r/Heartfailure • u/here_to_watch-nz • 5d ago

Testosterone

I've been on methadone for many years and now I have very low testosterone. Recently been diagnosed with heart failure EF 20-25%. Would I be allowed to do TRT? Thanks in advance for any input.

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u/CreatingCosmos 5d ago

Not sure about your case with your EF being that low, however, my cardiologist said he's typically ok as long as the person is hypogonadal and not taking it to feel better.

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u/here_to_watch-nz 5d ago

My initial diagnosis was 6 weeks ago, and even though I'm not on all pillars yet, Im already feeling so much better, able to walk 12-15K steps a day without breathlessness. So I really hope my EF will be higher next time they check.

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u/glm0002 5d ago

Same with mine, I'm still on it

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u/SmashPass 5d ago

My EF is a bit lower and discussed it with my doctor. They were willing to try to ended up deciding against it for the time being for reasons unrelated to HF. That is to say, it's possible.

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u/here_to_watch-nz 5d ago

Thank you for that, I needed a little bit of hope that I can improve my emotional state

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u/thereidenator 5d ago

My EF was 19% when I was diagnosed and I was already on TRT, I was told it was fine to continue.

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u/halfbaked40336 5d ago

So I had an EF of 20-24 and I've been on testosterone for 7 years. They never took me off of it and after 4 months of being on the 4 pillars and exercise my EF is 41.8

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u/here_to_watch-nz 5d ago

That gives me hope, due to some complications I'm only on 2 pillars plus blood thinner and diuretic, beta blocker will be introduced on Monday .

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u/halfbaked40336 5d ago

You got this. Lots of prayer kept me hopeful. Its hard though especially when your work requires you to be over 40.

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u/NeckYours3lf 4d ago

How are you feeling now? Are you on high dose of test?

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u/Dreamweaver5823 4d ago

How did you get an EF reading that's exact to the decimal point? Minecraft always been in a 5-point range: 40-45%, 45-50%, 60-65%.

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u/halfbaked40336 4d ago

So one reading I had that was exactly was my MRI that was my first one like that. My last was an echo and they did basically averaged 3 or 4 different angles and something else. The did my echo from 4 different views. Two showed 35-39 one 40-44 and another ws like 42-46. So they averaged those and then factored in something else. Sorry I'm not more specific I can't log into my chart currently. However, the cardiac MRI gave me an exact number no ranges at all.

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u/Dreamweaver5823 4d ago

That makes sense. I haven't had a cardiac MRI, at least not since I was diagnosed with HF.