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Just as the title implies I wanted to consolidate all things tren and androgens to one thread. Remember none of this is medical advice. It’s simply my experience as I’m a student of my own work.
When I say tren below I am also referring to high androgens so use them interchangeably as tren is just the harshest. This can mean nandrolone, high test, EQ etc.
Before getting into the things that happen and what to do I think it’s important to cover the never ending question-
“I used to be able to use tren, nandralone, high test etc with no issue. What’s changed?”
Nothing has changed, you just got older. The items below are for guys that are 22 on tren and those at 35 and older. Just because you don’t feel something doesn’t mean it’s not happening. And if you’re lucky, and do these things then maybe you’ll be one of the lucky ones and have no long term health issues from tren and androgens.
Testing:
Cardiac: EKG, Echo, CT angio or at least CT calcium.
Bloodwork: NT-proBNP, HSCRP, lipid panel, homocysteine, Factor V, iron, ferritin and CMP, full CBC for HCT
Why- before pushing androgens or tren make sure your heart is healthy enough to take that risk.
What do they impact- why do we get sides?
1. Cardiovascular and Vascular Tone:
Tren and androgens cause hypertension and vasoconstriction through increasing sympathetic tone and decreasing NO production.
Symptoms- BP over 125/80, chest tightness
Supplements: Citrulline 6-8g, Taurine 3-4g, Magnesium Glycinate 400-600mg, ubiquinol 200mg
Medications: ACE or ARB, Cialis 2.5-5mg (restores NO cGMP pathway), Nebilivol (increases)
Foods- beets as they contain nitrates
Peptides- SS-31. Why do I like it for tren:
Chest Pressure/ High Afterload
Tied to the above this is usually tied to high BP, but also HCT being elevated (blood thickness). It’s also due to vascular stiffness.
Solutions- BP Meds, hydration, sleep apnea, 8000iu nattokinase, and “donate” blood as last resort 1-2 times annually (guys will do more. I don’t).
Resting HR Elevation
This is generally due to the Catecholamine surge, especially with tren.
Solutions- this is where Ivabradine can be of help. As you’ll see here it’s under a different category than Nebilivol as they work differently and each have a time and place. Start low as more isn’t better.
2. CNS/ Mood Sleep
Anxiety and Irritability
Now there’s no supplement that will fix you being an asshole, but we can work on the foundational things for most. Check yourself while on tren, or better yet have your wife do it.
Tren increases dopamine and decreases GABA and norepinephrine.
Possible solutions- theanine 200-400mg AM/PM, Magnesium Threonate, and Taurine. Theanine crossed the blood brain barrier hence it’s used.
Ashwagandha 1000mg daily.
Peptides- Semax/Selank
Insomnia/Sleep Disturbance
Catecholamine excess is one of the main culprits followed by MCAS/excess histamine (covered more in depth below).
Solutions- glycine 4-6g before bed, melatonin, limit caffeine and Ivabradine can offer some relief if RHR related.
3. Histamine and Mast Cell Activation Syndrome
Increased androgen load and fluctuations causes MCAS. This is bloating, GERD, acid reflux, night sweats, headaches, tren cough and sometimes itchiness.
Solutions- limit high histamine foods such as anything fermented, tomatoes, spicy foods, Greek yogurt etc.
You also want to fix the gut as that’s the root cause which is tricky as most fermented foods are high histamine.
Supplements- quercetin, bromelain, stinging nettle, holy basil to reduce MCAS and DAO to digest excess histamine.
OTC- Anti-histamine (Zyrtec) for respiratory and Prilosec for GI issues. There is one supplement on Amazon that has all of these, no I can’t link it here.
So let’s recap:
- take a good pre-workout stim free for heart health with Citrulline 8g daily
- add taurine daily 3-4g
- add magnesium glyciante and Threonate for at least 600mg daily total
- add SS-31 1-2.5mg daily while on cycles of tren
- take cialis 2.5mg - 5mg daily
- theanine 200-400mg daily
- 5mg melatonin prior to bed
If RHR climbs over 70-80bpm consider Ivabradine.
If BP climbs over 125/80 add in Lisinopril or ARB at minimum viable dosage and can consider Nebilivol if tolerated.
As always, enjoy and welcome discussion and input from other smarter minds here. If someone isn’t already offering this somewhere as a paid module, they will/should be. But we are all in this together so believe it should be free.
As most of you know I don’t have much time to respond to DM’s and charge for anything outside of what I post here publicly. I wish I had more hours in the day and that’s not a promotion as I make my outside this sport.
Apologies for any typos as I just write as I go.
I hope this thread and knowledge helps others as this place has me over a decade.
When I say tren below I am also referring to high androgens so use them interchangeably as tren is just the harshest. This can mean nandrolone, high test, EQ etc.
