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Posted on 2/5/24 at 6:44 pm to tketaco
quote:
206lbs at 5'7" is obese according to BMI.
LDL is at 70
How active are you? Losing some weight will make your life better in every aspect of it.
Posted on 2/5/24 at 6:51 pm to tgrbaitn08
quote:
48
No diabetes and none in my family
Male
I don’t smoke
My BP is 150-165 in the mornings and down to 115-120 in the evenings
maybe ask your cardiologist what your CV risk is looking like and if you need to be on the statin. i may have misremembered the % from earlier (theres a couple associations with different thresholds). he's probably (reasonably) using your high range 165 and Id wager it will be recommended to be on a statin per his association's recommendations.
if you want to listen to your doctor and follow his advice see if he minds the lowest intensity statin on your formulary (probably prava or simva statin). if those still cause side effects then you can say you gave it an honest shake... and your cardiologist won't remember you as someone who ignored an expert opinion because he heard somewhere cholesterol doesn't matter.
bc the truth is we don't only use statins to lower cholesterol. statins have other properties that mitigate CV risk in addition to lowering cholesterol... which is why the formula determining if statins are useful includes a multitude of factors, not just cholesterol.
Posted on 2/5/24 at 6:52 pm to jose
High blood pressure and Tinnitus symptoms related? My ears ring a lot when I drink.
Posted on 2/5/24 at 6:53 pm to tketaco
Me. I’m a couple years older than you, but have zero risk factors other than family history.
BMI not an issue (I’m technically underweight)
Non-smoker
Light drinker
Minimal caffeine intake
Exercise 3-4x a week
Cholesterol & blood sugar in optimal ranges
No excessive sodium or processed foods in my regular diet
Normal labs; no signs of kidney disease
None of that has stopped my BP readings from running between 140/90 and 165/105 pretty much all the time lately.
My doctor did go through the whole risk factor checklist and only prescribed meds after a pretty thorough monitoring period because she literally couldn’t think of anything else to recommend that would be in my control.
Since then I’ve started on a few approved supplements (magnesium, omega-3s, etc.) and switched to a standing desk at work thinking maybe I’ll be able to back off on the prescription stuff at some point. I realize that’s probably a vain hope, but it can’t hurt to try.
At the end of the day, though, it comes down to this: while I genuinely hate the idea of being on drugs for hypertension, I hate the idea of having a stroke even more.
BMI not an issue (I’m technically underweight)
Non-smoker
Light drinker
Minimal caffeine intake
Exercise 3-4x a week
Cholesterol & blood sugar in optimal ranges
No excessive sodium or processed foods in my regular diet
Normal labs; no signs of kidney disease
None of that has stopped my BP readings from running between 140/90 and 165/105 pretty much all the time lately.
My doctor did go through the whole risk factor checklist and only prescribed meds after a pretty thorough monitoring period because she literally couldn’t think of anything else to recommend that would be in my control. Since then I’ve started on a few approved supplements (magnesium, omega-3s, etc.) and switched to a standing desk at work thinking maybe I’ll be able to back off on the prescription stuff at some point. I realize that’s probably a vain hope, but it can’t hurt to try.
At the end of the day, though, it comes down to this: while I genuinely hate the idea of being on drugs for hypertension, I hate the idea of having a stroke even more.
Posted on 2/5/24 at 6:55 pm to tketaco
Turning 42 and just now getting to middle age? You lucky bastard, for the rest of us it hits between 32 - 34
Posted on 2/5/24 at 6:57 pm to tketaco
I’ve been on BP meds since my early 30s. Made lifestyle changes and stayed elevated. Started taking cayenne pepper pills twice a day and has made a difference in my numbers. Look up cayenne pepper benefits and try it out.
Posted on 2/5/24 at 6:59 pm to AMS
quote:
maybe ask your cardiologist what your CV risk is looking like and if you need to be on the statin. i may have misremembered the % from earlier (theres a couple associations with different thresholds). he's probably (reasonably) using your high range 165 and Id wager it will be recommended to be on a statin per his association's recommendations. if you want to listen to your doctor and follow his advice see if he minds the lowest intensity statin on your formulary (probably prava or simva statin). if those still cause side effects then you can say you gave it an honest shake... and your cardiologist won't remember you as someone who ignored an expert opinion because he heard somewhere cholesterol doesn't matter. bc the truth is we don't only use statins to lower cholesterol. statins have other properties that mitigate CV risk in addition to lowering cholesterol... which is why the formula determining if statins are useful includes a multitude of factors, not just cholesterol.
He was very reluctant on putting me on statins and is very careful with my BP meds because he’s afraid of my BP dropping too low at times.
