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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 71207" data-attributes="member: 12687"><p>If you look at the comments section of the article link, it states that "the data suggest that for a COMPARABLE AMOUNT of external work the heart of the native at altitude responds with a GREATER EFFORT than the heart of a sea level dweller at sea level."</p><p></p><p>Thus, the heart WORKS HARDER to pump the thicker blood...makes sense right? That's exactly one of the ways I explain this to patients. Looking at it from the angle I described above, the heart of a person with higher HCT is digging deeper into the max capacity of cardiac ability/function..."red lining" it as it were and leaving less further adaptive capacity to any other cardiac challenges or insults, as the heart is already working harder. </p><p></p><p>More work for left ventricle (especially over years...decades) and you will ultimately have increased risk of LVH (left ventricular hypertrophy), as we see expectedly with hypertension patients.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 71207, member: 12687"] If you look at the comments section of the article link, it states that "the data suggest that for a COMPARABLE AMOUNT of external work the heart of the native at altitude responds with a GREATER EFFORT than the heart of a sea level dweller at sea level." Thus, the heart WORKS HARDER to pump the thicker blood...makes sense right? That's exactly one of the ways I explain this to patients. Looking at it from the angle I described above, the heart of a person with higher HCT is digging deeper into the max capacity of cardiac ability/function..."red lining" it as it were and leaving less further adaptive capacity to any other cardiac challenges or insults, as the heart is already working harder. More work for left ventricle (especially over years...decades) and you will ultimately have increased risk of LVH (left ventricular hypertrophy), as we see expectedly with hypertension patients. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Side Effect Management
Should We Be Managing Estradiol and Hematocrit in Men on Testosterone Replacement?
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