Struggling with low blood pressure

[Astralized]

Hey all, I have naturally low blood pressure, and while I should be thankful considering high blood pressure is a common struggle for people like us, I’m actually starting to struggle with it being too low. For reference, I take my blood pressure daily about 30 minutes after waking up and moving around a bit. On average my BP is 95/65 and some of the symptoms are getting to be too much. The most common being that my vision fades/goes black and I nearly pass out whenever I get up too fast. I have an appointment with my primary coming up in a few weeks so I’m definitely going to bring this up with them, but in the meantime, I was wondering if anyone else deals with this.

Also wanted to mention that I’m a few weeks in on my offseason cycle and I’m unsure if it could be contributing. Currently on the following:
750mg Test
750mg EQ
300mg Mast
7IU GH daily before bed

As bad as it sounds, I actually frequently use EQ in my cycles to help bring my BP up to normal levels. I also don’t take any BP meds or vasodilators to prevent my BP from going any lower.

Thanks in advance for the help.

 

[Ghoul]

Hey all, I have naturally low blood pressure, and while I should be thankful considering high blood pressure is a common struggle for people like us, I’m actually starting to struggle with it being too low. For reference, I take my blood pressure daily about 30 minutes after waking up and moving around a bit. On average my BP is 95/65 and some of the symptoms are getting to be too much. The most common being that my vision fades/goes black and I nearly pass out whenever I get up too fast. I have an appointment with my primary coming up in a few weeks so I’m definitely going to bring this up with them, but in the meantime, I was wondering if anyone else deals with this.

Also wanted to mention that I’m a few weeks in on my offseason cycle and I’m unsure if it could be contributing. Currently on the following:
750mg Test
750mg EQ
300mg Mast
7IU GH daily before bed

As bad as it sounds, I actually frequently use EQ in my cycles to help bring my BP up to normal levels. I also don’t take any BP meds or vasodilators to prevent my BP from going any lower.

Thanks in advance for the help.

Too much GH.

 

[Astralized]

Too much GH.

Interesting, too much GH can cause low BP? I thought it was the opposite considering how GH induced water retention can raise BP, but I also tolerate GH pretty well and don’t get symptoms such as water retention and CTS. It’s worth mentioning the I’ve had low blood pressure and its symptoms well before starting GH.

 

[Eddie.]

I have a low normal systolic but a very low diastolic. My lowest been 105/52 but sporadically I've seen systolic to 95 and diastolic once at 43. Tried to bring it up but there's not much you can do.

Definitely raise the salt, do you track how much you consume? I put like 6-8 grams in my rice, plus meats plus dryscooping a teaspoon before training. That seems to raise a bit both but i don't wanna push any further because nowadays my systolic is like 112 and that's where i like it to stay.

 

[Ghoul]

Interesting, too much GH can cause low BP? I thought it was the opposite considering how GH induced water retention can raise BP, but I also tolerate GH pretty well and don’t get symptoms such as water retention and CTS. It’s worth mentioning the I’ve had low blood pressure and its symptoms well before starting GH.

Typically GH raises blood pressure (mainly due to water retention).

However, GH is also a significant stimulator of nitrous oxide. NOS is a potent vasodilator. That's why so many people notice increased vascularity on GH.

People genetically predisposed to low blood pressure often have more NOS producing cells in blood vessels than average, resulting in high baseline NOS levels, keeping vessels relaxed.

So paradoxically, instead of seeing BP rise, NOS "overproducers" with naturally low BP can be driven into hypotension when GH stimulates even more NOS production. It's been observed in a number of clinical reports of patients on rHGH treatment.

 

[Astralized]

I have a low normal systolic but a very low diastolic. My lowest been 105/52 but sporadically I've seen systolic to 95 and diastolic once at 43. Tried to bring it up but there's not much you can do.

Definitely raise the salt, do you track how much you consume? I put like 6-8 grams in my rice, plus meats plus dryscooping a teaspoon before training. That seems to raise a bit both but i don't wanna push any further because nowadays my systolic is like 112 and that's where i like it to stay.

