Its also very challenging to diagnosis AAS induced cardiomyopathy because its not something most doctors will ever ask about, not something most patients will talk about, and most doctors will never see it diagnosed because of the patient population and lack of knowing what to look like.
The two cases i diagnosed in the wild was simply because i dont look like the normal person coming into the room to talk and they can tell that I spend a lot of time in the gym ( scrubs dont fit my lats and shoulders well at all). So those two guys were more open to discussing it with me. Once i knew that I was able to make the correct diagnosis. They both got follow ups for two years and both still have the fibrosis but their EF did moderately improve.
I really do think that we would see it much more commonly if many guys on the boards got scanned but thats not practical. You just cant walk in and get a cardiac MRI.
Im glad that discussing this makes a differnence to some guys but sadly it wont for most. They just dont really care or they dont understand. I got a few PMs about losartan- im not saying that it cures or prevents anything its just that theres a good chance it will help but thats just my own educated guess. But i dont see many downsides as most guys are a bit hypertensive on cycle anyway.
People are also thinking that its reversible like an "athletes heart". NO AAS induced cardiomyopathy is generally not nearly as reversible as an athletes heart. Can there be EF improvement and better motion, yes. but rarely does it return to normal. So now you got this issue and later on in life it may become a more signfiicant issue if you throw CV disease on top of that.
Just use responsibly, small doses with proper nutrition and busting your ass in the gym can go a long way. No reason ( unless competing for a living) to be using 1/5th of what is posted.