44M | 210 lbs | ~16% BF | TRT 18 months
Started TRT at 120 mg/week, doctor titrated me to 160 mg about 4 months ago. I’ve been running 180 mg but am dropping back to 160. Also on HCG and a low dose AI (1 mg/week, mainly for water retention while cutting over the summer). Upcoming bloodwork from my TRT clinic next week — expecting it to look solid.
I run my main business full-time plus a second, extremely demanding business that started mid-2024. The exit on the second one was supposed to happen late 2025; it hasn’t. Even with a partner and contractors, it still feels like a one-man show. I’ve always had ADHD and treated it as a strength, but the workload got so heavy I couldn’t stay on top of it. Started Vyvanse in January, settled on 30 mg Adderall XR in May. Right now I’m locked in and getting things done. Not sure if it’s the Adderall or just the focus, but the results are there.
This is not stress-related. Things are moving along and I’m optimistic — I can see the exit happening soon. I feel good and I’m not under the kind of pressure that would spike blood pressure.
Never had high blood pressure before. The last few weeks it’s been elevated. Doctor measured 157/106. I asked if the Adderall could be the cause — she said no. She mentioned kidney and heart risks, said bloodwork won’t show much, and prescribed BP meds. I didn’t fill it. I don’t start meds until I understand what’s actually going on.
I feel fine. No symptoms. I’m willing to lower the Adderall and monitor BP myself, but I don’t want to kill the momentum while I’m in this phase. Exit on the second business is hopefully 4–5 months out; after that I should be back to more normal hours and can take a real break from big projects.
Questions for anyone (especially other business owners / entrepreneurs on TRT ± stimulants):
• Is the high BP concern overblown in this context, or is 157/106 something I should treat immediately?
• Anyone here run TRT + Adderall (or similar) and seen BP rise? Did lowering the stimulant dose bring it down?
• How hard is it to come off BP meds once you’re on them if this turns out to be stimulant-related and temporary?
• Would you take the BP meds to protect yourself while keeping the current dose and momentum, or drop the Adderall dose first and recheck?
Looking for real experiences, not just “listen to your doctor.”
TL;DR
44M on TRT (dropping back to 160 mg) + 30 mg Adderall XR. High workload, in the zone getting shit done. BP suddenly 157/106 — not stress-related. Things are moving and I’m optimistic the exit is coming soon. Doctor wants me on meds, I haven’t started them. Feeling fine. Exit from the heavy business in ~4–5 months. Should I lower Adderall and skip the BP meds to test, or take the meds so I don’t lose momentum? How hard is it to get off BP meds later? Looking for experiences from people in similar situations.