I do track my daily sodium actually, on average I consume around 6000mg per day which I actually felt was quite a bit, or if anything too much. Considering my BP though I could be wrong.

 

[Astralized]

Typically GH raises blood pressure (mainly due to water retention).

However, GH is also a significant stimulator of nitrous oxide. NOS is a potent vasodilator. That's why so many people notice increased vascularity on GH.

People genetically predisposed to low blood pressure often have more NOS producing cells in blood vessels than average, resulting in high baseline NOS levels, keeping vessels relaxed.

So paradoxically, instead of seeing BP rise, NOS "overproducers" with naturally low BP can be driven into hypotension when GH stimulates even more NOS production. It's been observed in a number of clinical reports of patients on rHGH treatment.

Oh wow, that’s actually very interesting, thank you for this! That makes total sense, I have noticed my vascularity increased but I was originally thinking it was due to the Mast, as it has had that vascularity enhancing effect on me in past cycles before GH.

I guess my question is, is it possible to raise BP a little bit until my system gets used to the 7IU of GH? I did recently titrate up to it and that’s actually when I noticed the low BP symptoms become a little stronger. I titrate up the dose by 1IU every 2-3 weeks based on how well I tolerate it, and I’ve had no other issues so I don’t think I’ve gone up too fast. I would prefer not to lower the dose if possible, but if the issues persist, maybe I’ve hit my tolerance.

 

[Tbaz192]

Damn now that’s a tough one. Even on a cycle like that. Normally my BP would hit the 150’s with no meds. That’s a significant amount of gear. And your sodium is high which you would think would elevate your BP too.
When I allow my E2 to be higher that also usually raises my BP due to higher water retention. But I rather have high than low E2 from a muscle building/libido standpoint.

Might be dumb. But what’s your caffeine/stimulant intake looking like?

 

[Astralized]

Damn now that’s a tough one. Even on a cycle like that. Normally my BP would hit the 150’s with no meds. That’s a significant amount of gear. And your sodium is high which you would think would elevate your BP too.
When I allow my E2 to be higher that also usually raises my BP due to higher water retention. But I rather have high than low E2 from a muscle building/libido standpoint.

Might be dumb. But what’s your caffeine/stimulant intake looking like?

My E2 is definitely on the higher end, I know that for a fact based on oily skin, high libido, and slight moodiness lol. As for caffeine/stimulant intake, my absolute max caffeine intake per day is 500mg - 1 cup of coffee and 1-2 scoops of preworkout depending on the lift that day. As for stimulants, I take Concerta that I’m prescribed because of ADHD, so that may have an effect too.

 

[Sera]

My E2 is definitely on the higher end, I know that for a fact based on oily skin, high libido, and slight moodiness lol. As for caffeine/stimulant intake, my absolute max caffeine intake per day is 500mg - 1 cup of coffee and 1-2 scoops of preworkout depending on the lift that day. As for stimulants, I take Concerta that I’m prescribed because of ADHD, so that may have an effect too.

You take methylphenidate too and still have low bp. That is interesting.

 

[Tbaz192]

My E2 is definitely on the higher end, I know that for a fact based on oily skin, high libido, and slight moodiness lol. As for caffeine/stimulant intake, my absolute max caffeine intake per day is 500mg - 1 cup of coffee and 1-2 scoops of preworkout depending on the lift that day. As for stimulants, I take Concerta that I’m prescribed because of ADHD, so that may have an effect too.

Damn. That’s wild. Especially with concerta. I was taking that with with BP meds and got off it. Was giving me chest pain.

Wild how none of that raises ur BP

 

[Astralized]

You take methylphenidate too and still have low bp. That is interesting.

Exactly what I was thinking, the only noticeable side effect I get from it is increased RHR, but blood pressure remains low. I’m on 36mg which is basically the mid range dose but I still feel like it should have an effect on blood pressure, I’m almost nervous to know what my blood pressure would be if I didn’t take it.

