If you are using test, your blood pressure and lipids do have a likelihood of increasing. Thats just part of the side effects of having testosterone in your system - hence the reason why for years men had more heart attacks than women.
Androgel and injectable test at appropriate medically supervised dosages do not increase the risk factor as much as taking oral test related drugs such as a-bombs or d-bol which raise the test to 2-3 times normal levels. However there is some risk - just not much more than being a man with normal test levels.
Safety and efficacy of testosterone supplimentation in relatively has been proven, that's why it's FDA approved.
When I was on oral steroids (for a valid medical reason) I had to have my liver enzymes tested monthly, lipid profile checked monthly, blood pressure and heartrate checked weekly. Everything did go up some, but not drastically - mostly because I was on a rather low dosage and using one that's considered safe to give to women and even children - in very low dosages of course.
Androgel and injectable are probably the best and safest, because they haven't been chemically altered to survive the first pass in the liver like the orals have. They kind of bypass the liver to get into the system. Nothing you put into your body is completely liver safe though, because once it's in your blood, it's going through the liver everytime it circulates through your body.
The best way to control blood pressure and cholesterol levels is through diet and exercise. Simply walking 30 minutes 2-3 times a week is enough to improve both. When this becomes easy, start running along with the walks. I started out and could only walk a very short distance, sit down and rest, then walk back to where I started. Eventually I was walking 8 miles a day and it was too easy. After that I started running short distances - 100 meters with 100 meter walks in between. Over time, my level of fitness got better and better by very gradually increasing what I'd do. This past may, I did my first triathlon. Not bad for having been unable to walk without assistance 3 years before.
Diet to control it isn't that hard either. Just remember that you have storage space for 15g of glycogen/kg of lean body mass in your body. If you go over that, the excess is stored in and on your body as saturated fat and cholesterol.
Simply determine your caloric need for each day and eat a balance of 45% carbohydrate, 35% protein, and 20% fat (choosing healthier fats when possible) equal to that need. To burn fat or reduce cholesterol levels, reduce carbs and increase fat intake until it starts improving. A reduction of as little as 300-500 calories below maintenance each day will result in about a 1lb/week fat loss. In increase of the same amount above maintenance with a good exercise plan will result in about a 1/2 pound/week of muscle gain. This is of course slightly oversimplified - but it's basically how it works.
The key is finding exactly what your body needs and giving it what it needs based on your health goals.
When I cut, I eat up to 60% fat and as low as 5% carbs - but only for a couple of months at a time - and this is to get to 3-4% bodyfat. Not something that could be reccomended for a lifetime of course. But my lipids certainly improve greatly when I do this - then I'm good for another year of eating really big and trying to build more muscle.
If you need more specific information. Just ask. I'll be glad to help. I design nutrition and workout plans for bodybuilders wanting to get huge and just fat people who want to get healthier.
You folks here have helped me. I'll gladly return the favor anytime you want. Just not with pics.
The little fella is getting better, but still kind of shy.