My latest last night was 99 SBP. Which is pretty low. 100-110 is my goal.
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blsm
#588
You rock! I’m normally in the 90/60 range and feel good as long as it doesn’t drop lower. I don’t take bp meds.
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Prav works for me. Went through a few before getting to Prav. My problem was always the leg pain so it made me “non compliant” LoL! I tried CoQ10 and it didn’t help with the leg pain initially but I stuck with that and continue with 100mg Co-Q10 today.
My low dose of 20mg Prav per day seems to be doing the job well enough with no side effects.
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LaraPo
#590
It’s great to have 90/60 without meds! It’s exactly what I had naturally before kidney transplant. Now it’s achievable only on meds unfortunately. I’m taking Nebivolol 1 mg, Amlodipine 5 mg, and Telmisartan 30 mg. Trying to reduce Nebivolol with a goal to eventually stop it.
3 Likes
blsm
#591
Thank you. I think you’re doing fantastic and in fact (not to be weird) I look up to you as an inspiration.
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LukeMV
#592
Just got a fresh lipid panel back. Obviously happy with this. 2.5mg rosuvastatin and 10mg ezetimibe are in play along with a high fiber diet. Also on 3mg Retatrutide which could be making things better as well.
I wasn’t even fasted so the triglycerides would probably be lower if I was
9 Likes
adssx
#593
Isolated Systolic Hypertension in the Young (ISHY) is common in tall and physically active males. In 2018 the EU guidelines concluded that if you NOT be treated with drugs in otherwise healthy people: Journal of Hypertension
However more recent papers show that ISHY is associated with a higher CVD risk:
But I might depend on whether you are otherwise healthy or unhealthy: Isolated systolic hypertension in young males: a scoping review | Clinical Hypertension
Conclusion:
- As others said, repeat the measures and exclude white coat hypertension.
- If normal diastolic and ISHY is confirmed then first look at lifestyle (diet, sleep, exercise, weight loss, etc.) but if your 15yo is a tall healthy physically active male then it’s unclear if there’s anything to do
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Nice going! Your triglycerides are already at a good value and I doubt your apoB is affected by it.
I myself am currently experimenting with pravastatin 10-20mg (recommended by Dr Stanfield) and tirzepatide 7.5mg since I had elevated liver values with pitavastatin (no muscle issues). If I don’t manage to consistedly get below 60mg/dL LDL-C I will add ezetimibe. My lp(A) value is luckily extremely low but due to high stress levels and insomnia I want to drive cholesterol levels down further.
3 Likes
LukeMV
#595
Yep my ApoB has always been similar to my LDL (maybe a tad higher) and my Lp(a) is low (thank god) so I didn’t ask for them this time.
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