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I'm on 80mg of the Telmisartan and 10mg of the Cilnidipine once a day, and it controls BP better than anything I've been on.

What else have you been on? And how did it compare in results?

Plus the aforementioned benefit to hematocrit, which is huge for me. I've had to dump blood for years, walking that line of bad blood markers, even anemia one time . . .
I do not believe I have seen this mentioned before. Can you tell us a little more about this, like what were your prior numbers, and what was your hematocrit on Telmi/Ciln? And how long did it take?

I have high hematocrit, and so do lots of folks on here, particularly the older ones.

I just donated double red today . . .
 
What else have you been on? And how did it compare in results?


I do not believe I have seen this mentioned before. Can you tell us a little more about this, like what were your prior numbers, and what was your hematocrit on Telmi/Ciln? And how long did it take?

I have high hematocrit, and so do lots of folks on here, particularly the older ones.

I just donated double red today . . .
One of the side effects of telmisartan is reducing haematocrit. There is another sartan that is even better at it. I can't remember the name tho
 
Trio is stronger but some people don't like taking diuretics.
Telmisartan 40mg + Cilnidipine 10 mg + Chlorthalidone 6.25mg
View attachment 371573

I just ordered a whole lot of that ^. I wouldn't worry too much about the 6.25 chlorthalidone. That is a very low dose and IMO at that low dose for most it will be a benefit.

I think you will be just fine. I don't even think you will need potassium. Reason being is the telmisartan actually increases blood potassium levels as do most ARB's. That is why they don't recommend taking potassium sparing diuretics with ARB's. Luckily Chlor is not a potassium sparing diuretic. Plus 6.25 is about as low a dose as it gets. 12.5 is even considered a low dose. 25 isn't even really considered a high dose. It goes up to 50 and even 100. Although I know of no one that ever needed that much for BP.

In the USA at least, it doesn't even come at that low of a dose. It combined with a BP med the lowest dose is usually 12.5, going up to 25. Alone, it is 25-50 usually.

In other words, you should be just fine unless you have some extreme sensitivity.


My potassium is normal range on telmisartan.

I wanted to ask about Chlorthalidone. I asked this before but did not get very good answers.

On HCTZ, even 12.5 daily, I get horrible, uncontrollable cramps when working out. It is terrible.

My workouts are pretty intense for an old dude, but I do not have this problem when not taking HCTZ.

Is Chlorthalidone any better with respect to this issue, or am I just asking for cramps to interfere with my weight training?
 
LOL, oh.

:(

I thought maybe he was talking about the cilnidipine.

I have high hematocrit (56.7 !!!) on 80mg of telmisartan . . .

Just donated double reds today.
Aah I just spoke to ChatGPT so this reply is probably worthless from me lol

But apparently losartan has the strongest haematocrit lowering potential of the ARBs.

Also diuretics can increase HCT on paper by increasing the concentration of the blood.

I've never used a diuretic so I don't have practical experience with it.
 
What else have you been on? And how did it compare in results?


I do not believe I have seen this mentioned before. Can you tell us a little more about this, like what were your prior numbers, and what was your hematocrit on Telmi/Ciln? And how long did it take?

I have high hematocrit, and so do lots of folks on here, particularly the older ones.

I just donated double red today . . .
Anabolic Doc talks about the reduction using telemasartin in one of his videos as well as other meds in the same class.
 
My potassium is normal range on telmisartan.

I wanted to ask about Chlorthalidone. I asked this before but did not get very good answers.

On HCTZ, even 12.5 daily, I get horrible, uncontrollable cramps when working out. It is terrible.

My workouts are pretty intense for an old dude, but I do not have this problem when not taking HCTZ.

Is Chlorthalidone any better with respect to this issue, or am I just asking for cramps to interfere with my weight training?
It has better overall blood pressure lowering effects, with a much longer half life. However couldn't say it would be any better in terms of sides. I know it supposedly isn't worse. Both chlor and Inda are better than HCTZ overall. It generally doesn't seem to cause many issues, especially at that ultra low dose. However if you were cramping bad on 12.5hctz, 6.25 on paper at least would at least be as strong so it may not be a good idea in your specific situation.

As for the potassium, Teli it does raise it but most people's bodies are able to compensate and it comes in as normal. It is just a potential issue that can occur.
 
She is on Tirzepatide. If that’s the cause then there probably isn’t anything to help other than stopping it?
If it's caused by by undernutrition - yes. But that's also temporary too - lose the weight, then the hair will grow back once the nutrition is on track.

There is also some talk that, and it's not fully fleshed out and understood, that somehow glp's are increasing or unmasking androgenetic alopecia in women that are prone to it.
 
