TRT & Blood Pressure/Hypertension

[APIs]

Hi Everyone

What has been your experience with Blood Pressure (BP)/Hypertension while on TRT? Does your Doc have you monitor BP regularly? What if any meds are you on? I don’t think I’ve see this topic mentioned before & am curious to hear some feedback.

My Doc is very anal about having his TRT patients monitor & control their BP. He demands that we get a home BP monitor & measure it often. He feels one of the biggest long-term health benefits for lifters on TRT is the monitoring & control of their BP. He says it doesn’t apply to all of his TRT patients, but those who are big lifters & that carry a lot of mass are most at risk for Hypertension. Most of the problems he sees are cardiovascular related, with prior abusers of AS being the worst-off. Personally, my BP was rarely an issue until I passed the 250 lb weight mark. Before TRT I controlled it with small daily doses of Metoprolol, but once on TRT this Dr. immediately took me off it saying it was detrimental for lifters and actually contributes to ED!

These days my BP comes in at around 140-145/80-90 with a resting heart rate in the 60’s to 70’s (depending on time of day etc.) My Doc wants this at/below the 120/80 mark on a consistent basis. We have been going back & forth trying different meds and he’s just started me on Atacand 16 mgs/day & Bystolic 5 mgs/day. I am starting a new BP log taking my pressure twice per day AM/PM for 2 weeks to see if this new combo has any benefit. Interestingly, he feels Bystolic is a great BP med for lifters and said there are other benefits like aiding ED due to its Nitric Acid properties. This benefit has been noted in Europe but the FDA here does not allow it mentioned yet.

BTW, does anyone know where to get a home BP Monitor with Extra-Large Cuffs? I’ve been using a wrist model & fear it’s not very accurate. Typically, home BP monitors only come with a 17 inch cuff lol.

Thanks…

[APIs]

23 views and no-one? Doesnt anyone on TRT monitor or have experience with BP or Hypertension issues???

[zaggahamma]

yes bro....i get up around 130...and have had an occasional 140 but i actually should monitor more often...dont know where to find cuffs bro....u tried a search or a medical store? guess your doc didnt know

[APIs]

Actually, I've been meaning to ask him. Every place I've searched only come with 17 inch cuffs max. So I have a wrist model, which seems accurate on my fiance but it can vary on me sometimes. You should ask your doc, bet he would want you to monitor more often. It's a really big problem for men over 40 and can be even more problematic for us on TRT. Unchecked & high for long periods can lead to stroke/heart attack. Go & buy a monitor!

[zaggahamma]

Actually, I've been meaning to ask him. Every place I've searched only come with 17 inch cuffs max. So I have a wrist model, which seems accurate on my fiance but it can vary on me sometimes. You should ask your doc, bet he would want you to monitor more often. It's a really big problem for men over 40 and can be even more problematic for us on TRT. Unchecked & high for long periods can lead to stroke/heart attack. Go & buy a monitor!

yeh i know...and i get the same varied results cuz of da python

[BOB89]

I roll into the ER on occasion and use their large cuff. Not an option to everyone but if you have access or freinds who work in the medical feild it might be.

[flatscat]

I usually come in at 130-140/70-90, my doc isnt too worried about it - not enough to put me on meds anyway. Let us know how you are feeling with your Atacand 16 mgs/day & Bystolic 5 mgs/day.

Flats

[Dont wanna be old]

Do you drink anything containing caffeine ? That is my problem , coffee .
I often suggest baby aspirin . Maybe is a myth . I thought if you had a heart attack that aspirin was given to thin blood so there would be flow threw a restricted vessel ( while waiting for medical professionals ). Also I thought elderly took a small dose or was recommended . I know Bayer makes particular product with low dose for those with stomach irritations .



The other thing that helped was cardio .

The experience I have the most knowledge of is side effects from the prescriptions . Most of the guys I work with have no desire to consider any type of healthy living . So meds are required . At this point you here about the sides from cholesterol and bp meds . LOL !

I could go on about homeopathic suggestions I have read about .

Very good luck to you Mr Big cuff , LOL
Dont wanna be old

[zaggahamma]

Do you drink anything containing caffeine ? That is my problem , coffee .
I often suggest baby aspirin . Maybe is a myth . I thought if you had a heart attack that aspirin was given to thin blood so there would be flow threw a restricted vessel ( while waiting for medical professionals ). Also I thought elderly took a small dose or was recommended . I know Bayer makes particular product with low dose for those with stomach irritations .



The other thing that helped was cardio .

The experience I have the most knowledge of is side effects from the prescriptions . Most of the guys I work with have no desire to consider any type of healthy living . So meds are required . At this point you here about the sides from cholesterol and bp meds . LOL !

I could go on about homeopathic suggestions I have read about .

Very good luck to you Mr Big cuff , LOL
Dont wanna be old

i suspect the cardio thing to be true...after i do cardio my wedding ring is a lot looser and i am guessing thats what it is...i could be wrong....i should be watching it more

[Black]

Fat and high E2 levels will contribute to Hypertension. If you have high E2, you are most likely holding water, which will increase blood pressure. Cardio does wonders. Losing fat will also help to lower E2.

