His test levels are in the 500's range. True about the diet. Not sure exactly what he eats.
In general, can the TRT be causing his cholesterol/triglycerides go high and possibly be clogging his artery or is this more a genetic or a diet thing?
I would "guess" that its either diet or genetic.
I've been on 500mg-750mg of test for many many years straight. I get checked multiple times a year. My last Echo was perfect. My cholesterol & Try is perfect. My good cholesterol is a little on the low side, but total looks great.