Low blood pressure

Yeah, i guess due to lack of oxygen going in the brain? That must be rare.

Thing is for hypertension you have so many remedies, ancillaries, drugs and various methods to control it while for hypotension the only thing you can find is "drink more water, don't drink alcohol, wear compress socks (lol) and increase salt".

I think normal blood pressure can push small thromboses through vessels easily but low blood pressure might not be able to as well. Speculating.
 
Not at OP's levels. It's only a risk if you have pathology or damage to the cerebral blood supply > Carotid in front and subclavian- Vertebral arteries situated in the back base of the skull. These segue to the Anterior cerebral arteries and middle cerebral arteries respectively .

Also if clotting factors are abnormal. Damage to arteries from High BP, diabetes, vasculitis or auto-immune diseases ( Lupus). Atherosclerosis and high cholesterol also are ominous for arterial-enothelial damage. These risk factors combined with abnormally high clotting facros impose a recipe for disaster.

Hemostasis is a way of the body to stop injured blood vessels from bleeding. One of the most important parts of hemostasis is the clotting of the blood. Subsequently, the body needs to control the mechanisms to control and limit clotting. These include dissolving excess clots that are not needed anymore. When there is an abnormality in any part of the system that controls bleeding, it can lead to hemorrhage or excessive clotting. These are potentially life-threatening.

Too much clotting can lead to stroke and heart attacks because blood clots can travel and clog the vessels. On the other hand, poor clotting can lead to severe blood loss even with just a slight injury to the blood vessels.

Clotting factors are components found in plasma that are linked to the blood clotting process. These factors are named and numbered based on their discovery. Though there are a total of 13 numerals, there are only 2 clotting factors. Factor VI was discovered to be part of another factor.

The clotting factors are Factor I (fibrinogen), Factor II (prothrombin), Factor III (tissue thromboplastin or tissue factor), Factor IV (ionized calcium), Factor V (labile factor or proaccelerin), Factor VII (stable factor or proconvertin), and Factor VIII (antihemophilic factor). Additionally, the coagulation factors also include Factor IX (plasma thromboplastin component or the Christmas factor), Factor X (Stuart-Prower factor), Factor XI (plasma thromboplastin antecedent), Factor XII (Hageman factor), and Factor XIII (fibrin-stabilizing factor).

The liver uses vitamin K to produce some of the factors such as Factors II, VII, IX, and X. Normally, vitamin K can be consumed through the diet from plant and animal sources. The normal flora of the intestine also produces vitamin K.

Lower blood pressures- 90/60 or lower will result in hypoperfusion , where in that the brain tissue is not perfused with adequate Oxygen and nutrients, eventually leading to cellular death. Of course this extends in to cardiac tissue/events and other organs as well . Older people >77 y/o suffer many times with hypo-perfusion, which leads to rapid cellular death, dementia and is touted as being a risk factor towards the development of Alzheimers disease. Blood pressures during sleep can drop to an alarming 80/55 or Lower!! This is why most doctors are in agreement that higher Bp > 145/90 to 155/95 is healthier in the golden years. Of course this depends on whether said individual is fairly active or mostly sedentary

I suggest bringing a Bp monitor to the gym or a wrist cuff, as another member mentioned and see if your pressure will rise adequately to supply the muscles with enough blood perfusion. 145/80 to 220/80 > during squats is totally normal.
Or if you forgo this process, you should pay attention to any dizziness or light headedness after a set.

If your heart is in good shape, you can use pressors such as ephedrine, caffeine, clen, yohimbine, modafanil etc..

Also, I dont believe you had mentioned wether you use Any BP medication, or cialis or other PDE5 inhibitors ? Arginine or Citrulline as well ??
Those should be avoided for now.

Keep us updated with blood tests - complete blood counts. B12, Ferritin and trans-ferritin
Great post, well done
 
Not at OP's levels. It's only a risk if you have pathology or damage to the cerebral blood supply > Carotid in front and subclavian- Vertebral arteries situated in the back base of the skull. These segue to the Anterior cerebral arteries and middle cerebral arteries respectively .

