I was morbidly obese @ 320 pounds, depressed with no sex drive. I managed through working out drop to about 250 pounds in six months. But it was a real struggle doing 3 hours of cardio per day with 30 minutes of strength training 5-6 days a week.
But the low sex drive pressured but my wife to get my testosterone checked.
It was <20ng/dl with the normal range being 240-850. Virtually undetectable.
So about 8 months ago, I was prescribed testosterone replacement, initially @ 100mg every 2 weeks which brought my test levels close to 200, still low. So it was upped to 100mg/week.
Since that time my left ventricular wall thickness has increased from 1.1 cm to thickened at 1.8 cm. I have also gained about 30 pounds of muscle to be about 260 pounds. I look like a pro football player and I was very muscular having lifted from age 15-25 years so I chaulked it up to regaining my muscle memory.
What I did not like is that my heart has thickened. I dont know if it is because of getting an athletic heart from weightlifting. My weighttraining is not much 8 sets per bodypart once a week with loads of cardio.
Blood pressure is labile, meaning somedays particulary after cardio days can be as low as 90/60 with bp meds and I get lightheaded and cant work out. Then if I stop my bp meds it can be 150/90. Drives me nuts.
My dose is now adjusted from 40mg of lisinopril to 20mg and my hctz is cut in half to 12.5mg daily.
But because I was skipping my bp meds due to the severe lightheadedness almost falling a few times. That it may have contributed to the left ventricular hypertrophy.
I did a stress echo and although it showed a thick left ventricle, my exercise capacity was superior having gone 17 minutes on a bruce protocol on the treadmill.
Right now, I dont know what to do really.
I want to keep my blood pressure low and hope to reverse the thickening but I dont want to have sudden cardiac death in an athlete in the meantime.
I am wondering what I can do as far as anti-arrythmics, a betablocker, bystolic or even coreg to slow my heart function down to help reverse this.
Cardiologist doesnt know as he thinks its from the testosterone, working out and blood pressure issue. Which all makes sense. So I go from super depressed obese guy to looking fit and muscular (a bit too much for my liking) and also having a meatball for a heart. My goal was to not get diabetes when I started working out hard but now worried about sudden cardiac death from the hypertrophy.
I cant go off the testosterone as I cant function and I dont want to quit working out and go back to being obese.
Any suggestions and yes, I am definitely trying to keep my blood pressure under 120/80 with the ace inhibitor, just wondering about the betablockers.