Currently using AAS and gh year round. Pretend most of it is TRT, it's not.
Mitigate cholesterol/plaque issues with Praluent or other psk9 (non statin).
Mitigate blood pressure and heart remodeling with Telmisartan year round and low dose Bystolic (nebivolol - cardio protective highly selective beta blocker) on blast or when on weight loss stimulants (clen, ephedrine).
TONS of other heart/health supplements (curcumin, k2, krill, fish oil, ubiq, metformin, etc).
Strive to do more cardio and eat clean.
Will still have enlarged heart / lvh. Will still likely have to face heart issues before 65. Hopefully not fatal, but enlarged heart runs in males in my family (genetic propensity). AAS Mental Addiction is a hell of a thing boys. Staring reality in the face is something we all need to do. I should already be off, tbh, just based on my risk factor profile. If you're not monitoring BP, lipids, etc it's a mistake. I keep putting off getting an echocardiogram, mostly because I don't want more evidence I need to stop. Im a rational, well educated person with a lot to learn. My physique doesn't define me or my accomplishments. Yet I'm still mentally addicted. I can't imagine the guys who's physique is all they have. They can't let it go..