Also if clotting factors are abnormal. Damage to arteries from High BP, diabetes, vasculitis or auto-immune diseases ( Lupus). Atherosclerosis and high cholesterol also are ominous for arterial-enothelial damage. These risk factors combined with abnormally high clotting facros impose a recipe for disaster.

Hemostasis is a way of the body to stop injured blood vessels from bleeding. One of the most important parts of hemostasis is the clotting of the blood. Subsequently, the body needs to control the mechanisms to control and limit clotting. These include dissolving excess clots that are not needed anymore. When there is an abnormality in any part of the system that controls bleeding, it can lead to hemorrhage or excessive clotting. These are potentially life-threatening.

Too much clotting can lead to stroke and heart attacks because blood clots can travel and clog the vessels. On the other hand, poor clotting can lead to severe blood loss even with just a slight injury to the blood vessels.

Clotting factors are components found in plasma that are linked to the blood clotting process. These factors are named and numbered based on their discovery. Though there are a total of 13 numerals, there are only 2 clotting factors. Factor VI was discovered to be part of another factor.

The clotting factors are Factor I (fibrinogen), Factor II (prothrombin), Factor III (tissue thromboplastin or tissue factor), Factor IV (ionized calcium), Factor V (labile factor or proaccelerin), Factor VII (stable factor or proconvertin), and Factor VIII (antihemophilic factor). Additionally, the coagulation factors also include Factor IX (plasma thromboplastin component or the Christmas factor), Factor X (Stuart-Prower factor), Factor XI (plasma thromboplastin antecedent), Factor XII (Hageman factor), and Factor XIII (fibrin-stabilizing factor).

The liver uses vitamin K to produce some of the factors such as Factors II, VII, IX, and X. Normally, vitamin K can be consumed through the diet from plant and animal sources. The normal flora of the intestine also produces vitamin K.

Lower blood pressures- 90/60 or lower will result in hypoperfusion , where in that the brain tissue is not perfused with adequate Oxygen and nutrients, eventually leading to cellular death. Of course this extends in to cardiac tissue/events and other organs as well . Older people >77 y/o suffer many times with hypo-perfusion, which leads to rapid cellular death, dementia and is touted as being a risk factor towards the development of Alzheimers disease. Blood pressures during sleep can drop to an alarming 80/55 or Lower!! This is why most doctors are in agreement that higher Bp > 145/90 to 155/95 is healthier in the golden years. Of course this depends on whether said individual is fairly active or mostly sedentary

I suggest bringing a Bp monitor to the gym or a wrist cuff, as another member mentioned and see if your pressure will rise adequately to supply the muscles with enough blood perfusion. 145/80 to 220/80 > during squats is totally normal.
Or if you forgo this process, you should pay attention to any dizziness or light headedness after a set.

If your heart is in good shape, you can use pressors such as ephedrine, caffeine, clen, yohimbine, modafanil etc..

Also, I dont believe you had mentioned wether you use Any BP medication, or cialis or other PDE5 inhibitors ? Arginine or Citrulline as well ??
Those should be avoided for now.

Keep us updated with blood tests - complete blood counts. B12, Ferritin and trans-ferritin
Basically i agree. The BP you mention during lifts can actually be pretty low from my reading. 345/245 or even higher are fairly normal in the squat. And even one arm curls can easily hit 255/190. during the lift.


 
Basically i agree. The BP you mention during lifts can actually be pretty low from my reading. 345/245 or even higher are fairly normal in the squat. And even one arm curls can easily hit 255/190. during the lift.


