It's a vicious cycle with steroids. When you're on them, you feel like they are your life line... you need to be on them. When you're off them you realize how much better everything is (except putting on muscle and being horny nonstop). My blood pressure is lower, I no longer have sleep apnea, I no longer have GERD, I no longer feel like I'm going to die every time I have sex, I can actually walk up a hill, my muscles don't cramp up constantly. It's not until you're in the hospital when you realize how dumb this "hobby" really is. It's pointless. You're not going to keep all that muscle. I suggest anyone just take a TRT dose only if you need to... I too had really bad acid reflux but it has calmed way down since getting off everything. I feel so much better, health-wise.