How to check the state of cardiovascular system and how to find heart specialist?

Currently I (37m) am taking 20mg testosterone propionate and 150 IU hcg per day. doing that since a couple of months.

I asked the doc if he can check my carotis intima and so on to see if there is soft plaque etc....

He said I need to go to cardiologist.

Question is now how to find a good heart specialist that will be a good fit. e.g. someone who has experience with hormone treatment or what should I look for?

which diagnostics should I ask him for ideally? I want to get as much good information as possible. so maybe if I know what to say before then he will make more extensive diagnostics?

do you people know what things are reversible regarding blood vessels?
 
This is a huge topic but here are a few things to start with. I recently heard the results of a large sample of data correlated with heart events, and the number one risk factor was A1C, which should be under 5.5 or hopefully lower. This makes sense since elevated blood sugar can damage the lining of the blood vessels. Triglycerides should be under 90. Fasting insulin under 6, Homocystiene under 10. CRP under 1. You can get ultrasound scans as well as the CAC scans, however the problem with those is that 1) plaque, especially calcified plaque is a fairly advanced state of CVD, so even if you don't have much you could still be in the early states of disease, 2) you need a series of them to determine trend, then it is still hard to tie the trend to a specific factor and 3) the action no matter the result is generally to do everything you reasonably can to be as healthy as possible, although in cases of extreme blockage you might be motivated to take more extreme measures. To me a good cardiologist is consistent with Dr. Kendrick's book and does not use statins, however I have no idea how to find a good cardiologist. You might check with holistic/integrative medical practices and see what they recommend. I would assume that almost any condition can be reversed and I have heard of extreme blockages being reveres with, for example the addition of vitamin K2, and I have heard a lot abut Nattokinase recently as well.
 

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Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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