Agree! if going super heavy, when the Valsalva manuever is incorporated, Pressures from Sqauts or Leg presses can reach the " 345/245" level, although the most a friend recorded after my 15th rep 15/17 with 500 lbs, 495- 5 plates with collars was 270/160
It's crazy to see 255/190 during one arm curls ! Wow

MRI scan T2 sequences show white matter hyperintensities ( brightness) throughout a lifters brain. These are described as Virchow- Robin spaces ,which can be caused by short acute spikes of High level blood pressure over the course of many years/decades. The vessels are under long-term expansion/stretching which actually allow you to visualize the slow flowing blood as brightness or T2 Fast spin-echo sequence hyperintensity. Not to be confused with Enlarged perivascular spaces which stem from Ischemic microvascular disease, which is indeed a pathology ( vascular dementia).The two, although similar in presentation on T2 sequences can further be elucidated by incorporating High resolution, thin-sliced (1mm) T1 sequences, T2 FLAIR and SWI imaging. Of course the symptomology and structural changes in cognition within the brain will be apparent in advanced ( chronic states)
 
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Thanks @jdubzzz44 and @buck . Buck, I've seen those types of studies many times, I appreciate the review. One can attain high readings by simply practising the valsalva manuever. Something I'm too feerfull to simulate lol.

Guys remember acute elevations with blood pressure, itself is Not inherently dangerous, unless there is a history of succeptibility, which May NOT be evident to the individual lifter. As long as you dont walk around all day with 155/100. Micro-vcascular/vascular disease occurs when there is no balance. No relaxation, and the vessels undego a shear effect from the Blood pressure forces. This friction or wear causes damage tot he endothelium of the inner lining, which sends platelets to heal/clump and this WILL lead to narrow vessels, resisstance which then, in turn morph into a much higher pressure within. A snowball effect occurs, leading to Arterial stiffening, inflammation, microbleeds and lacunar infarcts= vascular dementia and No doubt a severely compromised heart and fucked up kidney's -------End organ failure.

There's nothing wrong with walking around with 140/85 for months, but these days we have Cialis, Telmisartan, Nebivolol , citrulline, Magnesium for relaxation of arteries and cardiac plasticity etc....so most will be able to maintain 135/85 or less.

As long as we do our due dilligence with blood tests, Blood pressure and glycemic control, Cardiac testing and MRI scans as needed. We should be able to avoid most " accidents" and severe damage.
Stay and play it safe guys :)
 
Not at OP's levels. It's only a risk if you have pathology or damage to the cerebral blood supply > Carotid in front and subclavian- Vertebral arteries situated in the back base of the skull. These segue to the Anterior cerebral arteries and middle cerebral arteries respectively .

Also if clotting factors are abnormal. Damage to arteries from High BP, diabetes, vasculitis or auto-immune diseases ( Lupus). Atherosclerosis and high cholesterol also are ominous for arterial-enothelial damage. These risk factors combined with abnormally high clotting facros impose a recipe for disaster.

Hemostasis is a way of the body to stop injured blood vessels from bleeding. One of the most important parts of hemostasis is the clotting of the blood. Subsequently, the body needs to control the mechanisms to control and limit clotting. These include dissolving excess clots that are not needed anymore. When there is an abnormality in any part of the system that controls bleeding, it can lead to hemorrhage or excessive clotting. These are potentially life-threatening.

Too much clotting can lead to stroke and heart attacks because blood clots can travel and clog the vessels. On the other hand, poor clotting can lead to severe blood loss even with just a slight injury to the blood vessels.

Clotting factors are components found in plasma that are linked to the blood clotting process. These factors are named and numbered based on their discovery. Though there are a total of 13 numerals, there are only 2 clotting factors. Factor VI was discovered to be part of another factor.

The clotting factors are Factor I (fibrinogen), Factor II (prothrombin), Factor III (tissue thromboplastin or tissue factor), Factor IV (ionized calcium), Factor V (labile factor or proaccelerin), Factor VII (stable factor or proconvertin), and Factor VIII (antihemophilic factor). Additionally, the coagulation factors also include Factor IX (plasma thromboplastin component or the Christmas factor), Factor X (Stuart-Prower factor), Factor XI (plasma thromboplastin antecedent), Factor XII (Hageman factor), and Factor XIII (fibrin-stabilizing factor).

The liver uses vitamin K to produce some of the factors such as Factors II, VII, IX, and X. Normally, vitamin K can be consumed through the diet from plant and animal sources. The normal flora of the intestine also produces vitamin K.

