Open heart surgery to replace arteries

[perfection]

ok guys I need some help here I went in to the ER for chest pain. It turned out that I had 4 clogged arteries and they need to be bypassed with emergency surgery. I have low T and was wondering is it safe to continue my shots as normal or do I need to stop all together? I told my doctors that I had low t and I was on t shots but they did not say anything about what I needed to do.
Has anyone seen or heard of anyone still taking their t shots as normal or still bodybuilding?

 

[bbxtreme]

ok guys I need some help here I went in to the ER for chest pain. It turned out that I had 4 clogged arteries and they need to be bypassed with emergency surgery. I have low T and was wondering is it safe to continue my shots as normal or do I need to stop all together? I told my doctors that I had low t and I was on t shots but they did not say anything about what I needed to do.
Has anyone seen or heard of anyone still taking their t shots as normal or still bodybuilding?

True TRT, sure. Cycles… would not advise it. I would keep your full focus on the surgery and getting to the other side. Be sure to stop any nattokinase, fish oils or anything that thins your blood prior to surgery.

Wishing you a speedy recovery man.

 

[perfection]

True TRT, sure. Cycles… would not advise it. I would keep your full focus on the surgery and getting to the other side. Be sure to stop any nattokinase, fish oils or anything that thins your blood prior to surgery.

Wishing you a speedy recovery man.

I have already had the surgery and just wanted to make sure I can still take their TRT as prescribed. I’m on the recovery side right now and than you it’s been rough so far.

 

[JAG]

If its it true TRT would continue. I would also look at Cardiogen after procedure. Best of luckk and hope you have fast recovery.

​

 

[johnjuanb1]

ok guys I need some help here I went in to the ER for chest pain. It turned out that I had 4 clogged arteries and they need to be bypassed with emergency surgery. I have low T and was wondering is it safe to continue my shots as normal or do I need to stop all together? I told my doctors that I had low t and I was on t shots but they did not say anything about what I needed to do.
Has anyone seen or heard of anyone still taking their t shots as normal or still bodybuilding?

Here’s what GROK A.I. says:

Low testosterone may contribute to arterial plaque buildup, though the relationship is complex and not fully conclusive. Testosterone has a role in cardiovascular health, influencing factors like lipid metabolism, inflammation, and vascular function. Some studies suggest low testosterone is associated with increased risk of atherosclerosis (plaque buildup in arteries) due to:

1. **Worsened Lipid Profiles**: Low testosterone can lead to higher LDL ("bad" cholesterol) and lower HDL ("good" cholesterol), promoting plaque formation.
2. **Increased Inflammation**: Low testosterone is linked to higher levels of inflammatory markers, which can damage arterial walls and encourage plaque.
3. **Insulin Resistance**: Low testosterone may worsen insulin sensitivity, contributing to metabolic syndrome, a risk factor for atherosclerosis.
4. **Endothelial Dysfunction**: Testosterone supports healthy blood vessel function; low levels may impair this, making arteries more prone to plaque.

However, evidence is mixed. Some studies show testosterone replacement therapy may reduce cardiovascular risk in men with low testosterone, while others suggest high doses or improper use could increase risk. Age, lifestyle (e.g., diet, exercise), and comorbidities (e.g., diabetes, obesity) also play significant roles.

**Key Points**:
- Observational studies link low testosterone to higher rates of coronary artery disease, but causation isn’t proven.
- A 2017 study in *JAMA* found men with low testosterone had more carotid artery plaque, but lifestyle factors were significant confounders.
- Testosterone therapy’s impact on plaque is unclear—some trials show benefits, others (e.g., 2013 *NEJM* study) note potential cardiovascular risks with supplementation.

If you’re concerned about low testosterone and heart health, consult a doctor for personalized assessment, including blood tests and cardiovascular risk evaluation. Lifestyle changes (e.g., weight loss, exercise) and managing conditions like hypertension or diabetes are critical for reducing arterial plaque risk.

If you want me to dig into specific studies or search for recent posts on X about this, let me know!

_Disclaimer: Grok is not a doctor; please consult one. Don't share information that can identify you._

 

[Siggy]

Glad your surgery was a success.

To clarify, when you went into the ER with chest pain, did you have a heart attack? Or was it just angina caused by poor blood flow?

 

[UsmcOldSchoolMuscle]

I have already had the surgery and just wanted to make sure I can still take their TRT as prescribed. I’m on the recovery side right now and than you it’s been rough so far.

Man, that’s tremendous that the procedure was a success.

