Has TRT Caused Anyone Else Heart Palpitations?

Pharma TRT
21

@unreal24278

You ask at the perfect time buddy.

Heres a pic of an updated echo. This is the first echo after starting on ARB and BB at end of August. I take 4mg candesartan and 50 mg metoprolol

Any comments? Don’t like the akinetic thing.
Mr dr will call me tomorrow to go over as he likes to view images himself. He did briefly email that EF looks improved. It was about 45%

Also getting dna results Friday. I think secretary who booked my appointment says negative for it being genetic but will confirm Friday. They did a cardiac combined panel and a lipid dna panel.

So if it’s not genetic I guess it could have been viral? Or I had a minor heart attack?? Remember 2 years ago I had acute symptoms over a few week period of high blood pressure, insomnia, cold sweats, heart paps. During this time they measured testosterone and it was in the 200s. I remain perplexed as to what happened. If it was true andropause or something else.

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22

Since we’re posting heart labs… This is what my doc said about my 48 hr holter, i went to them because of constant palps/elevated hr from large injections @unreal24278

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It normalized with more freq injects and time… But now something feels off with my heart… So annoying
I barely drink, eat good, and quit smoking a while ago…

23

Do you take Cialis?
Also, I used to take mg supp before bed. I stopped that and the paps I felt laying down at night are almost gone.

My heart paps I were feeling btw were determined to be PVCs similar to yours. It was less than 1% of beats. So barely any burden. Dr said It was fine.

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24

I take it for sexy time, but not daily. I take L-citrulline though, idk if that helps.

If you’ve seen my log thread, my major disorder is anxiety/panic so my rhr and shit is always kind of high.
My first week of trt I stupidly injected 375mg trying to frontload (ugl advice) and i had 50 palps in 1 day which is why i scheduled the aptment to make sure my heart was even safe enough for trt… He pretty much said i shouldnt bother testing further… I even told him i had chest pains pre trt, that would only go away with pressure or if i laid on that side etc He legit said something about acid reflux

My bp has been good up until this last week, I’ve been 120/65 for a while, but began upping my dose and just started a new ugl vial so god knows the dosage in it.

25

A beta blocker may help you. Helps with anxiety too. Loweres heart rate.

I updated my post with holter result.

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I was considering clonidine(helps with my hppd/anxiety and would lower bp)… But idk how I feel about them… Havent heard good things… Including ED
Also tired of drugs that sedate and fatigue me… Kind of why i started trt, to escape my ssri

Its tough man, idk what to do, i feel my docs dont take my heart seriously due to my age (27)

27

Will have unreal chime in but ur holter looks fine.

Hormonal changes cause heart paps. You checked them out and they appear normal like mine.

Doesn’t hurt to do an echo ( ultrasound) as well.

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I just want to escape my anxiety :frowning:

29

Yes you may end up with higher levels as you will not drop as low between pins. Ive seen it recommended to drop about 15% in dosage, maybe it was more, when you move to daily because of this.

30

How much t do you take?

Do you cycle?

There are numerous variables as to what could induce these issues. Genetic history, anaemia, endocrine pathology etc (sooooo many things)

How much did you smoke and for how long? Tobacco is quite a damaging drug when used frequently, about on par with alcohol (so… that’s really saying something)

@charlie12, good job man, 55% is a very respectable improvement!

31

My dosage is supposed to 182mg per week + 1 click of test cream, ed injections.

I am on 262mg + 35 masteron per week rn now, this is the highest (this is technically my first blast) I’ve gone besides that first week of 375mg. I would like to cycle, but I am too scared to go to high, which is why I am slowly going upwards, but I actually am going to be going back down as soon as my actual pharma script comes (4 days from now)

Ugh, I smoked from 18-26… Really embarassing to admit, but to be fair I only got to 3/4 of a pack a day
Smoking and the mdma that caused hppd are my biggest regrets

32

Don’t worry about it man, everyone makes mistakes. You’re decisions here are relatively minor