Lower blood pressures- 90/60 or lower will result in hypoperfusion , where in that the brain tissue is not perfused with adequate Oxygen and nutrients, eventually leading to cellular death. Of course this extends in to cardiac tissue/events and other organs as well . Older people >77 y/o suffer many times with hypo-perfusion, which leads to rapid cellular death, dementia and is touted as being a risk factor towards the development of Alzheimers disease. Blood pressures during sleep can drop to an alarming 80/55 or Lower!! This is why most doctors are in agreement that higher Bp > 145/90 to 155/95 is healthier in the golden years. Of course this depends on whether said individual is fairly active or mostly sedentary

I suggest bringing a Bp monitor to the gym or a wrist cuff, as another member mentioned and see if your pressure will rise adequately to supply the muscles with enough blood perfusion. 145/80 to 220/80 > during squats is totally normal.
Or if you forgo this process, you should pay attention to any dizziness or light headedness after a set.

If your heart is in good shape, you can use pressors such as ephedrine, caffeine, clen, yohimbine, modafanil etc..

Also, I dont believe you had mentioned wether you use Any BP medication, or cialis or other PDE5 inhibitors ? Arginine or Citrulline as well ??
Those should be avoided for now.

Keep us updated with blood tests - complete blood counts. B12, Ferritin and trans-ferritin


Thanks for the meticulous analysis, i appreciate you took the time.

I haven't said it in this thread but i'm using sildenafil and tadalafil occasionally for the last 13 years. 10mg tadalafil or 50mg sildenafil 2-3 days per week. I haven't experienced any bp alteration while i'm on them and that's the reason i didn't mention it. Even if i don't take any for 20 days it's still in the same range. Most of the guys that see some minor drop to their bp need to take them every day for a week or two at least to see some effect.

And yes, no bp meds ofc. Although i was contemplate taking a low dose nebivolol at some point to lower my RHR which was between 67-73 but lately with the added cardio it seems to get lower.

I'm planning to run clen later in the end of my cutting, 20-40mcg. I have the "room" for a slight bp increase but if my RHR goes above 80-85 i might add the nebivolol.

My ferritin is on the middle-low side, although my serum iron on the top. B12 on the top too. I'm taking plenty of D3, K2, K1 and a strong B complex with active forms.

From the CBC as i said in first post before i start Test my HCT, HGB and RBC were on the lowest side of normal range but now they got improved. Only thing that remains kinda low but still inside the range is platelets. Maybe this is hereditary as my mother was admitted with half of the lowest normal platelets, she was bruising all over her body and there was imminent danger of internal bleeding.
 
Thanks @jdubzzz44 and @buck . Buck, I've seen those types of studies many times, I appreciate the review. One can attain high readings by simply practising the valsalva manuever. Something I'm too feerfull to simulate lol.

Guys remember acute elevations with blood pressure, itself is Not inherently dangerous, unless there is a history of succeptibility, which May NOT be evident to the individual lifter. As long as you dont walk around all day with 155/100. Micro-vcascular/vascular disease occurs when there is no balance. No relaxation, and the vessels undego a shear effect from the Blood pressure forces. This friction or wear causes damage tot he endothelium of the inner lining, which sends platelets to heal/clump and this WILL lead to narrow vessels, resisstance which then, in turn morph into a much higher pressure within. A snowball effect occurs, leading to Arterial stiffening, inflammation, microbleeds and lacunar infarcts= vascular dementia and No doubt a severely compromised heart and fucked up kidney's -------End organ failure.

There's nothing wrong with walking around with 140/85 for months, but these days we have Cialis, Telmisartan, Nebivolol , citrulline, Magnesium for relaxation of arteries and cardiac plasticity etc....so most will be able to maintain 135/85 or less.

As long as we do our due dilligence with blood tests, Blood pressure and glycemic control, Cardiac testing and MRI scans as needed. We should be able to avoid most " accidents" and severe damage.
Stay and play it safe guys :)
High BP can be achieved many ways. The studies i have seen show that during aerobic activity 200/100 or even higher can be routine.

