Funny, the thread I just replied to before clicking on this one I was talking about left ventricular hypertrophy, AAS use and high blood pressure. http://www.steroidology.com/forum/anabolic-steroid-forum/594367-blood-pressure-high-please-help.html
In the bottom replies you'll notice that I explain pre-hypertensive range and your are not that, you are totally hypertensive if you are 145/85.
The cutoff for pre-hypertensive is 120/80, cutoff for a diagnosis of hypertension is 135/85.
I also stated in a response to a poster that if is his BP is consistently over 135/85 and taking AAS that I guarantee his heart will show signs of hypertensive heart disease with a thickened left ventricle. Dont kid yourself and think its athletes heart, if you are taking AAS and have hypertension, you will have all the malignant risk factors same as anyone else that has hypertension, why? Because you have hypertension! AND To make it worse, you are taking drugs that thicken heart muscle as well as biceps, your heart muscle is 'on cycle' just as the skeletal muscle you are trying to build is.
Here's a chart on blood pressure ranges as a visual to help you understand hypertension ranges although it is outdated if you'll notice that 140/90 is the cutoff for hypertension when in fact it is 135/85
If you have thickened heart, as you know, it puts you at increased risk of sudden cardiac death due ventricular arrhythmia, also atrial fibrillation, stroke, end organ failure, the list goes on and on.
Your take on stiffened arteries and the mechanism is wrong, although it almost sounds right.
The process has more to due with the stiffening of left ventricle causing diastolic dysfunction whicn increases heart rate as a result to keep up with demand. Also causes afib, diastolic heart failure, flash pulmonary edema.
The mechanism for heart attack which is a plumbing problem is because of plaque rupture of vulnerable plaques due to the sheer mechanical force exerted against them which can rip open the plaques exposing the tunica media ( Tunica media - Wikipedia, the free encyclopedia ) to the blood stream signalling platelets and clotting factors to damn up the rupture but also damming up the entire artery often times and causing a myocardial infarction. That is the process of how most heart attacks occur (which can lead to an electrical ventricular storm producing sudden cardiac death).
Plaque rupture and vulnerable plaque explained: Vulnerable plaque - Wikipedia, the free encyclopedia
You have the right idea though so I wont get too far into my spiel about this.
I am sure I am missing covering the topics I had planned on addressing when I started typing after reading your posts, but its getting late and Im forgetting and not going to reread at this hour right now.
So a couple of points, Id like to give you before going to bed.
1) Left ventricular hypertrophy is reversible, you dont need to stop AAS in order to do this. Medicate yourself with an ACE inhibitor and HCTZ to under 110/70 but more ideally closer to 90/50, to get that low, youll have to titrate your dosage, if you cough on an ACE inhibitor switch to an ARB for example benicar/HCTZ. Do it slowly so you can handle the lower bp without getting dizzy and the like. Point being, treat the hypertension like you should with a patient who is not on AAS. When people stop lifting and sit on the couch, their muscles shrink and atrophy. In this case, make your heart into a couch potato by letting it pump easily against low low blood pressure, it will normalize.
2) Since your average dose i gather was about double what a testosterone replacement therapy (TRT) dose was but still much lower than many other AAS users, you dont really need to beat yourself up too much with staying on it that long. Going off is your decision, sounds like you need to psychologically so I would go with the recommendation of doing a normal post cycle therapy (pct). The caveat here is this: if you dont fully recover and you remain hypogonadal with low testosterone levels, that is a very significant risk factor for heart disease. Low testosterone increases your risk coronary artery disease, diabetes, depression, in fact it increases all cause mortality by 50%. Point being: taking testosterone replacement therapy (TRT) and being still on is safer than complete cessation of test e and having resulting low testosterone and its sequelae, so dont fail to see the forest for the trees
3) I saw a brief mention which sound of like despair that you will never have children. I dont see why you'd say that. HMG is used by fertility clinics to increase sperm production and has been shown to do so in patients who are azoospermic from AAS use. So that is not a done deal either. Point being, if you think you wont be able to have kids b/c of your AAS use, then you have to realize that can highly likely be treated successfully.
So I am about falling asleep and this post probably is missing some points and order, but I think you need to unscrew your head, shake out the shit thats in it thats causing you to have these dramatic visions of you dying and just go down the algorhythm of treating your treatable issues. Hypertension and LVH can be easily controlled and reversed. Then you can decide separately the issue of cessation of testosterone.
