Marco, I thank you for many of your posts. Testosterone has improved all markers of my MetS. Sadly, I am still "slightly diabetic" even w/ T and other medications. I too am hypertensive. Had a cardiologist do a full work up before TRT and he was completely on board. The only issue I have had in regards to this is exacerbating my issue w/ water retention but as I lose weight it is slowly resolving itself Hope this anecdotal stuff helps. Just keep monitored closely in the beginning. Many of the issues you have written about in the past I have seen improvement w/ in my own health since starting TRT.