 

[pimpman]

Man every one is different but me personally if I had a heart surgery like that. And being on the recovery side the last thing in my mind would be if I can get back on steroids. I don’t care if it’s trt or anything. I don’t care if my libido is gone or any muscle for that matter. After I’m out of recovery place maybe I would think of trt and only if my levels are low and I feel like shit. If I feel fine I wouldn’t even touch it again.

 

[Fleezy]

I wouldn’t quit gear or drop to trt



But I would use test and test only, eating very clean, lots of cardio, and bp meds with lipid supplements

I’m dumb af tho so you might not want to listen to this advice

 

[Zamun]

I wouldn’t quit gear or drop to trt



But I would use test and test only, eating very clean, lots of cardio, and bp meds with lipid supplements

I’m dumb af tho so you might not want to listen to this advice

What doses are we talkin

 

[Fleezy]

What doses are we talkin

not sure really, if there was no real damage to his heart or body.. i wouldn't be hesitant to use a good amount of test.

i'd be curious about OP's previous use, diet, cardio, and genetics (as they relate to lipids etc.)

 

[thethinker48]

I wouldn’t quit gear or drop to trt



But I would use test and test only, eating very clean, lots of cardio, and bp meds with lipid supplements

I’m dumb af tho so you might not want to listen to this advice

It might be dumb to not quit gear after a coronary artery bypass graft

Usually they use saphenous veins for the graft, they are poor at handling arterial pressure and develop plaque way faster due to their internal structure

The endothelial lining is also damaged when they do the grafting which makes plaque built up faster

So combining this with gear use (even if it testosterone) which will only accelerate plaque build up through lipid dysfunction is a bad idea

There's a reason bypasses only last 10-15 years and require revisions after that, and that's without gear use

 

[Fleezy]

It might be dumb to not quit gear after a coronary artery bypass graft

Usually they use saphenous veins for the graft, they are poor at handling arterial pressure and develop plaque way faster due to their internal structure

The endothelial lining is also damaged when they do the grafting which makes plaque built up faster

So combining this with gear use (even if it testosterone) which will only accelerate plaque build up through lipid dysfunction is a bad idea

There's a reason bypasses only last 10-15 years and require revisions after that, and that's without gear use

Well, in that case

 

[Hatchet]

Ask a heart specialist, and keep doing bloods. They should be advising you, not ignoring your questions..

 

[stackdizzy]

Man I have had open heart surgery myself. My Dr told me no test a month prior and did not get the go ahead until 6 months later for trt. I know your case was an emergency but what do you have to lose taking a few months off. I did 6 months but was advised by my dr.

 

[hogan87]

being that low T (along with higher E2) contributes to heart disease and many other co-morbidities, stay on true TRT

 

[Siggy]

being that low T (along with higher E2) contributes to heart disease and many other co-morbidities, stay on true TRT

In the context of HRT or recreational Testosterone use, are you able to link a study showing elevated E2 contributes to heart disease? (or any context whatsoever)

As for comorbidities, you are probably talking about estrogen feeding certain types of tumors. I can say the same thing about testosterone, it too feeds certain types of tumors.

 

[hogan87]

In the context of HRT or recreational Testosterone use, are you able to link a study showing elevated E2 contributes to heart disease? (or any context whatsoever)

As for comorbidities, you are probably talking about estrogen feeding certain types of tumors. I can say the same thing about testosterone, it too feeds certain types of tumors.

The Effect of Low Testosterone and Estrogen Levels on Progressive Coronary Artery Disease in Men - PMC

Age-related morbidity and mortality rates from coronary heart disease (CHD) are higher in men than in women. Abnormal androgen levels cause a variety of abnormal symptoms in men. Testosterone and estrogen are the main sex hormone in men and women, ...

pmc.ncbi.nlm.nih.gov

Although estrogen is specific for women, it is also present at low levels in men (4) and evidence indicates that abnormally high estrogen levels may contribute to cardiovascular disease in men (5).

Association of hyperestrogenemia and coronary heart disease in men in the Framingham cohort - PubMed

The serum levels of estradiol and testosterone as well as established risk factors for coronary heart disease were estimated in 61 men (mean age 70.0 +/- 6.4 [SD] years) with coronary heart disease and in 61 matched control subjects enrolled in the Framingham Heart Study. The mean serum...

pubmed.ncbi.nlm.nih.gov

The mean serum estradiol level was significantly higher in the subjects with coronary disease

Increased estrogen level can be associated with depression in males - PubMed

Selected sex hormone parameters were significantly different in overweight and obese compared to normal weight males and certain differences could be seen between younger and older males. Depressive symptomatology was associated with increased estradiol levels in younger men, regardless of BMI.

pubmed.ncbi.nlm.nih.gov

(depression) Depressive symptomatology was associated with increased estradiol levels in younger men, regardless of BMI.

