Good point. Aldosterone / RAAS mediated water retention and hct elevation for a person with compromised cardiovascular system. Nothing to see here move along according to @Carma.
Since you like anecdotes and personal stories so much heres one for you carma.
Have a friend who is internist. Has put a number of men on TRT. Very careful with obese older dudes as has experience with strokes / high BP / and DVT in some of these patients. Amazing with all the patients you have treated you have never seen any of this. It is like your practice is the Lake Wobegon of the TRT universe. Congrats.