Also worth noting that aside from the things raised in this video, there is also the possibility of vasodilation occurring from preworkout powders (stim and non stim varieties) or “pump” powders. Mentioning this as a lot of guys on TRT do workout and supplement these. It’s not just caffeine that causes flushing and vasodilation, but also excess of vitamins like Niacin - if you drink monster energy drinks, they contain 4x the daily recommended amount of niacin, which can cause “niacin flush” in some people. Other people may also have diets high in histamines (a lot of foods we eat have high histamines) histamine release in the body can also have downstream effects and cause vasodilation. There is also some guys on TRT who are using Cialis, even daily 5mg tablets will cause facial flushing, the vasodilation is not just occurring in your pants, it also affects the facial capillaries. And for some guys it could be a combination of a handful of the things I have mentioned as well as the stuff mentioned in the video, a perfect storm really for redness to occur
When I’m on TRT injections, my face turns bright red, my face has a hot feeling to it, I get eyes bags and it makes my wrinkles more pronounced. My estrogen, blood pressure and hematocrit are all in check. I was told by a Doctor that this happens, because testosterone is a vasodilator and bring blood vessels to the surface of the skin which are more prevalent in the face.
I get it too. Definite change in skin appearance and flushed face and chest. I’m pretty sure my levels are all fine though as it happened from the first week of injections.
@@brasinovic unfortunately absolutely nothing. I have spoken to multiple doctors about this issue and unfortunately it is our genetic makeup. We just have more blood vessels in our face, where an outside substance like testosterone will affect us. I will say the test cream didn't cause the red face, but the hair loss with test cream was insane. Strangely enough I didnt get any hair loss on test injections.
In a perfect world. With all due respect, I've always noticed Gil has the most consistent red face I've ever seen in someone I would believe to be healthy. I suffer from red face/neck, especially when physically active, along with stage 1 hypertension (I suffered from low bp prior to TRT). Cutting sodium, clean eating, staying well hydrated, stress management, along with eating grape fruit has had minimal impact on lowering bp & haematocrit. The fact is, some people are prone to certain side effects and some aren't, just as with anything in life. Gil states that water retention can be a cause of elevated bp. We know visible water retention is due to elevated estradiol levels (with consideration for low sodium intake)... but we have it drummed into us on this channel that high E2 levels don't need to be looked at, as an abundance of E2 is a great thing. Tell that to those suffering from gyno, erectile dysfunction and have emotional outbursts, that never experienced these things when their E2 was within clinical range. A couple of you guys are certainly knowledgeable and have in fact helped myself, but your militant stance on the topic of haematocrit & estradiol is sometimes concerning. I know TRT is the main source of business for Gil & my sentiments will likely be met with hostility or a challenge of knowledge, but I say this with respect in an open forum. It would be refreshing to see you not digress or run off on tangents with medical terminology all the time. Focus and address what you start to answer or discuss. And please, if you often give advice on how to mitigate high E2 symptoms, openly accept that very high E2 is not safe, or at least, it's not ideal. You can not have it both ways fellas. I appreciate this channel and the work you guys put in to helping educate the community.
Dr Jordan Grant and Dr Robert Stevens have an even more red face than Gil. From what I've seen, TRT causes the face to look red/flushed in lots of guys.
I have never seen anybody that generous of his time and generous of his knowledge, Jordan is the same too, I am thankful Everyday of having someone that can teach me so much about the humain physiology, in a way that is understandable, the medical terms he is using are mandatory, there is no way around them, besides he explains the medical terms perfectly and makes it accessible to neophytes, bravo, and thank you Gil
Kratom is lovely but it’s an opioid buzz it gives you. I used it to come off subutex which I was prescribed to come off heroin. The kratom completely negated the withdrawal symptoms from cessation of subutex (suboxone in the USA) Kratom is physically addictive. It’s easier to taper off than other opioids but some people really struggle with the withdrawal symptoms from Kratom.
