Originally Posted by phoebeisis

Wow- can you still ride with a 20% EF ?
You sorta lucked out-very very few MDs would be brave enough to prescribe testosterone for someone who must/might have CAD.
Especially now-after some recent study(not a great study since patients were probably given large doses)-indicating increased MI risk with testosterone supplementation
You certainly benefit from it-
and it is faintly possible that it has some cardiac protective effect at " low normal" levels -and the "bad cardiac effects" are at much higher levels.
HRT in women- became Verboten after the BIG STUDY(2001 early release and ended early)- 1,000,000 women study or whatever it was called.
It showed increased risk breast cancer and INCREASED CAD risk- the CAD was the opposite of what was expected-breat cancer risk-not a surprise-good effect on bones was demonstrated and some odd protective effects-bowel cancer decreased risk etc

In any case-ALMOST ALL WOMEN were IMMEDIATELY rapidly tapered off HRT- and far far fewer were started on it

fast forward to 2012 or so- followup results of a DANISH STUDY- good study-released(study actually had be stopped early because of 1,000,000 study) anyway followup demonstrated a PROTECTIVE CARDIAC EFFECT- along with good for bones other cancers-BAD BREAST cancer effect was still present I think.
OPPOSITE CARDIAC result from 1000000 woman study-exact opposite

Well the HRT studies-were different-different drugs-different way of dosing-
BUT MOST IMPORTANTLY the Danes gave it to perimenopausal women-50,51 yo
We gave it to 61,62 yo women-who hadn't had "much" in the way of hormones in 10-11 years
so we SUDDENLY dumped high levels of estrogens/progestins- on women who were more or less naive to them
and we got the BAD cad -but not surprising- result

Now the Danish study hasn't changed current therapy in the USA- HRT is still frowned on-mainly for breast cancer risk-but MI risk is still-incorrectly-touted as a reason to "not start HRT"
HRT also makes women "feel better look younger" middle aged women-their skin and muscle tone-suddenly aged about 5 years after HRT became "bad"
it is POSSIBLE-big maybe- that HRT women and men-is "better" when not passed thru GI track-meaning making a 1st pass thru liver

Oh well-I have run on-you lucked out-brave MD-amazing what hormones can do-same EF but much better work tolerance
Can you still ride (wife had MI- baddish one-LAD etc)-she still manages occasional brief ballet type workouts-she has vasculitis-so her problems are ongoing-since 2005
Can you ride a little?