Zyg raised some interesting points. Your EF can change throughout the day, and many things including drugs, exercise and neurohormonal aspects can alter EF. I would like to know if you told your Dr. about the AAS before the tests. Even if you had he may not know any different as far as treatment. His concern was to get the BP and cholesterol down. And these drugs will do it. Also, this was only one reading right? You can never go by just one reading. How do you feel overall? Are you still able to perform your normal daily tasks w/o any symptoms? Yes an EF of 35% would seem significant, but do you have any symptoms? (shortness of breath, dyspnea on exertion etc). All of your risk factors can be explainable: HTN, hyperlipidemia. You will probably find that when your BP comes down, your EF may improve. 165/110 is high, but I have seen much higher. The drugs you were prescribed are standard protocol. ACEI's are excellent drugs for lowering BP, controlling the neurohormonal aspect of HTN and preventing long term remodeling of the heart that occurs over time from HTN. Beta-blockers are also very effective in decreasing heart-rate and contractility(but like Zyg said come with sides), as well as combating the neurohormonal aspect. And Lipitor (HMG-CoA reductase inhibitor) is very effective in lowering cholesterol, but also has some nasty sides mainly concerning the liver and increased muscle breakdown(rhabdomyolysis). Rare but still significant. I know when many people run cycles these are the same sides they get over and over (HTN and altered lipid profile). If lifestyle modifications can't change these readings.......than drugs will. It doesn't make sense to run a 12 week cycle knowing your BP will increase and your lipid profile will change, and not do anything to change this. I don't know much about R-Ala (I'm sure the mods/other people do) but it seems like it might be considered a staple in battling some of these sides. I do know however that I would consider niacin (immediate release, not ER) for trying to keep lipid levels in check. Start with 500-1000 mg daily for one week and work up to the target dose of 2 g/day. It will take this much to get desired results. Pretreat the flush (if it is a problem w/ low dose aspirin, 1/2 regular or 1 baby). It is also metabolized by the liver so avoid other drugs known to be offenders (17-aa). It is proven effective to raise HDL and decrease LDL, although not as much as the statins. And for the BP, I have not found any OTC to be very effective, although I'm sure some are to some extent. But if you think about, the HTN mainly stems from increased blood volume and water retention (aromatization into estrogens), as well as increased CNS activity. There are many effective drugs for lowering BP while on cycle. I like the beta-blocker/thiazide combo- bisoprolol/hydrochlorothiazide. In combination this allows for lower dose of either and an added synergestic effect of both. Pros: are not as many sides. It makes sense because increased vascular volume and stimulated CNS can increase contractility of the heart- hence the B-blocker, and the edema-thiazide diuretic. I know it is always easier to tell someone else how to do things, but we all need to consider these potentially dangerous side effects and take care of them when they arise, or take precautionary measures to help prevent or decrease them.
And I really don't see how the impurities would cause these changes, unless due to major systemic infection.
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