Succinct and excellent as always gentleman.I have definately noticed increased pumps and vascularity,even though I have not gotten any leaner(not being strict with diet during covid to be honest).I do have marginally elevated blood pressure,and would like to try potassium citrate.Are there any instances where you wouldnt advise using this supplement-ie blood pressure meds or diuretics? Cheers
I'm 26 and had test levels in the low low 300s. I train twice a day for an hour very intensely, and my blood pressure used to be 104/65 on a pretty steady and regular basis. I am on my 3rd week of my loading phase of TRT by a medical professional here in AZ. I bought a super accurate blood pressure cuff for my personal use because i had noticed it higher at each of my first 3 appointments. Right now my Blood pressure seems to be resting somewhere around 130/75 and my heart rate has increased at resting from 50bpm to 70 bpm....should i be concerned about this jump? It should be noted that i do suffer from anxiety regardless so that could play a roll. I eat a very clean diet. I have also noticed some redness in my face as well.
Hey bro I’m 27 and even at 21 I used to have intense blood pressure 150/80 and what not. But each time I’d have it checked I’d have a mini panic attack. I wouldn’t worry about 130/75. Obviously you’re monitoring it. If it gets super high and you don’t feel well then go see a doc and maybe they’ll give you a beta blocker, but im betting stress and anxiety probably have a role and you’re fine.
I wouldn't worry about those numbers,...(.they're good)...the numbers can be altered by wt, gain.size,and diet (salt & caffeine ),..even medications ....I would be a little concerned about the increase in heart rate,....check it in the morning when it is normally low.......you might consider doing more cardio, ...especially some H.I.T. training, ....a few sprints ,...this will improve heart health,..and in turn lower your heart rate.
@@cssjuba101 hey man you’re not alone. I developed a white coat syndrome where I am anxious and scared that it’s going to be high and I have a panic attack. I totally know how that feels. If I check it on my own at home it’s normal. Lol
Hey guys great info as always I went through a red face like really red blood pressure was way in normal in the end it D3 I was taking too much like 8 thousand iu a day 🛑 stopped and felt better in three days but took three weeks to get back to normal skin tone I fell pretty silly 🙃 taking that much lesson learned have a good one ☝️
I'm on TRT and use the following to control blood pressure. Dosage says 2 capsules once a day. However, I use 2 capsules 3 times a day as I have high BP. This stuff works wonders. www.amazon.com/gp/product/B0786QF4ZR/ref=ppx_yo_dt_b_asin_title_o01_s00?ie=UTF8&psc=1
I was on trt for approximately 8 months. Developed red face pretty bad. Quit my trt for 6 months. Donated blood 3 times. Started my trt again last Friday. Did 1 60mg injection IM and literally got flushed and warm skin/face 48 hours later. Still have it today, monday. I understand according to this video that it could not be the testosterone acting that quickly on my rbc's. But what else can it be? Could it be the anastrozole? Or the hcg? I took both on Friday with my test injection
Jeff Pizzuli Great question. Since our experts do *not* check these youtube comments often, consider joining our (free) facebook group and post your question there. You can tag one of our experts if needed. See you in there. Greetings, Steven Devos
Did you get your blood checked before you donated? If you got flushed skin within 48 hours of injection, you could possibly be allergic to the carrier oil or the ester.
I don't have Facebook, what is the best practice to eliminate this red face. Mine is super bad because I'm already easy to flush. Any help would be appreciated
Yeah I'm on .7mg every week of testorone cypionate injection...your clearly not under the supervision of a doctor....that's is seriously dangerous levels and yes your gonna feel hot
@@ev0watfor trt yes. For bodybuilding it’s too low if anything. I run up to 400 mg per week and am in great health and am I newb when it comes to enhanced bodybuilding after training natural for thirty years.
It becomes a problem when it becomes a problem. If you blood pressure is high and your resting heart rate is high for more than a month then it might be time to talk to your doctor. The most common cause of elevated hematocrit is dehydration. You'd be surprised how much you can lower your hematocrit by simply drinking more water.
I think any suplement will just make the facial flushing worse except for drinking water. I came to the conclusion the only thing that might work is a face cream to tone down the red face.
