question from a user
My friend was in the hospital for CHF with mild ejection fraction and no clots. All good markers are good and Ejection fraction is now normal. Can be be on TRT?
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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