Non responsive RHR

[Neegan02]

Hi,

This is a Hail Mary of sorts, as I am at my wits' end dealing with high RHR from AAS. I hopped on the cycle a bit ago after years of training under my belt with a stagnating physique. I have been absolutely non-responsive to nebivolol, ivabradine, propranolol, and diltiazem with consistent steady state cardio. Everything else has always been damn near perfect in my monthly bloods.

My RHR would be 100-110 bpm before meds, and would go down to 85 bpm at the lowest with high-dose nebivolol and propranolol. Neither caused my BP to fluctuate, but I understand the risks there at high doses together.

Total anabolic load is approx. 900 mg weekly, consisting of Test 400 mg, EQ 150, 300 NPP, MENT 35 mg. I also run 4 IUs of growth. My e2 is hyper sensitive to EQ, so I keep it in just for management. RHR issues were present before MENT was ever introduced as well.

Hard pill to swallow, but I realize I might just be someone who can't tolerate anything past TRT. If there's anyone out there who's dealt with something similar and found a solution, I'd love to hear your insight.

 

[Kralteramon]

Sorry to see nobody replied yet. Let me break down what I think can be going on under the hood and what you can try to do about it.

First of all. Your RHR is very abnormal seen the pharma that you’re using. Your heart is pumping faster because either CNS activation+ or an increase in cardio output demand. I think it’s a combination of both. Usually a high hematocrit forces the heart to pump faster when blood is thick, but that might not be the full story here. Switching up compounds may already help you get into the normal range without meds. Drop MENT and NPP because they put extra strain on your cardiovascular system vs test or DHT derivatives. Swap to a test + DHT derivative combo. Get an IGF1 blood test on 4iu and check if you’re potentially a hyper responder like myself. I would either drop HGH or decrease the dose 2iu.

Data that we’re missing to get a deeper understanding: Hematocrit, IGF1, blood pressure, e2hs, stimulant use, GLP/GIP use?

In your situation I would get a doctors appointment ASAP and get an ECG done. Check for LVH, I suspect it to be part of the problem. Drop your dose asap, an RHR above 100 is not healthy.

 

[bossetti]

consistent steady state cardio.

Try also to go harder,the classical zone 2 is good if u do many hours but sometimes mixing with harder rithm i gonna be better

 

[javelinmg]

Yeah it could be anything. How are your heart markers? I would be afraid too look but you’re gonna have to cuz that ain’t healthy

You could try to problem solve this by only leaving test in, and seeing if rhr comes back down and if not bring that down too. Perhaps you should test a different brand of gear if uncertain of quality.

 

[Neegan02]

Sorry to see nobody replied yet. Let me break down what I think can be going on under the hood and what you can try to do about it.

First of all. Your RHR is very abnormal seen the pharma that you’re using. Your heart is pumping faster because either CNS activation+ or an increase in cardio output demand. I think it’s a combination of both. Usually a high hematocrit forces the heart to pump faster when blood is thick, but that might not be the full story here. Switching up compounds may already help you get into the normal range without meds. Drop MENT and NPP because they put extra strain on your cardiovascular system vs test or DHT derivatives. Swap to a test + DHT derivative combo. Get an IGF1 blood test on 4iu and check if you’re potentially a hyper responder like myself. I would either drop HGH or decrease the dose 2iu.

Data that we’re missing to get a deeper understanding: Hematocrit, IGF1, blood pressure, e2hs, stimulant use, GLP/GIP use?

In your situation I would get a doctors appointment ASAP and get an ECG done. Check for LVH, I suspect it to be part of the problem. Drop your dose asap, an RHR above 100 is not healthy.

Not sure how I missed this, but I really appreciate you taking the time brother.

Dropped NPP and MENT shortly after posting. Most of the other avenues you mentioned I have explored to no avail.
Hematocrit is low normal given water intake and blood donation every 12 weeks or so. IGF was relatively low last I checked in November (185). E2 is high, but that is where I need to be to feel best, and it wasn’t a variable that changed HR when it was low/crashed. No stim use, and I cut coffee out as well. I am on Reta which I know is contributing but the majority of the rise in hr happened before I introduced it.

Overall, I have focused on 30-45 mins of steady state cardio 5-6 times a week, cutting dosing dramatically, and I am stuck at 80-84 bpm Rhr on beta blocker protocol. Definitely looking into scheduling an appt for imaging as well now.

 

[Elektrobot]

blood donation every 12 weeks

Check your iron biomarkers

Low iron = low oxygen in blood = high heart rate