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question from a user

Been on trt for a few weeks and blood pressure has going up again. I have increased my usual telmisartan 20mg to 80mg and still on 135/75 any suggestions (trt protocol is 2 clicks 1am 1 pm of 200mg/ml compounded cream)

AlphaMD's Answer

There is typically an 8 week phase when starting TRT that is going to be a lot of chaos, and around which you shouldn't be changing doses and medications drastically while your hormones balance out. That said, in cases like this, we always advise you to continue to check your BP & connect with your PCP about it so that they know the situation. It is likely that once your body balances out this issue should reduce but if it doesn't or it gets worse then it is perfectly fine to temporarily reduce your dosing to help with this. If it never does, that is also manageable and generally requires BP medication adjustment from your PCP to match your new norm.

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