ALL my closest friends have used MDMA… aside from me lololol… firstly I dislike stimulants and thus think id be prone to reacting badly, secondly with the unregulated market you don’t know what you’re getting. A statistical analysis found (forgot where this was taken) astoundingly, 46% of mdma pills contain no mdma at ALL! Rather substitutes of which are typically far more toxic. (use of MDMA amongst the teenage demographic has skyrocketed here in Aus over the past 3-4 years or so… not entirely sure why)

As to smoking, whilst it’s terrible for you, societal presssures, mischievous, slimy marketing campaigns, curiosity to experiment etc all factor in here

The vast majority of 18 year olds I know today have tried a cigarette, it comes with the ideology of societal engrainment, the tobacco industry did a damn good job at making sure their initial habit marketed toward a populace post WWI would stick around

There’s no need to shame yourself, what’s done is done… own those prior regretful decisions

I’ll start here. I’VE smoked a cigarette before (a few times). Whilst I’ve never been addicted or anything, i’ve still made the bad decision of using/trying them before

What made it even worse was the fact that at the time, I was very aware of the risks/abuse potential (I think the last time was at a night club, wasn’t sober, we all went up to the top floor, which was a roof area. On this roof area the majority of people were smoking, so I was handed a cigarette by a friend)… and instead of saying “nooooo” I just said nothing and conformed

33

How much do you think clonidine/beta blockers effect ED? I am still considering them for my anxiety but want to find one that will least likely fatigue me or kill my erection strength…

34

Looks perfect. Get a cardiac echo just to be on the safe side and if the outcome is fine, accept that its related to stress/anxiety. 99 PVCs per day is low. Most importantly no episodes of afib were seen on the holter.

Per TRT I had >5000 PACs per day, completely normalized on TRT. I once tried to up my dose from 75mg per week (which brings my T to between 600 and 700) to 100mg and I immediately experienced palpitations and felt overstimulated. Getting stresed about palpitations can trigger more palpitations (but as said you want to exclude structural heart disease first) due to release of stress hormones and activation of the sympathetic nervous system.

If you experience palps after a large meal and it can also point towards Roemheld syndrome which is a benign condition.

Edit: @jailhousestrong860 @josht9210
I just realized that I mixed you guys up, sorry for that.
I thought these were the holter results from @jailhousestrong860

@josht9210 If palpitations are your only symptom, and 99 PVCs are really a low number, and you know about your anxiety levels then I think you actually dont need any additional diagnostics. But this is no medical advice of course.

35

Cardioselective BB (2nd gen) have less of a tendency to cause ED (note it’s still possible, but not as likely)

I assume you’re thinking of clonidine off label for anxiety treatment… for many (myself included) clonidine can be overwhelming sedating (switched to guanfacine… still very sedating but can tolerate a low dose)

Perhaps (with a doctors permission) try out a cardioselective BB (if physiological side effects of anxiety are MORE than merely a fast heart rate, such as tremors, increased respiratory rate etc) then you’d probably benefit more from a first gen BB that targets beta 1 and beta 2 adrenergic receptors :slight_smile:

Otherwise non pharmacological intervention such as meditation and yoga can help quite a bit, as can music, going for a walk etc.

I’d perhaps get an echo beforehand though, I know HR is individualist and genetic in nature, but without beta blockers my RHR will still routinely hit the low 40s/high 30s during the night, you didn’t drop below 65… 92 isn’t a problem per se (still theoretically within normal) however I’d get an echo just to make sure.

