UrgentConsult a physician promptly — do not wait for scheduled labs.

Cardiovascular Risk on AAS

Long-term AAS use is associated with accelerated cardiovascular disease through multiple mechanisms including left ventricular hypertrophy, lipid dysregulation, endothelial dysfunction, and thrombotic risk from elevated hematocrit. Bloodwork alone cannot capture full cardiovascular risk — imaging is also needed.

Possible Causes

  1. 1

    HDL suppression and LDL/ApoB elevation creating atherogenic lipid profile

  2. 2

    Elevated hematocrit increasing blood viscosity and thrombotic risk

  3. 3

    Left ventricular hypertrophy from androgen-driven cardiac remodeling — not captured by bloodwork

  4. 4

    Insulin resistance from AAS amplifying metabolic cardiovascular risk

Markers to Check

Frequently Asked Questions

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GearCheck provides blood marker analysis and harm reduction education. Information is for educational purposes only and does not constitute medical advice. Always consult a healthcare professional.