My blood pressure is 175 over 105 . My skin is red. I've been on 3 medications to try to control. The meds will bring it down for a few hours. But every morning I wake up. 170 over 100. Or higher . I have no idea what is wrong. The trt is not helping the blood pressure . My t levels are in range 600 to 800 . Total on trt. I'm not over weight . I'm 5 11. 175 lbs. Lean muscle . And physically fit. But I have hypertension crisis. Could be sleep apnea .
@@danr4746 dude, thanks for reply. I'm only on 100mg! What's strange is I feel like this just started and it's intermittent. I've been on injectable for 5 months. I am predisposed to gyno so my doc just started me on tamoxifen 2 weeks ago, maybe that's it? I'm only on it 1 more week, then I guess I'll see it it goes away. I've always had very bad flushing. Sucks. Especially in social environments.
@@dshudson what's you blood pressure. Diring the day mine will be 135 to 140 over 70. Then after exercising sometimes at night it comes down to 125 over 60
My entire body is red with a natural testosterone level of 990 ng/dl....It may be higher rbc count, which my blood work revealed. My DHT level was high (75 ng/dl) and sensitive estradiol was within range (35 pg/dl). Oddly enough, I have symptoms of low E2 such as lack of water retention and popping joints.
@@alvargarcia9543I find it weird that I test above 50 pg/m (50 to 62 pg/ml)l using quest ultrasensitive and below 40 using Labcorp sensitive test. Not sure which one to take seriously. My free T was recently measured at 154.8 pg/ml (35-155 pg/ml) using quest.
Gil, I've noticed guys who use hCG often suffer from frequent bouts of hot facial flushing. Do you think this is due to the spike in estradiol that hCG causes?
Hcg can deffinetly spike estro I feel good after injection but I break out like crazy everytime I use hcg it aromatises so quickly and if your sensitive it can wreak havoc on trt but it also has many benefits
![Blood pressure-how to measure, manage, and treat high blood pressure [AMA 48 sneak peek]](http://i.ytimg.com/vi/3T9gIkAXI2c/mqdefault.jpg)
![Blood pressure—how to measure, manage, and treat high blood pressure [AMA 48 sneak peek]](/img/tr.png)
*==➤➤Watch This Next: "HOW TO PREVENT HIGH HEMATOCRIT ON TRT"* ruclips.net/video/cT_6puzApWk/видео.html
Also worth noting that aside from the things raised in this video, there is also the possibility of vasodilation occurring from preworkout powders (stim and non stim varieties) or “pump” powders. Mentioning this as a lot of guys on TRT do workout and supplement these. It’s not just caffeine that causes flushing and vasodilation, but also excess of vitamins like Niacin - if you drink monster energy drinks, they contain 4x the daily recommended amount of niacin, which can cause “niacin flush” in some people. Other people may also have diets high in histamines (a lot of foods we eat have high histamines) histamine release in the body can also have downstream effects and cause vasodilation. There is also some guys on TRT who are using Cialis, even daily 5mg tablets will cause facial flushing, the vasodilation is not just occurring in your pants, it also affects the facial capillaries.
And for some guys it could be a combination of a handful of the things I have mentioned as well as the stuff mentioned in the video, a perfect storm really for redness to occur
Okay but how can we fix it ? Lower the dose ?
Thank you for these daily, short and informative videos!
When I’m on TRT injections, my face turns bright red, my face has a hot feeling to it, I get eyes bags and it makes my wrinkles more pronounced. My estrogen, blood pressure and hematocrit are all in check. I was told by a Doctor that this happens, because testosterone is a vasodilator and bring blood vessels to the surface of the skin which are more prevalent in the face.
I get it too. Definite change in skin appearance and flushed face and chest. I’m pretty sure my levels are all fine though as it happened from the first week of injections.
I have the same symptoms! What can we do about it ? Red face and warm feeling in the face, but blood pressure is ok. I’m on 250mg every 5 days.
@@benhall2235it happens to me after 4-5 injections
@@brasinovic unfortunately absolutely nothing. I have spoken to multiple doctors about this issue and unfortunately it is our genetic makeup. We just have more blood vessels in our face, where an outside substance like testosterone will affect us. I will say the test cream didn't cause the red face, but the hair loss with test cream was insane. Strangely enough I didnt get any hair loss on test injections.
