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This was me half a decade or so ago at 53. Anybody can feel free to disagree and say I was already showing signs of being elderly, but I think not yet back then.
Nevertheless, it was in the year or so after this, as I was trying to put on more stage weight, that I ran into the problem of, "If I keep doing this, I am going to have a serious problem and maybe die." I was 251 pounds, and my progress was great. I was doing everything I needed, the hormones I needed, the food I needed, carefully tracked, and intense training, and things were increasing, I was getting bigger, weights were going up . . . but
my blood pressure was going up, too. Each couple of pounds came with a small bump in blood pressure, each small bump easy enough to ignore on its own, but, cumulatively, not so easy to ignore until it was too high for me to continue without major risk. I was already on one blood pressure medication, and it was alarmingly high.
Age and blood pressure are related, and your body will tolerate less hormones and less body weight as you get older. And no, it does not matter if it is muscle or fat, body weight and mass must have blood pumped to it, perhaps more so if it is muscle.
BMI matters, even though folks will automatically react badly to that suggestion, declaring, "But BMI does not account for muscle!" usually shouted by some delusional fat body.
It matters.
Cardio matters.
Steroids matter.
Age matters.
I can't control age, and neither can you, but you can control the hormones you use, your body weight, and your cardio. At 43, be aware of this stuff and realize that you are not 23. It will help you to do everything more responsibly.
I will now get off my soap box.