I have used the Valsalva technique for decades and am still here. The problem with high BP from what i have seen is the damage that is accumulated long term to age the arteries.

Studies i have seen from long term lifting and endurance activities show more damage to the arteries then in a less active person. The studies may not be the best as most money is geared towards getting people to work put and not scare them away from it.


 
As long as your calculated mean arterial pressure is above 70, get your BP as low as you can.

Dude, i must say it's the first time i'm coming across with that term (MAP). I did some quick calculations and indeed the lowest it goes based on my lowest numbers is still above 70. Now i'm going to do some research what this numbers exactly mean, thanks!
 
Dude, i must say it's the first time i'm coming across with that term (MAP). I did some quick calculations and indeed the lowest it goes based on my lowest numbers is still above 70. Now i'm going to do some research what this numbers exactly mean, thanks!
Yeah I didn’t hear it for literal years. My BP is around 140/50 and every time I tell the docs I take antihypertensives they tell me I’m at risk of ischemia. (They think using big words like ischemia will prove their point). I tell them my MAP is well within the normal range and they stfu
 
Have you found anything? I’ve been dealing with the same thing—currently at 92/53. It’s super annoying because it’s making my veins practically disappear.
 
Have you found anything? I’ve been dealing with the same thing—currently at 92/53. It’s super annoying because it’s making my veins practically disappear.

Unfortunately i found. I must admit it was nice to be lower..now i'm running higher Test with EQ and my BP raised to normal levels. For the first time i saw 120/65 but i think that was later in the day after training. Morning BP is 112/60.

Still ok but it doesn't make me immune as i thought, it seems if i raise more the total androgens it will start to creep up. Also with high amounts of food lately i found out my RHR raised as well. But even at my lowest measures and while i was still had a hematocrit under 44 my veins were prominent. It doesn't make sense though.

Have you tried to raise your electrolytes? Add more sodium and drink more water, it might increase your blood volume. Otherwise add EQ and anadrol haha
 
Unfortunately i found. I must admit it was nice to be lower..now i'm running higher Test with EQ and my BP raised to normal levels. For the first time i saw 120/65 but i think that was later in the day after training. Morning BP is 112/60.

Still ok but it doesn't make me immune as i thought, it seems if i raise more the total androgens it will start to creep up. Also with high amounts of food lately i found out my RHR raised as well. But even at my lowest measures and while i was still had a hematocrit under 44 my veins were prominent. It doesn't make sense though.

Have you tried to raise your electrolytes? Add more sodium and drink more water, it might increase your blood volume. Otherwise add EQ and anadrol haha
I think your condition is pretty advantageous for steroid use. While other people like myself need to add drugs, lower dosages or avoid certain compounds to ensure bp doesn’t go out of control; you on the other hand find it beneficial to add drugs such as anadrol to raise bp, an oral that is notoriously known for raising bp quick.

Good stuff brother.
 
What negative symptoms are you having from the lower pressure? Long term studies show longevity tends to be better the lower BP is as long as there are no negative symptoms. Less pressure means les wear and tear and aging.
That is incorrect. A diastolic BP below 60 is a huge risk factor for heart disease and all-cause mortality. Optimal diastolic is in the range of 70-80. See here: Can your blood pressure be too low? - Harvard Health
 
I think your condition is pretty advantageous for steroid use. While other people like myself need to add drugs, lower dosages or avoid certain compounds to ensure bp doesn’t go out of control; you on the other hand find it beneficial to add drugs such as anadrol to raise bp, an oral that is notoriously known for raising bp quick.

Good stuff brother.

Well, no complains, i'm in a good spot but the best case scenario would be taking your ass off and not skew anything lol. I started anadrol 3 times per week pre workout, today was my second time. I'm interested to see how it will go.

