Struggling to manage BP

[nudemember]

I'm currently on week 16 of my blast. Started @ 400 test, 300 EQ. Dropped the EQ at 11 weeks, and added anastrozole at week 13 EOD.

I switched from 10mg amlodipine & 50mg losartan to 40mg telmasartan & 10mg cilnidipine (cilnep-t) six weeks ago which had my BP around the same as the losartan & amlodipine (130-140/70-85). Two weeks ago i doubled the cilnep-t hoping to get my BP below the 130/80 on a consistent basis. This doesn't seem to have helped though. I'm still hovering around mid 130s/80s.

Pre steroid use I still suffered from high BP. (140+/80s) Losartan and amolodipine helped get it to 130/75-80.

Current Supplements: ED
2000mg Fish oil
450mg ashwaganda
Multi-vitamin
3000mg taurine
10mg accutane
5g creatine

Current drugs:
400mg test split Tues/Thurs/Sat
1mg anastrozole EOD
BPC157/TB500 1mg ED

Training 4 days a week, 12,000-14,000 steps daily
31y/o 5'7 185 lbs

I'm beginning to titrate my test dose down to move into TRT. I'd like to see what you guys think I could do to help get my BP within a healthy range. As it currently stands I don't have any dedicated cardio sessions, my steps are just from working. I intend to add two dedicate days of cardio to my program.

 

[bananafeet]

You could try a beta blocker or cialis or increasing telmisartan to 80mg. What's your diet like?

 

[nudemember]

I'm currently on 80mg telm, 20mg ciln which hasn't brought me any lower than 40/10 telm/ciln.

My diet is somewhat clean. Bulking for the last 16 weeks, I primarily eat whole foods, eggs, turkey, chicken thighs, beef. Oats, rice, potatoes, haven't been eating a whole lot of fiber to be honest. The ol lady been on a baking kick too so there's been quite a few cookies but we don't eat fast food, or fried foods. I'm likely high teens for BF%.

Edit: I do consume a lot of caffeine. 400-500mg daily

 

[bananafeet]

I'm currently on 80mg telm, 20mg ciln which hasn't brought me any lower than 40/10 telm/ciln.

My diet is somewhat clean. Bulking for the last 16 weeks, I primarily eat whole foods, eggs, turkey, chicken thighs, beef. Oats, rice, potatoes, haven't been eating a whole lot of fiber to be honest. The ol lady been on a baking kick too so there's been quite a few cookies but we don't eat fast food, or fried foods. I'm likely high teens for BF%.

Edit: I do consume a lot of caffeine. 400-500mg daily

What's your resting heart rate? I'd stop the gear until I could figure out what's going on. Maybe you're not measuring the BP correctly

 

[Ghoul]

The most current clinical guidelines say that after Telm/Ciln (ARB / CCB) to add a low dose thiazide diuretic.

HCTZ is most common but “Premium” triple “FDCs” (fixed dose combinations) of Telm / Ciln add low dose chlorthalidone 12.5mg. Side effect risk is minimal and odds of getting BP in range are high since this “kicks the third table leg” out from the most likely last mechanism keeping your BP elevated. You could just get some and add it to your protocol, since you seem to tolerate, unsurprisingly, telm/Ciln well.

If this doesn’t work you technically have “resistant hypertension” which goes down a completely different path of possible causes and treatments.

 

[xrayphoton13]

The most current clinical guidelines say that after Telm/Ciln (ARB / CCB) to add a low dose thiazide diuretic.

HCTZ is most common but “Premium” triple “FDCs” (fixed dose combinations) of Telm / Ciln add low dose chlorthalidone 12.5mg. Side effect risk is minimal and odds of getting BP in range are high since this “kicks the third table leg” out from the most likely last mechanism keeping your BP elevated. You could just get some and add it to your protocol, since you seem to tolerate, unsurprisingly, telm/Ciln well.

If this doesn’t work you technically have “resistant hypertension” which goes down a completely different path of possible causes and treatments.

View attachment 367470

No beta blockers recommended anymore? Nebivolol has been very popular since it can also lower the high resting heart rate some of us get on high testosterone

 

[BumpassHell]

The health benefits of cardio on blood pressure are both transient and structural. By transient: blood pressure decreases in the 6-12 hours following cardio, and then drifts upward again. By structural: do it enough over the course of 8-12 weeks and it becomes less transient.

So...5-6 sessions a week is going to do more for you than two sessions will. 30-45 minutes a go at moderate intensity.

 

[juicebro]

Why would you take 500mg caffeine if you have BP issues?

Make sure you actually measure bp correctly. Most don't.

 

[nudemember]

What's your resting heart rate? I'd stop the gear until I could figure out what's going on. Maybe you're not measuring the BP correctly

it's around 70bpm

The most current clinical guidelines say that after Telm/Ciln (ARB / CCB) to add a low dose thiazide diuretic.

HCTZ is most common but “Premium” triple “FDCs” (fixed dose combinations) of Telm / Ciln add low dose chlorthalidone 12.5mg. Side effect risk is minimal and odds of getting BP in range are high since this “kicks the third table leg” out from the most likely last mechanism keeping your BP elevated. You could just get some and add it to your protocol, since you seem to tolerate, unsurprisingly, telm/Ciln well.

If this doesn’t work you technically have “resistant hypertension” which goes down a completely different path of possible causes and treatments.

View attachment 367470

any idea if i can get cholorthalidone as a standalone tablet? I've already got a few years worth is cilnep-t so would be more affective that way.

The health benefits of cardio on blood pressure are both transient and structural. By transient: blood pressure decreases in the 6-12 hours following cardio, and then drifts upward again. By structural: do it enough over the course of 8-12 weeks and it becomes less transient.

So...5-6 sessions a week is going to do more for you than two sessions will. 30-45 minutes a go at moderate intensity.

I imagine even if I added 15 mins to my 4 days a week, then two dedicated cardio days i'd benefit more than just the two days. My training sessions already last 1.25hrs on average.

Why would you take 500mg caffeine if you have BP issues?

Make sure you actually measure bp correctly. Most don't.

You're right, i really enjoy espresso and pre workout. I'm going to drop my intake to 200mg daily for now and see how i do.