><p>BP ~-= 20 after a 17 min nap</p><p>BP ~-= 10-15 after deep breathing [ <a href="https://www.youtube.com/watch?v=y3LUlag7W1s" target="_blank">similar to this</a>, I'm new to this ]</p><p></p><p><strong>Log:</strong></p><p>129/85 (77 pulse) @ 5:30 - a few minutes after waking up</p><p>133/79 (86 pulse) @ 07:06 - 1h:24min after 600mg caffeine + 400mg theanine</p><p>141/77 (83 pulse) @ 08:23 - ~3h after 600mg caffeine + 400mg theanine</p><p>8:23 - 500mg magnesium</p><p>141/74 (84 pulse) @ 09:23 - ~4h after 600mg caffeine + 400mg theanine</p><p>150/90 (78 pulse) @ 11:27 - ~6h after 600mg caffeine + 400mg theanine [ 19ºC, <strong>shorts + no T-shirt on fasting day = adrenaline? vasoconstriction?</strong> ]</p><p>11:29 - 400mg theanine</p><p>162/90 (82 pulse) @ 12:51 - ~7.5h after 600mg caffeine + 400mg theanine [ 20ºC, <strong>more dressed, after 1h of bullet chess games</strong> ]</p><p>143/88 (79 pulse) @ 13:12 - ~8h after 600mg caffeine + 400mg theanine [ 20ºC, more dressed, <strong>after 17min nap</strong> ]</p><p>131/83 (80 pulse) @ 13:22 - ~8h after 600mg caffeine + 400mg theanine [ 20ºC, more dressed, <strong>after deep breathing exercise</strong> - 3 inhale + 3 hold + 8-12 breathe out, kind of like this [MEDIA=youtube]y3LUlag7W1s[/MEDIA] ]</p></blockquote><p></p>
[QUOTE="IronKnight, post: 241914, member: 17473"] This thread is about how to improve [B]Ejection Fraction[/B] and [B]reduce LVH[/B]. TRT does [B]not [/B]directly cause LVH, in fact there are millions of average people, [B]NOT on TRT[/B] who have LVH, [B]even athletes[/B], from Nelson himself: [URL='https://www.excelmale.com/forum/threads/left-ventricle-hypertrophy-and-nandrolone-decadurabolin.9233/#post-58988']"[B]Most athletes that do not use testosterone or nandrolone have [I]LVH[/I].[/B] [I]Anything[/I] that makes us use our hearts more would make [I]LVH increase[/I]."[/URL] and from the Mayo Clinic: [URL='https://www.mayoclinic.org/diseases-conditions/left-ventricular-hypertrophy/symptoms-causes/syc-20374314']"Uncontrolled [B]high blood pressure is the most common cause of left ventricular hypertrophy[/B]"[/URL] Therefore, focusing on reducing the T dose makes no sense as the [B]immediate [/B]course of action, while [B]getting blood pressure under control does[/B]. I would encourage you to add your T dose commentary to[URL='https://www.excelmale.com/forum/threads/evidence-of-high-testosterone-levels-achieved-naturally.14187/'] the following thread[/URL], which [B]proves [/B]that the [B]upper natural [/B]range of Testosterone seems to be really around: - Total Testosterone: 1400-1,593 ng/dL - Free Testosterone: 42.5-54.7 pg/ml As a side note, from a practical point of view, 200mg (~170mg real) is easier for me as here we have ampules (100mg each), and anything that is not a 100mg multiple is a mess to preload syringes, travel, etc. When I preload 2 months of shots, I often get at least 1 extra shot from the oil still present in the ampules, no vials here. I am pretty sure I can even try 300mg / week (~250mg real) and still improve EF & reduce LVH, even without losing any fat, as long as my blood pressure & heart rate are in check. I may even do this + measure it for you, for entertaining purposes :) With that out of the way, and going back into the topic, blood pressure is more about weight than body composition, but I'll answer the following: [I]/Waist circumference? Is your FFMI astounding or are you high bodyfat?/[/I] Waist: 119cm / 46.85 inches FFM: ~98kg / ~216lbs Approx. Body Fat: 22% (from impedance scale), 25-27% (more likely guesstimate), 33% (from US army formula based on circumferences, less accurate for me) My arm and leg veins are quite visible when its hot right now. When my waist is at 105cm / 41 inches lower abs are visible. Bringing the thread more towards the topic, I found another post in this forum reporting success with the proposed ARB + BB approach (sorry, the link escapes me now, this is a slight modification): [I]/The doc gave me an ARB (some use an ACE instead of ARB) and a BB. ( Low dose candesartan and metoprolol) After 3 months ejection fraction is up from 45% to 55% and my heart is stronger./[/I] So, there it goes, 10% improvement after 3 months of ARB + BB (Beta Blocker) treatment, without any changes in the TRT dosage, [B]exactly as in the study above[/B]. For now, my plan is: 1. Get blood pressure under control via meds (= [B]immediate [/B]progress) 2. Improve Ejection Fraction via meds (= [B]immediate [/B]progress) 3. Slowly lose some body fat while preserving as much muscle as possible (will take a few months) 4. Consider other things depending on the new Echo-cardiogram after ~3 months 5. Try to eliminate some meds (i.e. Amlodipine seems to cause Edema sometimes) as my numbers improve By the way, I discovered a few interesting [B]blood pressure[/B] things today, this happened in [B]the same day[/B]: BP ~+= 10 with caffeine BP ~+= 20 with cold BP ~+= 30 with fast engaging activities that require a short reaction time (i.e. 1 min chess games, aka bullet) BP ~-= 20 after a 17 min nap BP ~-= 10-15 after deep breathing [ [URL='https://www.youtube.com/watch?v=y3LUlag7W1s']similar to this[/URL], I'm new to this ] [B]Log:[/B] 129/85 (77 pulse) @ 5:30 - a few minutes after waking up 133/79 (86 pulse) @ 07:06 - 1h:24min after 600mg caffeine + 400mg theanine 141/77 (83 pulse) @ 08:23 - ~3h after 600mg caffeine + 400mg theanine 8:23 - 500mg magnesium 141/74 (84 pulse) @ 09:23 - ~4h after 600mg caffeine + 400mg theanine 150/90 (78 pulse) @ 11:27 - ~6h after 600mg caffeine + 400mg theanine [ 19ºC, [B]shorts + no T-shirt on fasting day = adrenaline? vasoconstriction?[/B] ] 11:29 - 400mg theanine 162/90 (82 pulse) @ 12:51 - ~7.5h after 600mg caffeine + 400mg theanine [ 20ºC, [B]more dressed, after 1h of bullet chess games[/B] ] 143/88 (79 pulse) @ 13:12 - ~8h after 600mg caffeine + 400mg theanine [ 20ºC, more dressed, [B]after 17min nap[/B] ] 131/83 (80 pulse) @ 13:22 - ~8h after 600mg caffeine + 400mg theanine [ 20ºC, more dressed, [B]after deep breathing exercise[/B] - 3 inhale + 3 hold + 8-12 breathe out, kind of like this [MEDIA=youtube]y3LUlag7W1s[/MEDIA] ] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Best meds to improve Ejection Fraction in TRT Users?
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