So I am actually a physician, albeit a new physician still in residency training in family medicine; however, I am well trained in emergency medicine, obstetrics, as well as pediatrics in my residency program. I have run cycles myself (done stupid shit myself too) and gone up from 150 5'9" all the way to 240 and now sit at 205 clean (for a while now) while still holding my muscle fairly well with different concepts and techniques I have learned from many smart guys on this forum. I am a long term lurker in this site and have learned many things from you guys so please just take this as you will. As far as bp control I do think that lisinopril or an ARB like valsartan or telmisartan are great first line medications. I do not however think that it is a wise or make sense physiologically to use an ACE inhibitor like lisinopril and an ARB like telmisartan together. I really think that it is honestly best to take your bp serious and let your physician know that you do want to take it serious and let them adjust your medications as they see fit. It's not always an easy thing to give generalizations as far as bp control. Yes the lower the better but this bp control also has to be balanced in conjunction with potential side effects. Most people's only side effect to lisinopril is a dry hacky cough; however, there is potential for very serious side effects from this medications including angioedema and even throat swelling which can potentially kill you (although rare can happen). Also the lower you go bp wise there are side effects such as orthostatic hypotension and potential syncopal, light headed episodes which could cause issues of their own. Beta blockers can and do work well but specific ones work better for bp management (I.e. Propranolol is not a great medication for bp control bc of the short half life, but metoprolol and carvedilol can have its place as well certain cases). African Americans tend to respond better to calcium channel blockers as well as diuretics; however, this is a generalization that does not hold true across the board for all people. All in all, I guess what I'm trying to say is that as much as most physicians do not have a real understanding of understanding of steroids, their effects, potential uses, and potential side effects; bp control is something that is usually best left to the specialists as their are differing reasonings and rationales that do not always seem ever apparent in the physicians choice in medication choices. I do also agree with Dante that while medications can definitely help provide a fix for the problem at hand, it is usually a wise idea to also evaluate what modifications can be made in your routine. Whether it's lack of cardio, certain compounds causing this effect, stimulants, etc. try your best to do your part and make whatever changes you can to help yourself out. I apologize if you guys find this long winded or if you just disregard my thoughts from the medical side of it. I prefer to not give specific advice out to anyone and would like to keep things generalized bc I do not know specific situations or histories (yours or family histories). Thanks for the learning you guys have provided. Hopefully someone finds this beneficial.