TONS of studies showing the risk of high estrogen in men. NO, I`m not talking about tumor growth from estrogen, that is mostly a female issue when taking unopposed synthetic estrogen.

 

[Siggy]

The Effect of Low Testosterone and Estrogen Levels on Progressive Coronary Artery Disease in Men - PMC

Age-related morbidity and mortality rates from coronary heart disease (CHD) are higher in men than in women. Abnormal androgen levels cause a variety of abnormal symptoms in men. Testosterone and estrogen are the main sex hormone in men and women, ...

pmc.ncbi.nlm.nih.gov

The main article actually argues against your position. One paragraph after the cited article #5 we have 2 articles cited arguing against your position. " In a prospective cohort study in men designed to assess the relationship between circulating sex hormones and coronary heart disease, an association was found between increased estradiol level and reduced risk of heart disease (9, 10) ." The main articles discussion ends with an argument contrary to yours. "We have demonstrated that estrogen and testosterone deficiency is associated with coronary artery disease that leads to heart attack in men." Unfortunately, I cant find a downloadable copy of cited #5 in its entirety in order to dismantle it, only the abstract is available.

Association of hyperestrogenemia and coronary heart disease in men in the Framingham cohort - PubMed

The serum levels of estradiol and testosterone as well as established risk factors for coronary heart disease were estimated in 61 men (mean age 70.0 +/- 6.4 [SD] years) with coronary heart disease and in 61 matched control subjects enrolled in the Framingham Heart Study. The mean serum...

pubmed.ncbi.nlm.nih.gov

Unfortunately I cant find access to a complete copy of this study, theres one site where I can purchase the study but im not going to pay for it. Theres plenty here to attack though. This is a relatively ancient 41 year old study using a stupidly minuscule sample size of 61 men who already had coronary artery disease before they ever discovered they had elevated estrogen. We dont know if its a correlation or causation. We dont know what their estrogen level was. We dont know what there testosterone level was either. They excluded subjects older than 75 years old, which means some of these men were still up to 74 years old and probably had concurrent low testosterone.

Increased estrogen level can be associated with depression in males - PubMed

Selected sex hormone parameters were significantly different in overweight and obese compared to normal weight males and certain differences could be seen between younger and older males. Depressive symptomatology was associated with increased estradiol levels in younger men, regardless of BMI.

pubmed.ncbi.nlm.nih.gov

This was a study that displayed, to no ones surprise, that obese men had higher estrogen and a higher level of depression ( I think at least 50% of fat people are depressed, regardless of estrogen level)

During this study, they discovered that some of the men in a group of 2224 had a higher level of depression " Men <60years old with depressive symptomatology had higher estradiol levels compared to those without depressive symptomatology (96.3±40.7 vs 84.4±36.6pmol/L, p<0.001), however no association with BMI was observed.eSo how many of those men had more depression than the men who didnt? It doesnt give a number. Also they try to argue that a difference of 12 pmol/L is going to make you depressed? Also, what was their testosterone level? This is a terrible study to support an argument.



TONS of studies showing the risk of high estrogen in men.

Please post a couple of these studies, they shouldnt be hard to find if there are tons of them.

 

[hogan87]

The Effect of Low Testosterone and Estrogen Levels on Progressive Coronary Artery Disease in Men - PMC

Age-related morbidity and mortality rates from coronary heart disease (CHD) are higher in men than in women. Abnormal androgen levels cause a variety of abnormal symptoms in men. Testosterone and estrogen are the main sex hormone in men and women, ...

pmc.ncbi.nlm.nih.gov

The main article actually argues against your position. One paragraph after the cited article #5 we have 2 articles cited arguing against your position. " In a prospective cohort study in men designed to assess the relationship between circulating sex hormones and coronary heart disease, an association was found between increased estradiol level and reduced risk of heart disease (9, 10) ." The main articles discussion ends with an argument contrary to yours. "We have demonstrated that estrogen and testosterone deficiency is associated with coronary artery disease that leads to heart attack in men." Unfortunately, I cant find a downloadable copy of cited #5 in its entirety in order to dismantle it, only the abstract is available.

Yes estrogen is cardio protective for women, not so for me. Since you can`t read the whole study, check the conclusion:

Conclusion:​

Low testosterone and estrogen levels correlate with coronary artery disease.

you wanna learn more, GO LEARN! I`m not gonna spoon feed you more info. Reference (9) was also a study about only women.