TRT High blood pressure?

[SkyWarn]

Checked my BP today. 148/95 I’m getting a lot of headaches lately. I’m currently on 20mg test cyp EOD. Haven’t checked HCT in 2 months. I suspect it’s what’s causing the elevated pressure. I won’t have medical insurance until July 1. Wondering if I should wait and then do labs then or just drop a pint tomorrow. Only issue with that is my ferritin was 45 last labs 2 months ago. That time was on 16mg test cyp. Doc raised me to 20mg Cyp EOD so I’m sure the ferritin will be low now with higher T. This is a vicious cycle.

 

[Guided_by_Voices]

First, always do multiple checks on both arms/wrists. Start with making sure you're getting plenty of potassium and not over-restricting Salt which, contrary to popular belief, can actually raise BP in some people. Make sure you are well-hydrated. Others will have to chime in on HCT as I don't' worry about Ferritin ( a poor marker of Iron status BTW) personally, and just donate around 3 times per year. I'm much more worried about Iron overload since I went many years without donating much at all.

 

[SkyWarn]

First, always do multiple checks on both arms/wrists. Start with making sure you're getting plenty of potassium and not over-restricting Salt which, contrary to popular belief, can actually raise BP in some people. Make sure you are well-hydrated. Others will have to chime in on HCT as I don't' worry about Ferritin ( a poor marker of Iron status BTW) personally, and just donate around 3 times per year. I'm much more worried about Iron overload since I went many years without donating much at all.

What are your Ferritin levels may I ask?

 

[Guided_by_Voices]

What are your Ferritin levels may I ask?

I don't know. It's been years since I checked it. Once when I was donating blood more it got down to 10 with no symptoms and then it was back up around 30-40 when I checked again. It's my understanding that TIBC is a much better measure of iron status (my Total Iron Binding Capacity (TIBC) was mid-range when I checked it), but most importantly, when I became aware of the danger of Iron overload, that became my primary concern. I eat enough red meat and liver that I should have plenty of iron, but I went many years (decades) only donating rarely and that probably allowed iron to build up, so my concern is gradually getting it out of my organs, bones and wherever else it's not supposed to be. There's also a school of thought that copper is important for Iron metabolism, so I occasionally supplement copper.

 

[Nelson Vergel]

ARB's like lorsartan or telmisartan are TRT's best friends:

Thread 'Can Certain Blood Pressure Medications Decrease High Hematocrit Caused by TRT?'

Jul 9, 2025

ARBs, or Angiotensin II Receptor Blockers, are a class of medications primarily used to treat high blood pressure (hypertension). They also play a role in managing heart failure and protecting kidney function, particularly in patients with diabetes. ARBs work by blocking the effects of angiotensin II, a hormone that causes blood vessels to constrict, thus allowing blood vessels to relax and blood to flow more easily.


Mechanism of Action:

ARBs prevent angiotensin II from binding to its receptors on blood vessels and other tissues. This prevents the blood vessels from constricting...

• Nelson Vergel
• arbs hematocrit losartan hematocrit telmisartan
• Replies: 4
• Forum: Testosterone Side Effect Management