 

[Astralized]

Damn. That’s wild. Especially with concerta. I was taking that with with BP meds and got off it. Was giving me chest pain.

Wild how none of that raises ur BP

Agreed, like I said in my post above, the only noticeable thing it causes is slightly elevated RHR.

 

[Astralized]

I appreciate everyone’s input, it’s definitely a weird situation given everything that I’m on. I’m thinking the reason why the symptoms have slightly worsened is because of what Ghoul stated previously, it makes the most sense. I’m going to hold steady at my current GH dosage and see if symptoms subside as my body gets used to the dose. I’m definitely going to bring up the symptoms to my doctor during my appointment, but the question is, and it’s probably the most stupid question I’ve ever asked, do I mention the cycle to my doctor or leave that out of it?

 

[Tbaz192]

I appreciate everyone’s input, it’s definitely a weird situation given everything that I’m on. I’m thinking the reason why the symptoms have slightly worsened is because of what Ghoul stated previously, it makes the most sense. I’m going to hold steady at my current GH dosage and see if symptoms subside as my body gets used to the dose. I’m definitely going to bring up the symptoms to my doctor during my appointment, but the question is, and it’s probably the most stupid question I’ve ever asked, do I mention the cycle to my doctor or leave that out of it?

Doctor is there to help you regardless . But they’ll more than likely say stop taking steroids and see if it improves

 

[cousinmuscles]

Before TRT/cycles I had naturally low BP about the same as yours, about 100/60, often just under those numbers, but since I had it all my life I didn't have symptoms anymore, only during childhood and puberty. However that was with low test and 37% hematocrit. Once my hematocrit went over 45% my BP went up a few points. It would be interesting to see your blood work. My mom has to take some medication for very low BP, can't remember the name. If your BP persist with that cycle and high end blood counts, plus ADHD meds, I would ask your doc for help.

 

[Matty_G]

Hey all, I have naturally low blood pressure, and while I should be thankful considering high blood pressure is a common struggle for people like us, I’m actually starting to struggle with it being too low. For reference, I take my blood pressure daily about 30 minutes after waking up and moving around a bit. On average my BP is 95/65 and some of the symptoms are getting to be too much. The most common being that my vision fades/goes black and I nearly pass out whenever I get up too fast. I have an appointment with my primary coming up in a few weeks so I’m definitely going to bring this up with them, but in the meantime, I was wondering if anyone else deals with this.

Also wanted to mention that I’m a few weeks in on my offseason cycle and I’m unsure if it could be contributing. Currently on the following:
750mg Test
750mg EQ
300mg Mast
7IU GH daily before bed

As bad as it sounds, I actually frequently use EQ in my cycles to help bring my BP up to normal levels. I also don’t take any BP meds or vasodilators to prevent my BP from going any lower.

Thanks in advance for the help.

Symptoms sound like you might have orthostatic hypotension. Try checking your blood pressure sitting first and then right after standing. Check for significant drop. Midodrine will help this.

 

[Elektrobot]

However, GH is also a significant stimulator of nitrous oxide. NOS is a potent vasodilator. That's why so many people notice increased vascularity on GH.

Present. Thanks for explaining that.

 

[Deadpool99]

Typically GH raises blood pressure (mainly due to water retention).

However, GH is also a significant stimulator of nitrous oxide. NOS is a potent vasodilator. That's why so many people notice increased vascularity on GH.

People genetically predisposed to low blood pressure often have more NOS producing cells in blood vessels than average, resulting in high baseline NOS levels, keeping vessels relaxed.

So paradoxically, instead of seeing BP rise, NOS "overproducers" with naturally low BP can be driven into hypotension when GH stimulates even more NOS production. It's been observed in a number of clinical reports of patients on rHGH treatment.

Could splitting the doses help? Maybe if he did 4ius am fasted and 3 ius pre bed?

 

[Ghoul]

Could splitting the doses help? Maybe if he did 4ius am fasted and 3 ius pre bed?

It might. But if it's related to peak IGF levels, which splitting would reduce, I'd expect his issue to be transient, only lasting a couple of hours.