I’m making an assumption here based on the case presentation, to help you make an informed decision.

Peripheral edema and you’re on stimulants, It could be a sign of heart failure.

Do you take clen, t3, stimulants every time you diet?

Then you go off stimulants when not dieting and your heart has a chance to regain some global longitudinal strain…

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Aldosterone is already managed well with Telmisartan, imo no need for extra. Considering telmsaran already prevents LFH in real world scenario but also in research[/quote]

Kuba, respectfully I disagree.

Telmisartan reduction, slight suppression in aldosterone through the AT1 receptor is mild and indirect.

Finerenone directly blocks…

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Nebivolol primary use inst blood pressure control. It might in some people by making your kidney retain potassium – it’s a secondary effect.

Nebiovolol is a newer generation beta blocker – its primary use is lower the heart rate. Lower heart rate = less left ventricle hypertrophy and heart changes over time.

Nebivolol is a drug used in…

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1. Is your E2 controlled at this setup? If not add ai or change the setup to control e2 – for example for most people one of primo’s metabolites act as an aromitize inhibitor, whereas mast does not (even though it appears to modulate estrogen in certain tissues like the breast tissue).

1. Looks ok. Personally would just do testosteorne alone and an…

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10 mg and keep it at that so you have leeway to up the dose in case you run into heart failure.

Would add Fenerenone and nebivolol to that stack.