I love the Cilnidipine and Telmisartan combo. Best BP meds I've ever been on. Add to that the Telmisartan had the unexpected bonus of reducing my hematocrit... significantly.
So I struggle hard with hematocrit. I have telm on hand for emergencies, but My blood pressure is fine so Iv never used it. But even on cruise my hematocrit rises slowly, and last blast I ended with a 56 hematocrit. Obviously went and donated immediately, but I’m curious in your telm dosage, how long you were on it till you realized it lowered your hematocrit, and about how many points did it lower it? To me I can’t really think of a reason on why it would slow down/stop your red blood cell production.
 
So I struggle hard with hematocrit. I have telm on hand for emergencies, but My blood pressure is fine so Iv never used it. But even on cruise my hematocrit rises slowly, and last blast I ended with a 56 hematocrit. Obviously went and donated immediately, but I’m curious in your telm dosage, how long you were on it till you realized it lowered your hematocrit, and about how many points did it lower it? To me I can’t really think of a reason on why it would slow down/stop your red blood cell production.
Give me a few days before I put my foot further in my mouth. That was based on a hemoglobin reading at the blood bank where I was about to donate. It's always 18+ when I go to donate, right around every 12 weeks, and at that time it was at 16, so I ended up not donating. I just got back from Quest having blood drawn for a CBC and other things, so I can truly confirm a reduction... apples to apples, rather than doing that "multiply hemoglobin by three" thing. My HCT was 54 the beginning of December. I've been on Telmisartan 80mg for a few months, but I did ramp up from lower dosages over the first few months when I started it in August. If you post the question like "tell me about how telmisartan might influence hematocrit" to ChatGPT, Gemini, Claude, etc., it can explain it way better than I can remember. The effect is not supposed to be that significant, though. Hence, why I'm verifying. Everything else I take is very low probability of decreasing hematocrit.
 
Give me a few days before I put my foot further in my mouth. That was based on a hemoglobin reading at the blood bank where I was about to donate. It's always 18+ when I go to donate, right around every 12 weeks, and at that time it was at 16, so I ended up not donating. I just got back from Quest having blood drawn for a CBC and other things, so I can truly confirm a reduction... apples to apples, rather than doing that "multiply hemoglobin by three" thing. My HCT was 54 the beginning of December. I've been on Telmisartan 80mg for a few months, but I did ramp up from lower dosages over the first few months when I started it in August. If you post the question like "tell me about how telmisartan might influence hematocrit" to ChatGPT, Gemini, Claude, etc., it can explain it way better than I can remember. The effect is not supposed to be that significant, though. Hence, why I'm verifying. Everything else I take is very low probability of decreasing hematocrit.
Do u take milk thistle? 130mg silybum 3x day chelates iorn and helps prevent hematocrit from rising. Blood cycle is 120 days. So when u stop producing additional red blood cells it will take ATLEAST 120 days to see the difference. Blood cells dieing off.
 
Give me a few days before I put my foot further in my mouth. That was based on a hemoglobin reading at the blood bank where I was about to donate. It's always 18+ when I go to donate, right around every 12 weeks, and at that time it was at 16, so I ended up not donating. I just got back from Quest having blood drawn for a CBC and other things, so I can truly confirm a reduction... apples to apples, rather than doing that "multiply hemoglobin by three" thing. My HCT was 54 the beginning of December. I've been on Telmisartan 80mg for a few months, but I did ramp up from lower dosages over the first few months when I started it in August. If you post the question like "tell me about how telmisartan might influence hematocrit" to ChatGPT, Gemini, Claude, etc., it can explain it way better than I can remember. The effect is not supposed to be that significant, though. Hence, why I'm verifying. Everything else I take is very low probability of decreasing hematocrit.
Yeah I’ll poke around see what I see. But if you don’t mind dropping your exact level once you get results that’d be dope. I fucking hate donating blood lol. I’m in a little hoe ass town and gotta drive an hour 1 way to even do it.
 
Yeah I’ll poke around see what I see. But if you don’t mind dropping your exact level once you get results that’d be dope. I fucking hate donating blood lol. I’m in a little hoe ass town and gotta drive an hour 1 way to even do it.
No shit, man. I am so sick of having to do it. I even had to learn to do it myself at one time due to Red Cross permanent deferral (which I later got removed through appeal). CBC comes back quick, so I'll post soon as I know. I'm hoping it wasn't an error or something just "off." I'd love to be able to stop donating and obsessing over iron supplementation.
 
Do u take milk thistle? 130mg silybum 3x day chelates iorn and helps prevent hematocrit from rising. Blood cycle is 120 days. So when u stop producing additional red blood cells it will take ATLEAST 120 days to see the difference. Blood cells dieing off.
I've tried all the known approaches, but unfortunately none ever really seemed to influence it. Just business as usual every lab. That's why I'm so excited to see something like this happen and am hoping it wasn't an error at the blood bank. They didn't lend too much confidence in their skills, but I'm thinking how hard can it be to cock up a blood sample and inserting it in a machine?
 
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