Headaches

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ffr3247r

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I hope this is the right section to post in. I’m looking for some relief from the headaches I’ve been plagued with for quite a while.

50yr male on TRT for 1.5 years. I currently inject IM 75ml on Tuesday and 75ml on Saturday.

I’ve tried to monitor every thing to track down of I can relate the headaches to any one thing.

The headaches always come on late afternoon or early evening. Sometimes a headache powder will knock it out and sometimes I go to bed with the headache. I tried to monitor my BP to see if it went along with the headaches and there are times when it’s high and I have a headache and then there are times where it’s normal but still have the headache. Yesterday I had the wife check it and was 130/80 but had a headache. The headache powder took care of that one. So the bp was not high and yet had a headache.

I went to my general doctor and he knows that there are times when my bp is 144/89 and sometimes higher. That day it wasn’t unusually high. He had me try and beta blocker and that did help the headaches but I felt mentally foggy.

I then went to my TRT doc and he wanted me off the beta saying it was a dirty drug and if I needed a bp med he would prescribe. I reported sailer for a week or so and he agreeed that I needed a bp med. he prescribed Irbesartan 12.5mg. That had consistently make my bp 130/80 but yet the headaches persist. They are not everyday nor are they bad enough where I’m down and out. Just a dull nagging inconvenience.

I’m wondering if there is anything I need to be looking at that could be the cause. How about the test/cyp, could the oil cause headaches. Anyone run into this?

Thanks for taking the time to read
 
Defy Medical TRT clinic doctor
what type of headaches? migraines or tension?
could be not related if you on TRT, what is your Hematocrit?
Me as a chronic head-ache sufferer, I have good success with supplementing CoQ10+magnesium glycinate and was able to reduce the occurence by 90%.
metropolol (beta blocker) has a good record for migraine prevention (if you got migraines) and i tried it as well.
diet places a big role for me, steady keto'ish/paelo'ish diet wins. if I go off - instant headaches
 
My blood pressure at home is low 100/60 and I get headaches 1.5 hours after finishing a meal (2 hours after starting a meal). I am not on TRT. You may want to figure out if your headaches are meal related - skip a meal or change the meal time and see if the headache occurs at a different time.

I personally suppress my headaches with 4g salt in a cup of water that I drink 15 mins before starting a meal, so it has time to absorb. Caffeine in a cup of green tea or 30-40mg pure caffeine also suppress the headaches. The mechanism by which salt or caffeine work is unknown.

I typically take 12g extra salt per day which is about 3 times the "recommended daily dose". Yet, my blood pressure remains low so the medical mantra that excess salt leads to high blood pressure is obviously not true for me.
 
I would describe the headache as slow to come on. They are most always at the back of my head and feel like constant pressure.

It’s not meal timing related and I once thought they were so I’m tuned In to my eating schedule.

Last labs Hemocrit was 49 and I just donated the 1st week of January.

No real changes in my day to day. Start every day I’m the gym at 600 and work my self employed job. No real stressors to mention. Bed most all nights at the same time. Get 7 hours min.

I’ve had the headaches for over a year now. Not everyday but usually 3 or 4 days a week.

Starts to wear on you.
 
The headaches always come on late afternoon or early evening.
This happened to me and 2 weeks ago found out I had a vitamin D deficiency. I started out having problems (IBS/headaches) in the evening for months, then it started hitting me at lunch time and then all the time.
 
How did you determine that? You good now?
I got vitamin D tested and it was 15 with 30 being at the bottom of the ranges. Thinking back I did encounter headaches working towards a deficiency, they are subsiding and leas frequent.

The IBS and painfully red, dry, itchy skin symptoms are much improved.
 
To clarify, did headaches start before or after starting TRT? I am a long time migraine sufferer. I need TRT, but many forms of TRT trigger headaches. I am working on figuring out why.

You probably need a full headache evaluation by a specialist. Rarely, but sometimes you can identify an anatomic cause (sinus issues, acoustic neuroma, etc). Again, rare, but should be considered after all other things are considered.

Your BP is not extremely high, but even 130 systolic is now considered high. You may have some work to do there still.

What is headache powder? It is very possible that, while helping an acute headache, the powder is triggering more headaches. Do you take NSAID's or other meds to treat the headaches? If so, it's very easy to fall into the trap of medication induced rebound headaches. Generally, if you are taking a "rescue" med more than twice a week, you may be causing yourself rebound headaches.

Other very important factors, besides the ones you mentioned (BP, stress) include diet and sleep hygiene. Do you sleep well? Are you consistent with bed time and wake time? For many (including me), eating processed crap is a huge migraine trigger. There are a few good books out there that help connect diet and headaches.

Beta blockers have been shown to help prevent headaches, but so have calcium channel blockers, like verapamil. You might consider one to control both headache and BP.

If you suspect it's TRT related, then maybe get your levels? It's possible your T or E2 is too high. E2 is controversial around here, but I suspect it plays a role in my headaches.