Very interesting video buddy greetings from the U.S see you soon 👍
Good guys,keep em coming👌
In a perfect world.
With all due respect, I've always noticed Gil has the most consistent red face I've ever seen in someone I would believe to be healthy.
I suffer from red face/neck, especially when physically active, along with stage 1 hypertension
(I suffered from low bp prior to TRT).
Cutting sodium, clean eating, staying well hydrated, stress management, along with eating grape fruit has had minimal impact on lowering bp & haematocrit. The fact is, some people are prone to certain side effects and some aren't, just as with anything in life.
Gil states that water retention can be a cause of elevated bp. We know visible water retention is due to elevated estradiol levels (with consideration for low sodium intake)... but we have it drummed into us on this channel that high E2 levels don't need to be looked at, as an abundance of E2 is a great thing. Tell that to those suffering from gyno, erectile dysfunction and have emotional outbursts, that never experienced these things when their E2 was within clinical range.
A couple of you guys are certainly knowledgeable and have in fact helped myself, but your militant stance on the topic of haematocrit & estradiol is sometimes concerning.
I know TRT is the main source of business for Gil & my sentiments will likely be met with hostility or a challenge of knowledge, but I say this with respect in an open forum.
It would be refreshing to see you not digress or run off on tangents with medical terminology all the time.
Focus and address what you start to answer or discuss. And please, if you often give advice on how to mitigate high E2 symptoms, openly accept that very high E2 is not safe, or at least, it's not ideal.
You can not have it both ways fellas.
I appreciate this channel and the work you guys put in to helping educate the community.
Dr Jordan Grant and Dr Robert Stevens have an even more red face than Gil. From what I've seen, TRT causes the face to look red/flushed in lots of guys.
I have never seen anybody that generous of his time and generous of his knowledge, Jordan is the same too, I am thankful Everyday of having someone that can teach me so much about the humain physiology, in a way that is understandable, the medical terms he is using are mandatory, there is no way around them, besides he explains the medical terms perfectly and makes it accessible to neophytes, bravo, and thank you Gil
@@benoitlevesque9210 Can't disagree with that! Both Gil and Jordan are super swell guys!
1. I tan and 2. I use studio lighting for videos.
@@gothops2632 For me its Deca, thicker blood.
Love these low dose but potent power packed vids 👍💪
Same reason I don’t take Pre workout Hypertension is the worst feeling ever. But if you run a into this Problem ,try taking some Kratom to relieve it
Kratom is lovely but it’s an opioid buzz it gives you. I used it to come off subutex which I was prescribed to come off heroin. The kratom completely negated the withdrawal symptoms from cessation of subutex (suboxone in the USA) Kratom is physically addictive. It’s easier to taper off than other opioids but some people really struggle with the withdrawal symptoms from Kratom.
My boss asked me if I had been welding all weekend my skin is so red.
from what?
Is telsmisartan considered the safest blood pressure medication?
Succinct and excellent as always gentleman.I have definately noticed increased pumps and vascularity,even though I have not gotten any leaner(not being strict with diet during covid to be honest).I do have marginally elevated blood pressure,and would like to try potassium citrate.Are there any instances where you wouldnt advise using this supplement-ie blood pressure meds or diuretics? Cheers
I'm 26 and had test levels in the low low 300s. I train twice a day for an hour very intensely, and my blood pressure used to be 104/65 on a pretty steady and regular basis. I am on my 3rd week of my loading phase of TRT by a medical professional here in AZ. I bought a super accurate blood pressure cuff for my personal use because i had noticed it higher at each of my first 3 appointments. Right now my Blood pressure seems to be resting somewhere around 130/75 and my heart rate has increased at resting from 50bpm to 70 bpm....should i be concerned about this jump? It should be noted that i do suffer from anxiety regardless so that could play a roll. I eat a very clean diet. I have also noticed some redness in my face as well.
Hey bro I’m 27 and even at 21 I used to have intense blood pressure 150/80 and what not. But each time I’d have it checked I’d have a mini panic attack. I wouldn’t worry about 130/75. Obviously you’re monitoring it. If it gets super high and you don’t feel well then go see a doc and maybe they’ll give you a beta blocker, but im betting stress and anxiety probably have a role and you’re fine.
