Other side effects include increased risk of heart problems in older men with poor mobility, according to a 2009 study at Boston Medical Center. A 2017 study published in JAMA found that treatments increase coronary artery plaque volume. Additionally, the Food and Drug Administration (FDA) requires manufactures to include a notice on the labeling that states taking testosterone treatments can lead to possible increased risk of heart attacks and strokes. The FDA recommends that patients using testosterone should seek medical attention right away if they have these symptoms:
I think this approach is fine. I must say having been doing this for years, treating hundreds and thousands of men I have been underwhelmed with the results with topicals. Injections can cause peaks and valley and I have many younger men inject twice a week that smooths out the peaks and valleys. I think it is appropriate to follow the advice of your primary doctor and endocrinologist. I have just seen too many men spend months or years with gels with sub optimal results. Many men are diagnosed with depression and are not really depressed (I have no idea if this applies to you), but the presumed depression is base dupon low T.
My recommendation would be to pursue this but if a few months pass and results are modest consider another approach. Pellets are one approach to have smooth levels of T and are placed every 4 months.
It’s heart wrenching to hear stories like yours. To lend some insight, I have most of my patients on estrogen blockers as well. This is something that I find necessary even though we replace to the normal range only. We recommend against GHRP-6 and all growth hormone treatment, so I cant’ speak directly to that. His testosterone dose is higher than what I would start a patient at, but it’s not exorbitant. That, however, is only part of the picture. Proper dosing is dependent upon the observation of how a patient reacts to a dose over time. So, that dose could be entirely too high for him even though I would say it is on the spectrum of normal dosing in general.