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[newguy2]

Also consider higher potency drugs as you layer in 3rd/4th lines.

Azilsartan is the strongest ARB, you can add in one of the many diuretics, nebivolol for a 4th class (beta blockers).

I personally prefer using something like empagliflozin which has dramatic pro longevity effects, protecting the kidneys/heart/insulin sensitivity, while also lowering BP in a diuretic like fashion. Not as dramatic as a diuretic on the BP fromt though.

In your case, 3rd/4th layers are a good idea as well as figuring out why it’s that high in the first place. Did you have high BP previously?

Thanks. I did not. Been on TRT since April. Did a blast over the summer that ended at 600 test. BP system creeping during the cycle and hasn't come down. I ran 120mg test for a month after the cycle.

I recently saw a paper from the doctor in May and I was like 115/65. Never had high BP in my life.

 

[newguy2]

Thanks everyone. I'm hoping the 159 today was an outlier. I have two cuffs and one always reads high. The other is usually in line with what I see at the doc.

Tonight's reading was 132/74. I'm bumping the telm back to 80mg as it was at 40mg for a bit.