My halter (during a period of frequent panic attacks) showcased a mean hr of 79, max of 175 (from wrestling my father lol) and min of 41

RHR is currently as we speak 67, because I’m on test mast and dbol (excess sympathetic nervous system activation)

Personally I don’t use high dosages of Atenolol, 50mg/day or so. You can figure out what dose works best for you. I find my HR drops by about 6bpm per 50 mg pill (but stops the insane acute spike in HR I can going from sitting to standing #autonomicdysfunction)… don’t use this as a rule of thumb though, for all you know one pill might drop you’re HR 30bpm

I can give you this advice. If you decide to try without a script, start slow, sometimes even 25mg/day can work wonders pertaining to atenolol

The likely reason for you’re hr issues is the AAS. Anabolics stimulate/upregualte the sympathetic nervous system, upregular beta adrenergic receptors and induce cardiac autonomic dysfunction (and predispose one to lethal arrhythmia via numerous mechanisms) at a dose dependent manner. Some like you or I (given I have autonomic dysfunction absent of any AAS) are more sensitive to this effect than others… hell, some can’t even use TRT without heart palps initially, it’s EXTREMELY varied in response

36

Which one causes the excess? I’m on t + mast
Also, I plan to go legal
Does your bbeffect your gym intensity? Cause brain fog etc? Asking because I honestly can’t imagine what cutting off my adrenaline supply would feel like, probably not much worse than using an ssri I’d imagine though.
My ssri didn’t allow me to feel highs or lows, eleveations in rhr didn’t really scare me etc. Just overall no emotion in regards to anything, the lack of dopamine on ssris is what kills me. I was starting to lose my train of thought and memory on ssris… Constant fatigue, lethargy, constant naps throughout the day and sleeping 12 hours.

Rn on trt I can function on 7 hours respectively while still being on my ssri (tapering it off)

37

So just a little update… After weeks of trying to figure out what was going on AND going to the ER just to make sure everything is ok I finally figured out what was causing it. I realized about a week before this started I switched to Test Enanthate but the bigger thing is that the bottle I was using was a little on the sketchy side, unlabeled and looked home made. Now it came from a trusted source and I am not the only one to use this stuff and no one else had any adverse affects so I don’t know if I would necessarily say it was the quality of the stuff or if I just dont react well to enanthate… Can anyone tell me there thoughts on this?

I switched back to my normal CYP and the paplatations were gone within a week. I went to a cardiologist just to be on the safe side. Had an ultrasound of my heart and the guy that did the ultrasound said everything looks fine and he can’t see anything structurally that would cause this. I haven’t gotten the actual results from the doctor yet but the technician told me he would be very shocked if the cardiologist saw anything abnormal.

I actually right now am wearing a 24 hour ekg monitor but havent had a palpatation like I said in about a week now. I told the cardiologist that but he said since he already ordered it just wear it to put everyone’s mind at ease.

I told him about the test he said its possible my body just had a reaction to the E but it is also very possible that because it was a "street"product it could have been contaminated or somehow not right. What do you guys think, has anyone had any reaction like that?

I’ve heard mixed things, I’ve heard some people say E and C are so similar nobody would see a difference and I have heard others say they have become noticeably irritable on E and some have said they have had negative reactions.

1 Like
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Whats your dosing frequency? I had 50 palps in 1 day from huge injections. I now split them up into tiny dosages and have no issue

39

There are differences, but I can tell you I feel different on cypionate versus the enanthate especially on a daily protocol. I need more enanthate to get the same effect as on cypionate because my levels are lower on enanthate.

I have palpitations when testosterone is low and the dosing is not 1:1. The difference between 7mg cypionate and 7mg enanthate is a big difference in the way that I feel and I seem to have more problems with defincies on the cypionate.

I stopped TRT 7 months ago because of a lot of deficiencies and the enanthate affected these deficiencies less than the cypionate did. If anyone is going to feel a difference between the two esters, it’s me because I over respond to just about all substances whether medications, testosterone or food.

40

Well I had been on TRT for about 7 months I was always a 2x a week injector. I was doing 125 2x a week for like the first 6 months. Another thing to note though is that I had used a vial similar to the one I think caused the palpatations in the past with no issues but there could have been something off about this one. So about 2 weeks into the palpatations is when I decided to switch to ED injections I figured why not see if it improves anything.

About a week after switching though I actually ran out of the enanthate and went back to the cyp. About a week into using the cyp I noticed the palpatations were reducing then finally dissapeared.

How big were your injections? I have actually heard that before though, your not the first person to tell me big injections caused them palps.