I wouldn't worry about those numbers,...(.they're good)...the numbers can be altered by wt, gain.size,and diet (salt & caffeine ),..even medications ....I would be a little concerned about the increase in heart rate,....check it in the morning when it is normally low.......you might consider doing more cardio, ...especially some H.I.T. training, ....a few sprints ,...this will improve heart health,..and in turn lower your heart rate.
@@cssjuba101 hey man you’re not alone. I developed a white coat syndrome where I am anxious and scared that it’s going to be high and I have a panic attack. I totally know how that feels. If I check it on my own at home it’s normal. Lol
Your a bit young to be on trt at only 26, it’s about symptoms not the numbers. If you can train twice a day then you don’t need trt.
Dana White was the first person that came to mind...
Yup he looks terrible and Joe Rogan looks the same
Elevated Estrogen raises blood pressure via water retention. Keep the doses reasonable and injections more frequent.
High red blood cell count makes the entire body appear red.
@@hurlentropy6866 Really? High blood pressure is known as the silent killer because it’s symptomless. I think a red body would count as a symptom.
on TRT and got a red face now, but my BP is fine.....
More red blood cells/volume.
Are glutathione suppositories just as effective?
Hey guys great info as always
I went through a red face like really red blood pressure was way in normal in the end it D3 I was taking too much like 8 thousand iu a day 🛑 stopped and felt better in three days but took three weeks to get back to normal skin tone I fell pretty silly 🙃 taking that much lesson learned have a good one ☝️
Thanks for sharing!
What's D3?
Jeff Pizzuli vitamin d3
Great video, what's a good supplement to take to keep blood pressure low.
I'm on TRT and use the following to control blood pressure. Dosage says 2 capsules once a day. However, I use 2 capsules 3 times a day as I have high BP. This stuff works wonders. www.amazon.com/gp/product/B0786QF4ZR/ref=ppx_yo_dt_b_asin_title_o01_s00?ie=UTF8&psc=1
I was on trt for approximately 8 months. Developed red face pretty bad. Quit my trt for 6 months. Donated blood 3 times. Started my trt again last Friday. Did 1 60mg injection IM and literally got flushed and warm skin/face 48 hours later. Still have it today, monday. I understand according to this video that it could not be the testosterone acting that quickly on my rbc's. But what else can it be? Could it be the anastrozole? Or the hcg? I took both on Friday with my test injection
Jeff Pizzuli Great question. Since our experts do *not* check these youtube comments often, consider joining our (free) facebook group and post your question there. You can tag one of our experts if needed.
See you in there.
Greetings,
Steven Devos
@@TRTandHormoneOptimization ok thanks! just joined the fb group and posted the question!
Did you get your blood checked before you donated? If you got flushed skin within 48 hours of injection, you could possibly be allergic to the carrier oil or the ester.
I don't have Facebook, what is the best practice to eliminate this red face. Mine is super bad because I'm already easy to flush. Any help would be appreciated
Hi mate , have u solved your problem , was it blood pressure?
test Sustanon vs other esters. Because most TRT is done on Sustanon. It gives you different blood lever peaks because of the 4 esters.
My face is always so facking red but my blood pressure seems to be in the norm of 122/60 at age 47. 😡
High estrogen
@@scosy07 I’ve only been on 200mg/w of Test. Maybe 300mg/w for a short period here or there. But I mean...maybe.
High blood volume/cells
@@ibberman Phlebotomy? 🤔
How can it be fixed ?
It raise ur body temperature thus making ur face red and makes u bold and small testicles and acne..
Im on 250mg Enanthste every 5 days, im 5 weeks in, im having a red face and feel some heat. Should I lower the dose or will be body adjust to it ?
That’s far too high of a dose
Yeah I'm on .7mg every week of testorone cypionate injection...your clearly not under the supervision of a doctor....that's is seriously dangerous levels and yes your gonna feel hot
@@ev0watfor trt yes. For bodybuilding it’s too low if anything. I run up to 400 mg per week and am in great health and am I newb when it comes to enhanced bodybuilding after training natural for thirty years.