In any case, this is a tricky subject and can take a lot of troubleshooting. With more information, maybe we can give some more guidance.
 
A little update on the headaches. After being on the med for a few weeks the headaches went away. I’ve been on the BP med for a few months now without a headache.

I now have a host of other sides from the medication. I’ll start another thread about that.

What a roller coaster ride TRT is/can be.

Thanks
 
A little update on the headaches. After being on the med for a few weeks the headaches went away. I’ve been on the BP med for a few months now without a headache.

I now have a host of other sides from the medication. I’ll start another thread about that.

What a roller coaster ride TRT is/can be.

Thanks
Is it Ibesartan you are currently taking an are referring to?

I haven’t reread the entire thread, so I apologize if this is already been mentioned. You might consider smaller doses more frequently. Or, something more innocuous like Natesto.

I suspect the large testosterone injections are triggering the headaches.
 
Is it Ibesartan you are currently taking an are referring to?

I haven’t reread the entire thread, so I apologize if this is already been mentioned. You might consider smaller doses more frequently. Or, something more innocuous like Natesto.

I suspect the large testosterone injections are triggering the headaches.
Yes that’s the BP med. I was gonna call my doctor today about switching.

I did scale back the injection amount and went to every 3.5 and still headaches.
 
OK, gents, I'd like to get your thoughts on this topic. There are lots of guys who struggle with TRT (is the cure worse than the disease....?). Among them, including me, there are a few guys who specifically get headaches with TRT. I notice them primarily with injections. I have hypothesized on the various reasons and mechanisms for headache production, including:
  • T levels too high
    • Various mechanisms that can lead to headache, including spike in blood pressure
  • E2 levels too high
    • fluctuating E2 levels are a known risk factor for migraine (but, usually drops in estrogen)
  • DHT levels too high
  • Ester related
  • Oil related
Thus far, I have not figured it out. Most recently, I did two weeks with Natesto only, in part to "wash out" my system of Xyosted and hCG. I realize I may need a longer time to fully metabolize and excrete what was in me, but for arguments sake, let's assume much of it is out.

So, I started a low dose protocol with 10mg of enanthate and 100IU of hCG daily (some will argue that 10mg is actually high). On day two of the experiment (today), I have the familiar headache. Now, it is well known that there are a billion reasons for someone to get a headache (particularly one who gets them a lot), but, again, for argument's sake, let's again assume it's related to the protocol.

@readalot and @Cataceous, I need your math brains. According to steroidplotter, on day 2 of 10mg of enanthate, I would be releasing a max of 2.79mg of testosterone into my system on top of what is already there. Is my logic flawed, or is that just too little to be culprit for a headache? I can't imagine that this minuscule amount of testosterone is causing me a headache.

If my logic is reasonable, then maybe this data point is meaningful, making the case that it may be the oil that I am reacting to?

I previously posted some questions about ethyl oleate. After doing some reading, I got freaked out and decided not to try it, but that would be one way to further troubleshoot the issue. That said, I have heard of lots of negative side effects from ethyl oleate.

Thanks for listening to me ramble!
 
Well my BP has always been borderline and I didn’t want to admit it was trt related.

I did lower my dose but was put on a BP med. I’m hopimg that lowering the dose will allow me to get off the BP meds. The meds have their own sides.

Crazy thing is my BP wasn’t as high as others i know and they dont have headaches.

I plan on having labs done in 6 to 8 weeks to see where I’m at.

No headaches since put on meds and I had a headache 4 to 5 days a week.
 
Well my BP has always been borderline and I didn’t want to admit it was trt related.

I did lower my dose but was put on a BP med. I’m hopimg that lowering the dose will allow me to get off the BP meds. The meds have their own sides.

Crazy thing is my BP wasn’t as high as others i know and they dont have headaches.

I plan on having labs done in 6 to 8 weeks to see where I’m at.

No headaches since put on meds and I had a headache 4 to 5 days a week.
Similar situation here in that I have recently been borderline and I think TRT pushes me a little over the edge. That said, I use a beta blocker for migraine prevention and it happens to help with my blood pressure. On occasion, I think TRT pushes it a bit higher than it should be and I am pretty sure it triggers headaches.
 
Well my BP has always been borderline and I didn’t want to admit it was trt related.

I did lower my dose but was put on a BP med. I’m hopimg that lowering the dose will allow me to get off the BP meds. The meds have their own sides.

Crazy thing is my BP wasn’t as high as others i know and they dont have headaches.

I plan on having labs done in 6 to 8 weeks to see where I’m at.

No headaches since put on meds and I had a headache 4 to 5 days a week.
What I am struggling with is how 10 mg of test could raise my blood pressure? In the past, I have taken 50 to 100 mg at one time. I suppose that probably skyrocketed my blood pressure at the time and maybe I didn’t know it?
 
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I was placed on a beta at first and I hated the way it made me feel. I always felt cloudy. Just not sharp the way I feel while on trt. Was taken off that and immediately felt back to myself.

It did help the headaches and BP.
 
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