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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Cessation of TRT a good idea for me?
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<blockquote data-quote="xqfq" data-source="post: 165290" data-attributes="member: 38167"><p>I too come from a family with a lot of early heart disease. It's why I became obsessed with cardiovascular health. The good news is that heart disease is almost always preventable / stoppable.</p><p></p><p>If I was in your shoes (and I kind of am!), I would:</p><p></p><p> * Get your BP consistently under 120/80 by any means necessary, including antihypertensive medication if required. I bet it could be fixed by fiddling with your HRT protocol, but if you can't fix it don't sit around with a systolic of 140. Get it down now and figure out the underlying cause later. You can always stop or take less hypertensive medication if needed. But keep in mind that most hypertension is 'essential' - with no known cause. For many, medication for blood pressure is just a fact of life.</p><p></p><p> You are young, so aggressive treatment of BP has less risk. For older people, aggressive treatment could mean a fall or injury (from being dizzy/passing out), which carries risk of bone breaking, etc in older people.</p><p></p><p> * Figure out how to do HRT without an AI if at all possible. While this is obviously debatable, I <em>personally</em> believe that AIs <em>may</em> have delirious effects on the cardiovascular system independent of their reduction of serum estradiol. But even if they don't, having a higher E2 is likely more beneficial for your cardiovascular health than having a lower E2 -- provided your blood pressure is controlled. Obviously quality of life / etc must be balanced here, but if you're not feeling great right now and you're taking an AI, there is little risk in stopping or reducing the AI and seeing how things go over 5-6 weeks.</p><p></p><p> If you're more at risk for CVD (as I am), I would err on the side of being overly cautious and reduce or eliminate the AI if at all possible!</p><p></p><p>FWIW, I do daily subQ of 20mg testosterone enanthate, 150IU HCG EOD, no AI. This puts my TT around 952 ng/dL, E2 sensitive around 45 pg/mL, SHBG 43. I am almost exactly your age so I share your worries.</p><p></p><p>I had water retention and ankle swelling early on. It went away, no AI required. I am not yet sure of the cause in my case, but if you search around you will find many stories of men with these symptoms early on with HRT, and for most men these symptoms go away in time regardless of AI usage.</p></blockquote><p></p>
[QUOTE="xqfq, post: 165290, member: 38167"] I too come from a family with a lot of early heart disease. It's why I became obsessed with cardiovascular health. The good news is that heart disease is almost always preventable / stoppable. If I was in your shoes (and I kind of am!), I would: * Get your BP consistently under 120/80 by any means necessary, including antihypertensive medication if required. I bet it could be fixed by fiddling with your HRT protocol, but if you can't fix it don't sit around with a systolic of 140. Get it down now and figure out the underlying cause later. You can always stop or take less hypertensive medication if needed. But keep in mind that most hypertension is 'essential' - with no known cause. For many, medication for blood pressure is just a fact of life. You are young, so aggressive treatment of BP has less risk. For older people, aggressive treatment could mean a fall or injury (from being dizzy/passing out), which carries risk of bone breaking, etc in older people. * Figure out how to do HRT without an AI if at all possible. While this is obviously debatable, I [I]personally[/I] believe that AIs [I]may[/I] have delirious effects on the cardiovascular system independent of their reduction of serum estradiol. But even if they don't, having a higher E2 is likely more beneficial for your cardiovascular health than having a lower E2 -- provided your blood pressure is controlled. Obviously quality of life / etc must be balanced here, but if you're not feeling great right now and you're taking an AI, there is little risk in stopping or reducing the AI and seeing how things go over 5-6 weeks. If you're more at risk for CVD (as I am), I would err on the side of being overly cautious and reduce or eliminate the AI if at all possible! FWIW, I do daily subQ of 20mg testosterone enanthate, 150IU HCG EOD, no AI. This puts my TT around 952 ng/dL, E2 sensitive around 45 pg/mL, SHBG 43. I am almost exactly your age so I share your worries. I had water retention and ankle swelling early on. It went away, no AI required. I am not yet sure of the cause in my case, but if you search around you will find many stories of men with these symptoms early on with HRT, and for most men these symptoms go away in time regardless of AI usage. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Cessation of TRT a good idea for me?
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