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If you stop, assuming the TRT is actually making BP worse, then what? I would ask your doc to try Lisinopril or another ACEi (get off the ARB first), titrate up and see if there is a positive effect on BP. It might cause a cough, it might not. The health benefits of TEL don't outweigh hypertension and lowering ANGII is the end goal. PPAR-y is secondary. I have found taking 3 g of citrulline base and taurine twice a day in my coffee along with 5 mg of tadalafil EOD does wonders for BP and erections. Even wo the ACEi, BP did not go up but I only take 10 mg. I would not just jump into that combo though, it could tank you BP and be life threatening. Baby steps and discuss with your doc. You have to figure out what works for you. Giving all the different responses just in this post, clearly the effects/sides are individual.