[PPC]

I have read that cozaar is about the only BP med that will not negatively effect erection quality. The ARB's are unique in that respect. ACE inhibitors are notorious as ED makers. In fact there are studies that show cozaar can actually can have a positive influence on EQ.

My husband had great success with an aruvedic herbal formulation called Mukta Vati for his BP. Tried almost every other supplement formula under the sun without positive outcomes. But currently he is using cozaar/losartan as it is actually less expensive for him. 50mg, the starting dose was not enough to keep his BP in range. 100mg seems to do the trick right now.

It's imperative that hemoglobin and hematocrit be kept below 17 for guys on TRT. My husband has to regularly donate blood to keep it from thickening as that really negatively effects his blood pressure.

[APIs]

I usually come in at 130-140/70-90, my doc isnt too worried about it - not enough to put me on meds anyway. Let us know how you are feeling with your Atacand 16 mgs/day & Bystolic 5 mgs/day.

Flats

At 6:30 this morning my BP was 127/77, with 60 BPM. This is the lowest it's been in awhile. So I guess the Bystolic is starting to kick in. I feel really good otherwise. Only issue, if any, my beats-per-minute (BPM) has become lower since starting Bystolic. While doing mild cardio, my BPM struggle to get over 100 when last week I was reaching 115+ with ease. Due to rehabing injuries, I can only do the treadmill in 30 min sessions presently. Bystolic is supposed to take a couple weeks to fully kick-in, so I'll see how the next week goes. If BPM gets too low, I'll have to discuss this with the Dr.

[APIs]

I have read that cozaar is about the only BP med that will not negatively effect erection quality. The ARB's are unique in that respect. ACE inhibitors are notorious as ED makers. In fact there are studies that show cozaar can actually can have a positive influence on EQ.

My husband had great success with an aruvedic herbal formulation called Mukta Vati for his BP. Tried almost every other supplement formula under the sun without positive outcomes. But currently he is using cozaar/losartan as it is actually less expensive for him. 50mg, the starting dose was not enough to keep his BP in range. 100mg seems to do the trick right now.

It's imperative that hemoglobin and hematocrit be kept below 17 for guys on TRT. My husband has to regularly donate blood to keep it from thickening as that really negatively effects his blood pressure.

Thanks for mentioning the "hemoglobin & hematocrit" levels. Seems logical if you think about it.

[flatscat]

At 6:30 this morning my BP was 127/77, with 60 BPM. This is the lowest it's been in awhile. So I guess the Bystolic is starting to kick in. I feel really good otherwise. Only issue, if any, my beats-per-minute (BPM) has become lower since starting Bystolic. While doing mild cardio, my BPM struggle to get over 100 when last week I was reaching 115+ with ease. Due to rehabing injuries, I can only do the treadmill in 30 min sessions presently. Bystolic is supposed to take a couple weeks to fully kick-in, so I'll see how the next week goes. If BPM gets too low, I'll have to discuss this with the Dr.

Really glad you are feeling better.

[sirupate]

My primary care physician treats my blood pressure with lisinopril/HCTZ. Even though I have lost 30-40 pounds of weight since getting on TRT, my blood pressure doesn't seem to have improved any. Maybe that is because of the TRT. My levels aren't "ideal", but not of much concern either (usual high read of 130/80). My levels are also lower when I check them at home than they are at the doctor's office, so I may have a bit of "white-coat hypertension".

You should be able to find a home device with an extra-large cuff by looking around on the internet. The morbidly obese need large cuffs like that to accurately measure BP, so they should be out there for purchase.

Jeff

[APIs]

My primary care physician treats my blood pressure with lisinopril/HCTZ. Even though I have lost 30-40 pounds of weight since getting on TRT, my blood pressure doesn't seem to have improved any. Maybe that is because of the TRT. My levels aren't "ideal", but not of much concern either (usual high read of 130/80). My levels are also lower when I check them at home than they are at the doctor's office, so I may have a bit of "white-coat hypertension".

You should be able to find a home device with an extra-large cuff by looking around on the internet. The morbidly obese need large cuffs like that to accurately measure BP, so they should be out there for purchase.

Jeff

Thanks Jeff. Does the lisinopril/HCTZ reduce your Heart Rate or BPM at all? How do you feel on it overall? That's my only complaint so far for the Bystolic I'm taking. It's been reducing my BPM. Good point on the obese people ;-). Thanks...

[sirupate]

Thanks Jeff. Does the lisinopril/HCTZ reduce your Heart Rate or BPM at all? How do you feel on it overall? That's my only complaint so far for the Bystolic I'm taking. It's been reducing my BPM. Good point on the obese people ;-). Thanks...

The blood pressure med. I am taking does not seem to have reduced my BPM any...at least not that I can tell. I don't feel bad taking the med...but have been on it for about 10 years, so may just be adjusted to the effect. I've tried going off of the med. for several week periods at a time, but also don't notice too much difference. Even with no med., my home BP readings were still good...go figure. I'd like to get off of the lisinopril altogether. Maybe I can discuss this with my PCP next visit.

Note that my previous doctor who put me on lisnopril was pretty cautious and always erred on the side of more meds/tests. Current doctor seems much more laid-back.

Jeff