Before getting into the things that happen and what to do I think it’s important to cover the never ending question-
“I used to be able to use tren, nandralone, high test etc with no issue. What’s changed?”
Nothing has changed, you just got older. The items below are for guys that are 22 on tren and those at 35 and older. Just because you don’t feel something doesn’t mean it’s not happening. And if you’re lucky, and do these things then maybe you’ll be one of the lucky ones and have no long term health issues from tren and androgens.
Testing:
Cardiac: EKG, Echo, CT angio or at least CT calcium.
Bloodwork: NT-proBNP, HSCRP, lipid panel, homocysteine, Factor V, iron, ferritin and CMP, full CBC for HCT
Why- before pushing androgens or tren make sure your heart is healthy enough to take that risk.
What do they impact- why do we get sides?
1. Cardiovascular and Vascular Tone:
Tren and androgens cause hypertension and vasoconstriction through increasing sympathetic tone and decreasing NO production.
Symptoms- BP over 125/80, chest tightness
Supplements: Citrulline 6-8g, Taurine 3-4g, Magnesium Glycinate 400-600mg, ubiquinol 200mg
Medications: ACE or ARB, Cialis 2.5-5mg (restores NO cGMP pathway), Nebilivol (increases)
Foods- beets as they contain nitrates
Peptides- SS-31. Why do I like it for tren:
- Improve diastolic relaxation of the heart.
- Reduce oxidative stress and fibrosis.
- Enhance endothelial nitric-oxide signaling and microvascular dilation.
- Increase exercise tolerance and muscle mitochondrial function.
Chest Pressure/ High Afterload
Tied to the above this is usually tied to high BP, but also HCT being elevated (blood thickness). It’s also due to vascular stiffness.
Solutions- BP Meds, hydration, sleep apnea, 8000iu nattokinase, and “donate” blood as last resort 1-2 times annually (guys will do more. I don’t).
Resting HR Elevation
This is generally due to the Catecholamine surge, especially with tren.
Solutions- this is where Ivabradine can be of help. As you’ll see here it’s under a different category than Nebilivol as they work differently and each have a time and place. Start low as more isn’t better.
2. CNS/ Mood Sleep
Anxiety and Irritability
Now there’s no supplement that will fix you being an asshole, but we can work on the foundational things for most. Check yourself while on tren, or better yet have your wife do it.
Tren increases dopamine and decreases GABA and norepinephrine.
Possible solutions- theanine 200-400mg AM/PM, Magnesium Threonate, and Taurine. Theanine crossed the blood brain barrier hence it’s used.
Ashwagandha 1000mg daily.
Peptides- Semax/Selank
Insomnia/Sleep Disturbance
Catecholamine excess is one of the main culprits followed by MCAS/excess histamine (covered more in depth below).
Solutions- glycine 4-6g before bed, melatonin, limit caffeine and Ivabradine can offer some relief if RHR related.
3. Histamine and Mast Cell Activation Syndrome
Increased androgen load and fluctuations causes MCAS. This is bloating, GERD, acid reflux, night sweats, headaches, tren cough and sometimes itchiness.
Solutions- limit high histamine foods such as anything fermented, tomatoes, spicy foods, Greek yogurt etc.
You also want to fix the gut as that’s the root cause which is tricky as most fermented foods are high histamine.
Supplements- quercetin, bromelain, stinging nettle, holy basil to reduce MCAS and DAO to digest excess histamine.
OTC- Anti-histamine (Zyrtec) for respiratory and Prilosec for GI issues. There is one supplement on Amazon that has all of these, no I can’t link it here.
So let’s recap:
- take a good pre-workout stim free for heart health with Citrulline 8g daily
- add taurine daily 3-4g
- add magnesium glyciante and Threonate for at least 600mg daily total
- add SS-31 1-2.5mg daily while on cycles of tren
- take cialis 2.5mg - 5mg daily
- theanine 200-400mg daily
- 5mg melatonin prior to bed
If RHR climbs over 70-80bpm consider Ivabradine.
If BP climbs over 125/80 add in Lisinopril or ARB at minimum viable dosage and can consider Nebilivol if tolerated.
As always, enjoy and welcome discussion and input from other smarter minds here. If someone isn’t already offering this somewhere as a paid module, they will/should be. But we are all in this together so believe it should be free.
As most of you know I don’t have much time to respond to DM’s and charge for anything outside of what I post here publicly. I wish I had more hours in the day and that’s not a promotion as I make my outside this sport.
Apologies for any typos as I just write as I go.
I hope this thread and knowledge helps others as this place has me over a decade.











































































