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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: 242083" data-attributes="member: 17473"><p>Thanks for all the links & tips</p><p></p><p>Quick update: The cardiologist put me on torsemide 10mg (a diuretic) on Monday, his reasoning being to <em>"aim to have a daily <strong>average</strong> blood pressure of 120/80"</em>, he refused to provide a prescription for Nebivolol 5mg as it would <em>"only drop BP by 6 points, which is too little"</em>, I tried torsemide before my workout on Tuesday and was a disaster:</p><p></p><p>Headaches, feeling poorly all day (unable to train or work properly), couldn't lift numbers that would have normally been easy for me, almost passed out while overhead pressing, etc.</p><p></p><p>On Monday, I'll meet the cardiologist again and tell him to:</p><p>1. provide a prescription for Nebivolol 5mg</p><p>2. No more diuretics (possible long term kidney damage, electrolyte trouble, bad training/work performance, etc.)</p><p>3. Will shoot for a 10kg/20lbs fat loss instead, which should drop BP by 20 more points.</p><p></p><p>So, if he accepts, that will leave the BP lowering protocol as follows:</p><p>Meds:</p><p>1. Dipperam 5+160 x twice a day (320mg Valsartan + 10mg Amlodipine daily)</p><p>2. Nebivolol 5mg (interested on this due to reduction in heart rate + possible stress management help, see video above)</p><p></p><p>With the weight loss, I'm hoping to eliminate Amlodipine first, which is causing some edema (swollen ankles), and would reduce the BP treatment to only 2 meds: 320mg Valsartan + 5mg Nebivolol daily.</p><p></p><p>Remember, when I say 200mg / week, it's really ~170mg (unable to extract 100% of the oil from the ampule + losses on each injection), which would be laughed at on any PED forum if called "cruising" <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" />. Ampules are messy, you guys are lucky to have vials.</p><p></p><p>I also forgot to say that my Hematocrit was 51, so I also donated blood last month (hadn't donated blood in 3 years), but saw no (measurable) difference in BP as a result.</p><p></p><p>I agree most BP meds are problematic, the *sartans (ARBs) & Nebivolol (@ 5mg) seem to be among the very few that might be reasonably OK long term from my reading so far.</p><p></p><p>On the supplement front, I'm adding some Omega 3 at night to make blood a bit thinner, which should theoretically also help in the meantime. I get nosebleeds if I go too high on these, so will try to stay below that threshold.</p><p></p><p>Any suggestions for blood work? kidney, liver & potassium come to mind to monitor changes from introducing these meds</p><p></p><p>Potassium, eGFR, ALAT, ASPAT?</p></blockquote><p></p>
[QUOTE="IronKnight, post: 242083, member: 17473"] Thanks for all the links & tips Quick update: The cardiologist put me on torsemide 10mg (a diuretic) on Monday, his reasoning being to [I]"aim to have a daily [B]average[/B] blood pressure of 120/80"[/I], he refused to provide a prescription for Nebivolol 5mg as it would [I]"only drop BP by 6 points, which is too little"[/I], I tried torsemide before my workout on Tuesday and was a disaster: Headaches, feeling poorly all day (unable to train or work properly), couldn't lift numbers that would have normally been easy for me, almost passed out while overhead pressing, etc. On Monday, I'll meet the cardiologist again and tell him to: 1. provide a prescription for Nebivolol 5mg 2. No more diuretics (possible long term kidney damage, electrolyte trouble, bad training/work performance, etc.) 3. Will shoot for a 10kg/20lbs fat loss instead, which should drop BP by 20 more points. So, if he accepts, that will leave the BP lowering protocol as follows: Meds: 1. Dipperam 5+160 x twice a day (320mg Valsartan + 10mg Amlodipine daily) 2. Nebivolol 5mg (interested on this due to reduction in heart rate + possible stress management help, see video above) With the weight loss, I'm hoping to eliminate Amlodipine first, which is causing some edema (swollen ankles), and would reduce the BP treatment to only 2 meds: 320mg Valsartan + 5mg Nebivolol daily. Remember, when I say 200mg / week, it's really ~170mg (unable to extract 100% of the oil from the ampule + losses on each injection), which would be laughed at on any PED forum if called "cruising" :). Ampules are messy, you guys are lucky to have vials. I also forgot to say that my Hematocrit was 51, so I also donated blood last month (hadn't donated blood in 3 years), but saw no (measurable) difference in BP as a result. I agree most BP meds are problematic, the *sartans (ARBs) & Nebivolol (@ 5mg) seem to be among the very few that might be reasonably OK long term from my reading so far. On the supplement front, I'm adding some Omega 3 at night to make blood a bit thinner, which should theoretically also help in the meantime. I get nosebleeds if I go too high on these, so will try to stay below that threshold. Any suggestions for blood work? kidney, liver & potassium come to mind to monitor changes from introducing these meds Potassium, eGFR, ALAT, ASPAT? [/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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