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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.

 

[trl01]

2nd TD from this vendor, 29 days from day of ordering

 

[adrenalytic]

First order with these guys and blown away by the speed and accuracy of delivery. Best prices I've seen as well. 20 days from payment confirmation to delivery to US East Coast and not a single thing missing. Well done @PCT24X7 PHARMACY

Will be ordering again soon.