That is incorrect. A diastolic BP below 60 is a huge risk factor for heart disease and all-cause mortality. Optimal diastolic is in the range of 70-80. See here: Can your blood pressure be too low? - Harvard Health

There's some controversy on this, i've read both sides and you can't really figure what's right or wrong. I believe if it was that serious, pharma industry would have made an entrance because there's plenty of people with hypotension and no solutions yet. At least from the research i've done. They just say eat more salt but honestly how much can you eat? I was making my foods white from salt, eating pickles and stuff and i was still 100/55 during the summer while on test and primo.
 
Many advanced bodybuilders have athlete's heart syndrome along with arterial stiffness. As a result, they are likely to develop isolated systolic hypertension (ISH).

For example, my blood pressure is 133/70. If I increase the dosage of my BP meds, the diastolic goes down more than the systolic. Hence, my cardiologist agrees to keep me at my current BP levels, which are close to the recommended 130 threshold for systolic BP in ISH: https://www.sciencedirect.com/science/article/pii/S2666606524001214
 
Well, no complains, i'm in a good spot but the best case scenario would be taking your ass off and not skew anything lol. I started anadrol 3 times per week pre workout, today was my second time. I'm interested to see how it will go.



There's some controversy on this, i've read both sides and you can't really figure what's right or wrong. I believe if it was that serious, pharma industry would have made an entrance because there's plenty of people with hypotension and no solutions yet. At least from the research i've done. They just say eat more salt but honestly how much can you eat? I was making my foods white from salt, eating pickles and stuff and i was still 100/55 during the summer while on test and primo.
Have you gotten an echo and ECG to rule out any structural issues causing the low BP? Have you been checked for Addison's and for hypothyroidism?
 
Many advanced bodybuilders have athlete's heart syndrome along with arterial stiffness. As a result, they are likely to develop isolated systolic hypertension (ISH).

For example, my blood pressure is 133/70. If I increase the dosage of my BP meds, the diastolic goes down more than the systolic. Hence, my cardiologist agrees to keep me at my current BP levels, which are close to the recommended 130 threshold for systolic BP in ISH: https://www.sciencedirect.com/science/article/pii/S2666606524001214

Cool to know. It seems mine increased the same way, diastolic still too low and systolic starts creeping up. You think if systolic is 130-135 and diastolic under 70 there's no reason to intervene?

Have you gotten an echo and ECG to rule out any structural issues causing the low BP? Have you been checked for Addison's and for hypothyroidism?

Had an echo years ago, way before i start gear which is exactly a year ago. I've checked thouroughly my thyroid with ultrasound and bloods and it's fine, just sligthly elevated TSH for bodybuilding purposes but still inside the range. My endo insists i don't need to supplement T4. Addison's? No, i don't have any of the symptoms. Most likely by the end of the year i'm gonna do a heart imaging to check most of the stuff, i'm just searching for a doctor who i can be open for my gear use.
 
Cool to know. It seems mine increased the same way, diastolic still too low and systolic starts creeping up. You think if systolic is 130-135 and diastolic under 70 there's no reason to intervene?
Yes. Ideally, your systolic should be a tad below 130 while your diastolic is at or slightly above 70. That is as good as it gets with ISH.
 
That is incorrect. A diastolic BP below 60 is a huge risk factor for heart disease and all-cause mortality. Optimal diastolic is in the range of 70-80. See here: Can your blood pressure be too low? - Harvard Health
Opinions differ. I never mentioned an exact number i was speaking in general for those people that have no symptoms, as i stated. And have naturally lower pressures then most.
If you will notice i stated "longevity" not heart disease heart disease is just one factor in longevity. All causes need to be looked at to determine what is best for the average person.

According to this statement In the American Journal of Medicine
"On the other hand, the blood pressures optimal for longevity are those below 110 mm Hg systolic and 70 mm Hg diastolic.

I do assume they are talking more about younger people as pressures tend to go up as arteries age .I am sure that some that have lower pressure in life will have issues down the road. But that does not mean as a group it is bad for most.

Stains can be used to lower hear attack risk. But some of the manufacturers own studies show as dosage is increases heart attacks decrease, yet life expectancy decreases as well as cancer etc. increase. what is best for the heart does not always mean it is best for having a longer life. Longevity takes all factors into consideration.

 
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