So he’s comfortable with low doses of BP and the statin but like I said I quit the stain until I do labs in 2 weeks and I have my 6 mos checkup with him and see what he says
This post was edited on 2/5/24 at 7:01 pm
Posted on 2/5/24 at 7:44 pm to tgrbaitn08
quote:
So he’s comfortable with low doses of BP and the statin but like I said I quit the stain until I do labs in 2 weeks and I have my 6 mos checkup with him and see what he says
sounds decent enough, id let him know beforehand youve been off it, as a courtesy. if he reviews your labs beforehand he may get the wrong impression and its a little less convenient to find out while actually seeing you.
otherwise best of luck to ya.
Posted on 2/5/24 at 7:48 pm to Loup
I see where you are going, but HBP is not always about that. I had taken Benicar since my 30s and I'm 6'2" and never got above 215 lbs and I suffer from it... caused a hemorrhagic stroke right after I hit 50. I have a cousin who is 67 and has been on meds since his 20s . He's an athlete. Played college football, swims 3× a week and bikes in the Rockies as he lives in Denver. Has a BMI of under 10. The only way he doesn't stroke out is by taking 5 different meds a day at high dosage. Same with me. Different meds but still.
Same with my Dad and my grandfather. Sometimes unfortunately genetics is real.....but my brothers don't except they have high cholesterol and one has type 2 diabetes.....and he's the thin one. In contrast I have very controlled blood sugar and real low cholesterol.
Same with my Dad and my grandfather. Sometimes unfortunately genetics is real.....but my brothers don't except they have high cholesterol and one has type 2 diabetes.....and he's the thin one. In contrast I have very controlled blood sugar and real low cholesterol.
Posted on 2/5/24 at 8:42 pm to KiwiHead
quote:
I see where you are going, but HBP is not always about that. I had taken Benicar since my 30s and I'm 6'2" and never got above 215 lbs and I suffer from it
Assuming you aren’t a MMA fighter or NFL linebacker
BMI 27.6
BMI Categories:
Underweight = <18.5
Normal weight = 18.5–24.9
Overweight = 25–29.9
Obesity = BMI of 30 or greater
This post was edited on 2/5/24 at 8:45 pm
Posted on 2/5/24 at 8:44 pm to Cheese Grits
quote:
Turning 42 and just now getting to middle age? You lucky bastard, for the rest of us it hits between 32 - 34
32 year olds on blood pressure medication? Pathetic
Posted on 2/5/24 at 8:46 pm to KiwiHead
quote:
Has a BMI of under 10.
6’ and 75lbs is a bmi of 10, he weighs less than that?
Posted on 2/5/24 at 8:51 pm to yellowfin
quote:
6’ and 75lbs is a bmi of 10, he weighs less than that?
has to be a mistake... im thinking he meant body fat %?
im not sure a BMI < 10 is compatible with life.
severe anorexia is a BMI of 15.
Posted on 2/5/24 at 8:53 pm to AMS
I’m sure that’s what he meant, just giving him shite
BMI of under 10 is most likely dead
BMI of under 10 is most likely dead
Posted on 2/5/24 at 8:55 pm to tketaco
Not replying to anyone in particular, but did you guys on BP meds get a 24 hour ambulatory monitor first? Or did random high readings by the nurse drive you to get on meds?
BP fluctuates a ton and can be tricky to test.
BP fluctuates a ton and can be tricky to test.
This post was edited on 2/5/24 at 8:56 pm
Posted on 2/5/24 at 9:03 pm to ItzMe1972
quote:
Tucker Interview with Ex-Pharma for those interested:
Solid watch.
First four min dropping truth bombs.
Posted on 2/5/24 at 9:06 pm to ronricks
quote:
No. Doctors prescribe these things so lazy fat obese slobs can continue to eat awful diets and stay alive. It’s pure laziness. I’d be embarrassed to be on blood pressure medication in my 30’s
You should meet the 30-somethings at normal weights who didn’t take malignant hypertension seriously and are on hemodialysis.
Posted on 2/5/24 at 9:07 pm to tketaco
I take a statin low dose and take a bunch of supplements for cholesterol and take carditone for BP
I don’t have problems other than cholesterol used to be slightly elevated and I have to take testosterone.
I don’t have problems other than cholesterol used to be slightly elevated and I have to take testosterone.
Posted on 2/5/24 at 9:10 pm to tketaco
quote:
zestoretic
Not a fan of doing a combo drug like this (lisinopril + hctz) instead of just using one medication and titration it up to figure out the minimal effective dose (I know there is some synergistic effect, but it’s harder to titrate up with the combo drugs. Is your Kidney function okay (recent Cr levels)? Honestly, I’m not a fan of HCTZ . Hypokalemia (low potassium), hyponatremia (low sodium), dehydration with subsequent orthostasis. Any other reason for the diuretic (edema in feet, Diastolic BP elevated out of proportion to systolic)? I think chlorthalidome is now recommended over HCTZ due to fewer side effects.
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