Had a Heart Attack today at age ~30. Be safe guys.

i know we don't talk about sources here so this is more of a general question of availability is there anyone getting PCSK9 Inhibitors inj. outside of medical prescription?

Yes but it'll be from pharma, about 400 a shot and u need 2x a month.

The European and Turkish pharma sources here have them.
 
Tren's waaay worse per-mg than testosterone for cardiovascular-thrombotic risk bro! Effects on electrolytes, MR antagonism, it's actually real ugly in that regard.

Where trenbolone can be argued to be relatively beneficial is metabolic health, insulin sensitivity, decreasing insulin /and/ glucose for example, as shown in this study

Recover soon!
maybe you forgot how aggresively tren binds to AR's which includes the left ventricle AR and will grow his heart way more than testosterone mgvsmg basis. But defiently is the biggest concern long term!
 
Thank god you made it bro.

And *now* post MI, they want you below LDL 55. (typically statin or statin+Ezetimibe aka "double" therapy) Only after a second heart attack is it considered "cost effective* to aim for below 40 (by adding Repatha, aka "triple" therapy) according to the insurance friendly guidelines.

If it were me, I'd hit the cardiologist up for triple therapy now, to minimize risk to the greatest extent, and you're young enough a lot of plaque is soft enough to regress. Most cardiologists have no issue exceeding the guidelines to get LDL even lower. It'll also avoid the need for max intensity statins that have highest side effect risk, and allow slightly less potent, but much more muscle friendly Pitavastatin to be used, with Eze and Repatha more than picking up the slack.

FYI, insurance requirements for Repatha have loosened WAY up this year. It shouldn't be difficult at all to get approved.

If your guy isn't cooperative, I'd do whatever it took to get a "second opinion" regarding post MI treatment from another cardiologist.
hey mate. side topic.
but thanks for all your positive input on meso i read alot of your stuff keep up the good work buddy!
 
Well, it finally happened to me.

Near end of my workout today I start feeling chest tightness & pain, hard to breathe.
Go to emergency room, get told I'm having a heart attack (STEMi).

"A 99% subtotal blockage was found in the second obtuse marginal (OM2) branch of left circumflex (LCx) artery."

Likely from vulnerable plaque rupturing during the workout and the thrombosis that follows narrowing the artery.
Single-vessel disease, no other obstructive disease discovered during angiogram.

Code:
- Impression: Inferior ST elevation microinfarction with culprit lesion of second obtuse marginal 99 percent subtotal occlusion
- Successful imaging guided primary PCI of second obtuse marginal with 3 x 20 mm Synergy stent
- Normal LVEDP
- No aortic stenosis
- Recommendation
  - Start aspirin 81 mg daily for lifelong
  - Start Brilinta 90 mg twice a day for at least one year
  - Start high intensity statin therapy for goal of less than 55
  - Obtain echocardiogram
  - Cardiac rehabilitation referral

Summary of Echocardiogram w/ contrast performed afterwards:
Code:
- Mildly dilated left ventricle
- Moderate concentric LV hypertrophy
- Mildly reduced LV systolic function
- EF 45–50% (down from 55% post-op, plausible post-MI myocardial "stunning", expect recovery)
- Hypokinesis of inferoposterior wall
- Mild to moderately enlarged left atrium
- Mild to moderate mitral regurgitation
- Mild tricuspid regurgitation
- Mild pulmonic regurgitation

Stay safe, folks.
Hey mate,
sorry you went through this. did they find the root cause for the inital block?
was your bp managed? on cycle? what was your HCT blood thickness and red blood cell counts?
 
Finally
i know we don't talk about sources here so this is more of a general question of availability is there anyone getting PCSK9 Inhibitors inj. outside of medical prescription?

I haven't seen any. Repatha (evolocumab) is effectively impossible to replicate. Those that have the capacity to do so wouldn't want to even be thought to infringing on the patent.

Inclisiran might come out of China at some point.

Even so, one can get pretty far along with statins, ezetimibe, and bempedoic acid. That is, those without elevated Lp(a).
 
Finally


I haven't seen any. Repatha (evolocumab) is effectively impossible to replicate. Those that have the capacity to do so wouldn't want to even be thought to infringing on the patent.

Inclisiran might come out of China at some point.

Even so, one can get pretty far along with statins, ezetimibe, and bempedoic acid. That is, those without elevated Lp(a).
Pita took my already low Lp(a) and obliterated it another 65% into almost single digits. And I made this change (from rosuva) while simultaneously increasing my androgen load. Definitely atypical but for those with elevated Lp(a) might be worth it to try pita as your statin of choice.
 
what are your calories and macros lately?
I've been trying to cut, although it's stalled a bit; I eat the same food every day
Macros are generally 2,200-2,600kcal depending on snacks

Protein: 230-270g
Carbs: 190-220g
Fat: 50-60g

Roughly a 40/40/20 ratio of P/C/F

(5'6, ~190lbs, 12-14% BF estimate)

1759435975434.webp
 
I have to get down to ~175-180lbs to compete in Classic Physique, so I'm making an attempt to cut to stage weight to see if I can reasonably do it next year

Should probably try to measure myself so I don't get surprised. Really hoping I'm 5'6 and 0.0001 inches so I can hit that 182lbs class lol...

1759436479195.webp
 
Got bloods yesterday, some updates:

GEAR:
- 300 Test
- 8 Reta + 2 Sema
- 4iu GH
- 20 Cialis
- 10 Cardarine

LIPIDS:

View attachment 352116

KIDNEYS:

View attachment 352117

LIVER:

View attachment 352118

METABOLIC:

View attachment 352119

Consider getting HS-CRP on next test. It's a good measure of inflammation within arteries, which is what causes plaque instability. ie, a piece to break off, creating an injury that brings clotting factors to the area and a potential blockage.
 
My BP rode high, but usually in the 130/80 territory

I was RX'ed 200mg labetalol but I stopped taking it a week ago because of beta agonism reduction on fatloss and my BP was still fine without it

Also take 20mg Cialias daily

I'm a huge advocate for sharing as much info in public places without identifying information, to help others make informed decisions and reduce harm

Thousands of people can potentially read your posts over time from Google searches

So I'm happy to share my meds

The ones newly prescribed ones are the bottom 5, and 200mg Labetalol is being replaced by Metoprolol

View attachment 349543

How are you getting this printout?
I do mine in Excel but this looks way cooler
 
should be lightwork with word set up table add pictures with color even and make the text should take max 2-5 min

print to pdf, print the pdf

It's the tablet pictures that aren't easy to get lol. It looks like a pharmacy printout of some kind which was why I'm asking

Edit: oh hell I got cheated. Some of the tablets don't look like the pictures, especially not dayvingo.
 
Dropped the Tren + Mast, now just on 300 Test.

Decided it wasn't worth the risk.

Seems like in terms of cardiac remodeling + LDL risk, Test/Nandrolone/Primo are the ways to go.

But I'm not made out of money, so Test + Nand it'll be for the foreseeable future.
Is primo one of the worst offenders when it comes to lipids?
 
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