Merry xmas, sleep now bye.....
In the bottom replies you'll notice that I explain pre-hypertensive range and your are not that, you are totally hypertensive if you are 145/85.
The cutoff for pre-hypertensive is 120/80, cutoff for a diagnosis of hypertension is 135/85.
I also stated in a response to a poster that if is his BP is consistently over 135/85 and taking AAS that I guarantee his heart will show signs of hypertensive heart disease with a thickened left ventricle. Dont kid yourself and think its athletes heart, if you are taking AAS and have hypertension, you will have all the malignant risk factors same as anyone else that has hypertension, why? Because you have hypertension! AND To make it worse, you are taking drugs that thicken heart muscle as well as biceps, your heart muscle is 'on cycle' just as the skeletal muscle you are trying to build is.
Here's a chart on blood pressure ranges as a visual to help you understand hypertension ranges although it is outdated if you'll notice that 140/90 is the cutoff for hypertension when in fact it is 135/85
If you have thickened heart, as you know, it puts you at increased risk of sudden cardiac death due ventricular arrhythmia, also atrial fibrillation, stroke, end organ failure, the list goes on and on.
Your take on stiffened arteries and the mechanism is wrong, although it almost sounds right.
The process has more to due with the stiffening of left ventricle causing diastolic dysfunction whicn increases heart rate as a result to keep up with demand. Also causes afib, diastolic heart failure, flash pulmonary edema.
The mechanism for heart attack which is a plumbing problem is because of plaque rupture of vulnerable plaques due to the sheer mechanical force exerted against them which can rip open the plaques exposing the tunica media ( Tunica media - Wikipedia, the free encyclopedia ) to the blood stream signalling platelets and clotting factors to damn up the rupture but also damming up the entire artery often times and causing a myocardial infarction. That is the process of how most heart attacks occur (which can lead to an electrical ventricular storm producing sudden cardiac death).
Plaque rupture and vulnerable plaque explained: Vulnerable plaque - Wikipedia, the free encyclopedia
You have the right idea though so I wont get too far into my spiel about this.
I am sure I am missing covering the topics I had planned on addressing when I started typing after reading your posts, but its getting late and Im forgetting and not going to reread at this hour right now.
So a couple of points, Id like to give you before going to bed.
1) Left ventricular hypertrophy is reversible, you dont need to stop AAS in order to do this. Medicate yourself with an ACE inhibitor and HCTZ to under 110/70 but more ideally closer to 90/50, to get that low, youll have to titrate your dosage, if you cough on an ACE inhibitor switch to an ARB for example benicar/HCTZ. Do it slowly so you can handle the lower bp without getting dizzy and the like. Point being, treat the hypertension like you should with a patient who is not on AAS. When people stop lifting and sit on the couch, their muscles shrink and atrophy. In this case, make your heart into a couch potato by letting it pump easily against low low blood pressure, it will normalize.
2) Since your average dose i gather was about double what a testosterone replacement therapy (TRT) dose was but still much lower than many other AAS users, you dont really need to beat yourself up too much with staying on it that long. Going off is your decision, sounds like you need to psychologically so I would go with the recommendation of doing a normal post cycle therapy (pct). The caveat here is this: if you dont fully recover and you remain hypogonadal with low testosterone levels, that is a very significant risk factor for heart disease. Low testosterone increases your risk coronary artery disease, diabetes, depression, in fact it increases all cause mortality by 50%. Point being: taking testosterone replacement therapy (TRT) and being still on is safer than complete cessation of test e and having resulting low testosterone and its sequelae, so dont fail to see the forest for the trees
3) I saw a brief mention which sound of like despair that you will never have children. I dont see why you'd say that. HMG is used by fertility clinics to increase sperm production and has been shown to do so in patients who are azoospermic from AAS use. So that is not a done deal either. Point being, if you think you wont be able to have kids b/c of your AAS use, then you have to realize that can highly likely be treated successfully.
So I am about falling asleep and this post probably is missing some points and order, but I think you need to unscrew your head, shake out the shit thats in it thats causing you to have these dramatic visions of you dying and just go down the algorhythm of treating your treatable issues. Hypertension and LVH can be easily controlled and reversed. Then you can decide separately the issue of cessation of testosterone.
Merry xmas, sleep now bye.....
