i had the same issue with BP when they put me on entresto.I am currently on:
Pacerone
Baby aspirin
Lipitor
Jardiance
Entresto
Metropolol succinate (I hate this med.)
Xarelto
Flomax when needed
Sometimes my BP is very low (85/55) and my pulse is as low as 50...I pedal my stationary bike 30 minutes a day and do only 5 total sets per workout i.e. 3 sets bench and 2 sets triceps...same for back and biceps and legs on a Tuesday Thursday Saturday schedule...I've had insomnia all my life but it is just horrible now...I have been getting about 2 hours a night...this morning I benched 135 3x10 and tricep extensions 2x10...I got to the gym at 2:30 am and was done in less than 30 minutes...6 months ago I was benching 225 3x10...this sucks...no aas since last August...
Initially, they wanted me to take the maximum dosage of entresto (i think ita 98mg/102mg am and pm).
They started me out on 49/51 am and 24/26 pm.
my BP was always below 90/60. Ive felt like crap. and too low of a blood pressure aint healthy either. Your organs need a certain amount of blood pressure to be supplied with blood properly.
How much entresto do you take? Imo this is the medication which influences BP the most due to the extreme dosage of the ARB which is in it.
not sure if dropping your AAS completely was a good idea. I am a strong believer that a REAL trt (lets say 10-20mg daily) is more beneficial for your cardiovascular system then a testosterone value of an old grandma..
also, maybe try to incorporate quality tb500 into your regime. i believed this also helped my mitral insufficiency (it definitely has some healing effects on muscle and organ tissue)