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Old 11-23-2022, 08:43 PM
 
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I just started blood pressure meds and doc said to call if i was below 120 on top. Granted it is to work on adjusting the dose since it is brand new meds but I thought I'd point out you don't want it too low. I'd keep a log and check with your doctor.
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Old 11-24-2022, 07:19 AM
 
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Quote:
Originally Posted by carcrazy67 View Post
Here is my take on blood pressure (right or wrong). White coat syndrome IS actually a symptom of an issue as it shows your body's response to perceived stress and we are OFTEN under stress! I am in my 70's and my BP at the doctor's office was typically in the mid 130's over 75 and while resting at home, using the correct measurement protocol, was 10-15 points less. Problem is, I and most people don't just sit around resting all day long....we are under a variety of stresses. Question is at what point should it be treated? After a couple years of this, my doctor put me on a beta blocker which dropped the BP about 15 points.
The Cardiologists I have seen don't agree with that theory although it is a possibility for some folks.

Blood pressure measurement was designed to be taken exactly as is - Resting. So unless we actually have a new medical consensus on what "stressed" blood pressure is , we cannot say that "if your blood pressure reaches ___/___ AT ALL under ANY conditions then it's a problem".

I refuse to take blood pressure medication in absence of a situation where there is clear evidence that: 1) There is "essential" hypertension not responsive to diet/lifestyle changes 2) There are other compounding issues that raises the risk of heart attack/stroke such as full on Diabetes or abnormal lipids 3) Bad CAC score or poor results on Cardiac stress test

I have several relatives on blood pressure meds and statins. However, those same relatives refused to change their lifestyle or diet. I refuse to live an existence hocked up on 10 different medications that just address symptoms while causing more issues themselves.

I now do not drink alcohol at all and I've been caffeine free for 5 years. Next I will be going mostly Keto in 2023. Unless you've done something like that I would not recommend taking blood pressure medication. It should be the absolute last resort. I don't know a SINGLE INDIVIDUAL on or offline that has done EVERYTHING they're supposed to and still needs either BP meds or statins. Some may have to go more "health extreme" than others to achieve the desired result naturally.

Those 2 classes of medications are amongst some of the most useless medications to the general population. (Metformin on the other hand is one of those exceptions and even that is only valuable in say 25% of people with genetic metabolic issues)

You cannot control blood pressure and cholesterol by lowering blood pressure or cholesterol independently. Increasingly we have discovered that these are merely symptoms of metabolic dysfunction and insulin resistance. This is why I said Metformin might be an actual USEFUL drug because it at least gets closer to the ROOT CAUSE of the problem and not artificially masking the ancillary issues.

Dr Berg and Dr Ekberg on YouTube are excellent channels to watch. Insulin resistance is now the cause of 75-90% of Cardiovascular disease in the modern era. You probably don't have a predisposition to High blood pressure, what you have is a predisposition to insulin resistance that causes hypertension as a side effect.
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Old 11-24-2022, 11:42 AM
 
Location: East Texas, with the Clan of the Cave Bear
2,985 posts, read 5,190,132 times
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I like all the Youtube docs ! *cough*

Their surgical skills in leading one through self surgery is unparalleled. *cough (again)*




One thing I learned in my practice is not everyone fits in a nice neat little sack. The individuality of the human body dictates this. Never, never speak in absolutes about the human body as everyone is different, every body is different, and every medical decision should look at maladies of the body and incorporate these premises.
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Old 11-24-2022, 02:30 PM
 
Location: on the wind
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Originally Posted by BobTex View Post
Never, never speak in absolutes about the human body as everyone is different, every body is different, and every medical decision should look at maladies of the body and incorporate these premises.
Ahem. While I get your point and agree with you, "never" is an absolute
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Old 11-25-2022, 11:13 AM
 
Location: East Texas, with the Clan of the Cave Bear
2,985 posts, read 5,190,132 times
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Originally Posted by Parnassia View Post
Ahem. While I get your point and agree with you, "never" is an absolute
So to rephrase I should have said please don't speak or accept absolutes when referring to different bodies as they are, well, different ! Or maybe absolutely don't speak in absolutes about the human body.

Now I'm a bit conflicted !

Maybe it could have been better worded although I like the forcefulness of the original !!!!
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Old 11-30-2022, 12:35 PM
 
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My BP issues began immediately after my TBI in 2013. It would vary wildly (i.e., normal to 200/120) in minutes. I was otherwise in good health, a runner, exercised frequently, etc. BP meds helped stabilize the wild swings, but never fully controlled them.

I recently suffered another TBI and began having issues with severe anxiety. My primary care physician added propranolol as it can help with anxiety and BP by lowering heart rate. My BP has stabilized (I still have swings) but there are improvements to the point where I may be able to lower the dose of my primary BP medication soon.

Due to claustrophobia, masks will significantly raise my BP. Also, my BP skyrocketed at my urologist appointment earlier this week when I saw the tissue and lube.
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Old 12-02-2022, 06:49 AM
 
Location: The Driftless Area, WI
6,353 posts, read 3,555,012 times
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Quote:
Originally Posted by BobTex View Post

One thing I learned in my practice is not everyone fits in a nice neat little sack. The individuality of the human body dictates this. Never, never speak in absolutes about the human body as everyone is different, every body is different, and every medical decision should look at maladies of the body and incorporate these premises.
Very true...Elevated BP is the final common pathway of several possible routes-- from increased salt/fluid retention from several different endocrine problems or the mild changes in renal function with normal aging, to neurogenic causes (hyperthyroidism & genetic predispostion to increased adrenergic reactions) to narrowing of arteries (you pinch the end of the hose to water the far corner of the garden)....Tha last one may be the most common cause of HTN, and why treating it doesn't lower the risk of MI (it does lower the risk of hemorrhagic stroke, CHF and hypertensive renal failure.)

Treat the underlying cause when possible and then prescribe symptomatic relief when necessary.
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Old 12-09-2022, 01:14 AM
 
1,310 posts, read 776,951 times
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Originally Posted by Tencent View Post
You cannot control blood pressure and cholesterol by lowering blood pressure or cholesterol independently. Increasingly we have discovered that these are merely symptoms of metabolic dysfunction and insulin resistance. This is why I said Metformin might be an actual USEFUL drug because it at least gets closer to the ROOT CAUSE of the problem and not artificially masking the ancillary issues.
I don't have insulin resistance or high cholesterol but I do have high blood pressure. . . as did my dad and my grandmother.

I am too tired to watch the video right now but I am pretty certain those 3 things do not need to go together in everyone.

So far as my doctor is concerned a primary cause of high blood pressure is related to kidney issues. I only know this because he checked to make sure I don't have that either!
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Old 12-11-2022, 08:16 PM
 
1,898 posts, read 965,399 times
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Originally Posted by ihatetodust View Post
I don't have insulin resistance or high cholesterol but I do have high blood pressure. . . as did my dad and my grandmother.

I am too tired to watch the video right now but I am pretty certain those 3 things do not need to go together in everyone.

So far as my doctor is concerned a primary cause of high blood pressure is related to kidney issues. I only know this because he checked to make sure I don't have that either!
At my last visit my doctor said high blood pressure can cause kidney problems.
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