Heavy Heartbeat/Palpitations 3 Weeks into TRT - Will This Subside?

I started TRT 3 weeks ago on a dose of 100mg cypionate a week (EOD IM injections) and HCG 100iu a day subq. It’s going well in terms of feeling it, however, I am noticing that is giving me what I would describe as a heavy heartbeat. This is something that I got before TRT, however, it is benign. I’ve had every test, ECG, echo and MRI, which shows that I have a relatively large but healthy heart. My cardiologist just says that its from exercise/being fit.

The problem is that it is ruining my sleep. I get enough sleep but the quality of it isn’t very deep. TRT seems to have triggered this again. Has anyone had a similar experience with TRT? I am hoping that it is just a matter of hormonal changes and that it will go away in time as things stabilize in my body.

How are you assessing this? Sometimes this can be confused with high blood pressure which can be a symptom of too much T->E2. However, at your dose I wouldn’t suspect that.

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I had a similar problem with HCG. It wasn’t physically damaging by any means, but I decided it wasn’t for me as I couldn’t stop worrying about it. Resting heart rate was always high, work outs could really feel the pounding.

Sometimes still get it with plane old TRT, but it’s far less pronounced.

Almost everyone goes through this, your natural production (HPTA) is getting shut down while the cypionate is still building up in your system. You body is searching for hemostasis and at 4-6 weeks things should level out.

When I started Jatenzo, the first week was amazing followed by 3 weeks of feeling like crap, then by week 5 things were great. Note that on Jatenzo I reach a steady state in only 1 week compared to cypionate 4-6 weeks

The point is just because levels have reach a steady state doesn’t mean you will feel good right away, hormones take time to affect tissue changes.

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If you’re going to bed dehydrated this will happen.

Second thing is that you’re going through a shutdown period that will cause your levels to dip into Exogenous only levels. Even though you’re on HCG, your balls wont be 100%, there’s been a dip, so there is this period of changes that will affect sleep.

Third thing is sleep apnea. If you suddenly wake up with palpitations, and think theyre to blame. Its the Apnea which caused your heart to race and pound harder, which of course will wake you.

Fourth is, Dreams. When I began TRT, I started to have lucid dreams and this too will cause me to wake up with palpitations and being able to remember my dreams.

TRT will start to open up a new world of repair and maintenance while you’re sleeping. You just have identify the trigger. First thing to do is always be hydrated. TRT is stimulating changes in your blood, so RBC, and HCT values are going to affect viscosity and density. Having more fluidity in the blood while you sleep, should help mitigate any struggles that your VS may encounter while it adapts to the side effects of TRT. Those side effects are thicker blood, which results in vascularity. Larger veins equals better flow, lean muscle equals more efficiency, so you begin to understand why its important to keep an eye on your blood markers. Hope this makes sense.

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If someone has sleep apnea on TRT the severity is directly linked to the T dosage.

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So I just got a blood test back which says I am 45 nmol which is like 1200-1300, with a corresponding high free testosterone as well. Should this drop as my natural production drop down or do you think I should lower the dose?

Was the blood drawn in your trough just before the dose?

Yeah

Youre only 3 weeks in. Too soon to be testing. Give it time for your hormones to settle into a nice rhythm. Hydrate!

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What middleages said, it’s way too soon for hormone’s to be accurate. I may have fucked up every bit of my treatment over the years, but one thing I am certain of is it takes weeks and weeks for the body to adjust.

And yes, once you’re own nuts go dormant, even on HCG, your total values should lower.

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Wow this means you’re very sensitive to TRT, so you need to lower the dosage. I would drop it down to 70mg weekly, this should get you closer to a normal level.

Guys on T and HCG can usually get by with a lower T dose since some T is being produced by the testes.

@systemlord he should leave things alone. He tested way too soon to be making changes. This kind of stuff reminds of that dude Vonko, he was testing himself weekly and daily at some point. Dont make any changes until at least 3-4 months in.

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What causes some to be sensitive/“hyper respond” to testosterone? Is it just slow metabolism of the testosterone?

Your genes will dictate how you will respond to TRT. There are guys on the opposite end of the spectrum where they experience little or no benefit.

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Check your blood pressure. High heartbeat and palpitations can be due to blood pressure which is a testosterone side effect. Lower your test dose a bit in case of high pressure

Hey homie,

Are you using a vasiodialating pre workout or anything with beet extract, N2? Even something with caffeine?

Sorry to ask as this is pretty obvious but every time I got on a cycle or used test, I always was quick to make sure I got the most out of it and made sure all the supliments were ordered and delivered by the time I picked the script up at the pharmacist.

Fun fact, mixing viagra with something like N.O. Explode will send you body into a crazy loop that will drop blood pressure and boost heartrate to the point where you can pass out mid workout once your heart rate is at an elevated level and behaves like a runaway train/engine…super not fun and definitely scary AF.

Have you done any vasovagal syncope testing or have any similar systems? I think there was one time I was on test/hcg and passed out on the kitchen floor randomly (only happened once).

Years later I started piecing together poor liver symptoms and pancreas function were leading to other issues.

Poor sleep can be caused by a lot of things and can lead to increased cortisol levels among other things which will in a way act like an autoimmune response where your body starts lowering your immune system and attacking itself. While lifting a fuck ton and eating a shitload of food, my body on test needed 10 hrs vs only 8 hrs. Sleep apnea was an issue and that was resolved with surgery so I’d make sure at some point that that’s not a issue.

I agree with a few that have said that 100 mg of test a week is pretty standard and not significant enough to cause issues as long as it’s pharm quality. It’s likely something else. Did you get the vaccine? Just a thought if you did from studies that are only just now being researched/released.

Check to see what stimulants and depressants you’re taking to make sure there’s no conflict but the list is pretty short with test and I’d assume it’s something else.

As far as HCG goes, I’ve never had any issues though maybe passing out was due to taking that, idk and would have to look into it to see what the mechanism is and what adverse medications/reactions there are.

What are your salt levels like?

Where do you pin? If it’s your left pec, that can certainly feel like a shot of epi.

Of course for KSman, are you taking iodide?

Following to learn more.

Good luck bud!