There I was 12 weeks into testosterone replacement therapy. By blood Pressure was low, my lipid panel looked like this
Cholesterol Range 110-200 mg/dL 126
Triglycerides 10-150 mg/dL 95
HDL 40-59 mg/dL 24
LDL (calc) 100-130 mg/dL 83
Non HDL cholesterol 102
Chol/HDL ratio 5.25
In others words I should live forever, but this was the day I had a heart attack. In a heart full of good arteries there was one that was 100% blocked. I lived, they say I will be 100% when all this is over. But now I am reading as much as I can about testosterone replacement therapy and heart disease. My heart surgeon is not at all worried about my using testosterone at replacement levels. Though he doesn’t want me self injecting during my recovery. He seems to think that my blood work indicates that TRT has done me nothing but good. No reason to change
But the studies on this subject are conflicting
The most prestigious studies on this makes one worry.
"Increased Risk of Non-Fatal Myocardial Infarction Following Testosterone Therapy Prescription in Men"
"Association of Testosterone Therapy With Mortality, Myocardial Infarction, and Stroke in Men With Low Testosterone Levels"
And we have one that shows a benefit to TRT therapy
"Testosterone supplementation reduces heart attack risk in men with heart disease"
Personally TRT has dramatically increased my energy level and libido. And that was what I was doing the night my heart said no more. I was engaging in a couple of hours of extremely vigorous activity that I would not have been interested in doing 12 weeks before. I believe that could be what the first two studies ran into. Patients using TRT have an increased energy level. They will do more than they would have without it. The TRT did not weaken the heart at all and may actually make it stronger. But it encourages us to push ourselves harder than our heart can take.
What have you guys seen on this subject?
And do you have an opinion on it?