When does hematocrit levels become a problem? ....what levels
It becomes a problem when it becomes a problem. If you blood pressure is high and your resting heart rate is high for more than a month then it might be time to talk to your doctor. The most common cause of elevated hematocrit is dehydration. You'd be surprised how much you can lower your hematocrit by simply drinking more water.
the body is a delicate chemical balance have to be careful I guess how we affect it
*👍Au👍left a like and fully viewed 😊supported*
Great to see you back!
I never had any red face or anything else on trt or stuff I get from the gym. Lol. What doses are you guys taking?
250mg e5d
I think any suplement will just make the facial flushing worse except for drinking water. I came to the conclusion the only thing that might work is a face cream to tone down the red face.
Which cream ?
do you take NAC year round every day?
My blood pressure is 175 over 105 .
My skin is red. I've been on 3 medications to try to control. The meds will bring it down for a few hours. But every morning I wake up. 170 over 100. Or higher . I have no idea what is wrong. The trt is not helping the blood pressure . My t levels are in range 600 to 800 . Total on trt. I'm not over weight . I'm 5 11. 175 lbs. Lean muscle . And physically fit. But I have hypertension crisis. Could be sleep apnea .
In the same boat man, I’m only 24… kinda worried about it
@@Broc971 I just want to know what is causing it. Then I can figure out what to do meds or whatever
Go to a doctor
Not sleep apnea it’s the trt….
Try quit eating grains. It can also be trt. Try doing smaller daily doses to avoid the highs in levels. It’s more natural.
I have red face from the trt and now is better now after 3 months. I must trinken more water and taking nac to see what happens.
Any luck fixing this
Awesome thank you for the help. Yes I've developed isolated systolic hypertension ever since I've taken testosterone. Not sure why
Same here
@@dshudson how bad is yours? Ive been able to lower it some. When i went to 125mg weekly vs 200mg weekly.
@@danr4746 dude, thanks for reply. I'm only on 100mg! What's strange is I feel like this just started and it's intermittent. I've been on injectable for 5 months. I am predisposed to gyno so my doc just started me on tamoxifen 2 weeks ago, maybe that's it? I'm only on it 1 more week, then I guess I'll see it it goes away. I've always had very bad flushing. Sucks. Especially in social environments.
@@dshudson what's you blood pressure. Diring the day mine will be 135 to 140 over 70. Then after exercising sometimes at night it comes down to 125 over 60
@@dshudson tamox can cause flushing
Can high estrogen cause flushing of the face too?
Yes.
But as always: what is "high E"?
My entire body is red with a natural testosterone level of 990 ng/dl....It may be higher rbc count, which my blood work revealed. My DHT level was high (75 ng/dl) and sensitive estradiol was within range (35 pg/dl). Oddly enough, I have symptoms of low E2 such as lack of water retention and popping joints.
@@hurlentropy6866 your Estradiol its verly low compared to your T i think
@@alvargarcia9543I find it weird that I test above 50 pg/m (50 to 62 pg/ml)l using quest ultrasensitive and below 40 using Labcorp sensitive test. Not sure which one to take seriously.
My free T was recently measured at 154.8 pg/ml (35-155 pg/ml) using quest.
Gil, I've noticed guys who use hCG often suffer from frequent bouts of hot facial flushing. Do you think this is due to the spike in estradiol that hCG causes?
Hcg can deffinetly spike estro I feel good after injection but I break out like crazy everytime I use hcg it aromatises so quickly and if your sensitive it can wreak havoc on trt but it also has many benefits
Can coffee increase blood pressure?
How much are you talking about?
@@TRTandHormoneOptimization Espresso 2 shots.
@@arielrodriguez6980 I drink a double shot in the morning and it definitely increases my blood pressure for an hour or so.
Link for NAC?
Excellent NAC here: by Solgar: the one I (Steven) use daily: amzn.to/3wKByGL
Please?
👍🏾👍🏾👍🏾👍🏾👍🏾👍🏾
This information is false af
Why?
Can you explain?