Anyone in their 40s or 50s using or has used gear need to get their CT ( calcium score ) scan done, unfortunately for many who have taken cholesterol or lipid altering drugs in their lives its the equaliser, its better to know and manage than not. But getting in shape, and everything that goes with it hardens your arteries as well your overall look unfortunately.
Use amounts so low that your bloodwork is neutral to natural state , this can be achieved on TRT, above that most people bloodwork changes and with that comes long term progression of inherited disease, not short term, basically you can accelerate towards a future event, train eat and cardio for life, leave the stage for the young guys they have youth on their side and time to recover.