ome patients may experience a rise in blood pressure after starting testosterone replacement therapy (TRT), particularly if they are already at risk due to lifestyle factors.
While uncommon in well-managed TRT protocols, it's important to take hypertension seriously.
We help reduce risk at Hormn by:
Starting with low doses
Using stable, frequent injections to prevent hormonal spikes
Regularly reviewing bloodwork and symptoms
Why It Can Happen
TRT can increase glycogen retention, sodium retention, and fluid levels, which may elevate blood pressure in some individuals—especially if other risk factors are present.
Risk Factors & Contributors
Excess body fat
High carbohydrate and salt intake
Lack of cardiovascular fitness
Alcohol consumption
Smoking
Poor sleep (especially sleep apnea)
Chronic stress
What You Can Do
1. Cardio Exercise
Aim for at least 30 minutes, 6-7 times per week
Walking, cycling, swimming, and boxing are excellent choices
Improves blood vessel function and lowers resting blood pressure
2. Lose Body Fat
Even a small reduction in body fat can reduce blood pressure
Focus on whole foods, high protein, lower-carb meals
Avoid refined sugars and processed snacks
3. Reduce Salt & Carbs
Avoid added salt, processed meats, canned soups, sauces
Cut back on bread, pasta, cereals, and soft drinks
4. Limit Alcohol
Alcohol can raise blood pressure and interfere with sleep
Try to stay under 2 drinks per week, or eliminate completely
5. Don’t Smoke
Smoking narrows blood vessels and raises resting BP
Quitting improves circulation and overall cardiovascular health
6. Manage Stress
Chronic stress drives blood pressure up via cortisol and adrenaline
Add daily stress-reduction habits like breathwork, walking, journaling, meditation
7. Sleep
Poor sleep and untreated sleep apnea are key contributors
Prioritise 7–9 hours of quality sleep per night
Discuss with your doctor if you snore or wake up frequently
See a GP for Monitoring
We recommend visiting your local GP if high blood pressure is suspected
They can monitor you across multiple readings and recommend treatment if needed
Medication may be necessary in some cases
Hypertension is usually preventable and reversible with targeted lifestyle changes. If blood pressure is elevated on TRT, combining cardiovascular exercise, weight loss, diet changes, and stress management can significantly help.
For persistent high readings, see your GP.