question from a user
AlphaMD's Answer
The science is pretty clear on the fact that low testosterone is a greater risk factor for heart disease and CHF than TRT.
The latest research on the matter shows that TRT is cardioprotective and improves ejection fraction.
https://www.ahajournals.org/doi/10.1161/CIRCHEARTFAILURE.121.008755
https://pubmed.ncbi.nlm.nih.gov/29478348/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512682/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403087/
Death rates of men who have both hypogonadism and CHF are significantly higher, enough so that I personally know many cardiologist who are now prescribing TRT.
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